Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Ex Input:
Paragraph: The article states that acupuncture costs $45 to $100 per session. It does not say how this compares to other treatments and whether the cost of care is the same, more or less than alternatives. The story states the proportion of patients who successfully responded to each therapy, and clearly explains that “real” acupuncture was no better than sham needling. But it does not define success or otherwise quantify how much people improved clinically in either relative or absolute terms. For a treatment to be considered successful, a patient must have reported either a 33% improvement in pain or as little as a 12% improvement in function during an interview conducted over the telephone 6 months after enrollment. Nonethless we’ll grade this criterion as satisfactory. The story did not mention harms from any of the treatments patients received. Previous research suggests that acupuncture poses few risks when performed with sterile, disposable needles. The article describes the largest randomized controlled trial to date investigating the effectiveness of acupuncture for treating chronic low back pain, and reports its published results. It discusses the three treatment groups studied and potential reasons for the outcomes observed. There are no obvious elements of disease mongering. The story explains that the study participants were people with chronic low back pain. These results wouldn’t apply to other back pain conditions. The article cites one of the study’s coauthors and two physicians who appear to be users and/or proponents of complementary therapies. It would have been interesting to hear from a skeptical observer. The story lists the therapies received by patients assigned to the conventional medicine group. The literature suggests that these treatments generally provide very modest benefits. The article does not mention other therapies that may be effective for managing chronic pain and improving flexibility and strength. These include cognitive therapy alone or in combination with intensive exercise and strengthening. Acupuncture is estimated to be the third most popular complementary therapy for chronic low back pain. Though the article does not say much about its availability, readers are likely to be familiar with it. The story notes that this is the largest study yet of acupuncture for chronic back pain, suggesting that the treatment is not new. There is no obvious use of text from a press release. Claim: Acupuncture, real or fake, called best for lower back pain

Ex Output:
This article reports on the largest randomized controlled trial to date investigating the effectiveness of acupuncture for treating chronic low back pain. It explains that both acupuncture and sham needling are more effective than conventional medical therapies, but that “fake acupuncture works nearly as well as the real thing.”       In addition to describing the quality of the evidence, the story mentions several other treatment options, tells the reader the cost of acupuncture, and hints at its novelty. The story neglects to mention harms. (A recent systematic review reinforces the study’s finding that acupuncture poses few risks; see Spine 2005;30:944-63). And it also provides an incomplete picture of the treatment’s apparent benefits. Although it notes the proportion of patients who improved with each therapy, it does not define success or otherwise quantify how much people improved clinically–in either relative or absolute terms. For a treatment to be considered successful, for example, a patient could have reported as little as a 12% improvement in function during an interview conducted over the telephone 6 months after enrollment. This is important information if people are to weigh the apparent benefit of a therapy against its cost. The article cites one of the study’s coauthors and two physicians who appear to be users and/or proponents of complementary therapies. They attempt to explain why needling seems to work. To provide some balance, the study’s coauthor suggests that the apparent benefit could merely be the result of patients’ expectations of improvement from acupuncture, on the one hand, and of poor results from conventional medicine on the other. (Unfortunately, the researchers did not measure patients’ expectations.) It would have been interesting to hear from others. Some might point out that the new study shows that acupuncture and sham needling are only more effective than treatments that are not themselves very effective. Others might make the case that acupuncture provides no specific treatment effect and is unethical to use—because it could be construed as prescribing a placebo. People with chronic low back pain are desperate for anything that will help. When a large new study provides apparently strong evidence to buttress a therapy that previously had little high-quality evidence to support it, readers might also benefit from more context. A major systematic review that analyzed 35 randomized trials involving 2861 patients recently concluded that acupuncture appears to confer modest, short-term pain relief, but that the quality of the studies was not very good. The reviewers were careful not to overstate the benefits of acupuncture (Spine 2005;30:944-63). Overall, this was a good article that would have been helped by some more context.


Ex Input:
Paragraph: "Florida leads the nation in deaths from lightning strikes. But State Farm, one of the nation’s major insurers, says it is Georgia residents who file the most claims for lightning strikes in the country, WSB-TV reported Friday, June 5. PolitiFact Georgia was intrigued and decided to dig a little deeper. We began by contacting Justin Tomczak, a State Farm spokesman. He sent us data showing Georgia was No. 1 in 2014 for lightning-related claims both in number (3,709) and total dollar value ($16.3 million). Texas was second, Alabama at third, Louisiana at fourth and Illinois at fifth. STATE Reported Count Paid Indemnity  Georgia 3,709 $16,301,952 Texas 2,201 $14,160,258 Alabama 1,902 $10,930,264 Louisiana 1,707 $10,930,264 Illinois 1,669 $8,030,507 . ""This is the third year in a row that Georgia has been ranked No. 1,"" Tomczak said. Most of the lightning claims were surge- or power-related, the spokesman said. Damages generally resulted from power surges in electrical wiring, TV cable or phone lines in homes or businesses, he said. As to why Georgia has the most claims, Tomczak said, ""there is no simple answer. However, many of the lightning claims are concentrated in the Southeastern United States, and Georgia has one of the highest populations in this area."" John Jensenius, lightning safety specialist with the National Weather Service, said the population density in metro Atlanta may be a factor in Georgia’s high claim rate. The denser the population the more likely lightning will strike a house, Jensenius said. The Insurance Information Institute, in conjunction with State Farm, compiles a list each year of the top 10 states for homeowners insurance lightning losses by number of claims. In 2013, the institute listed Georgia as highest with 11,184 lightning-related insurance claims from homeowners. Its 2014 report is due out within days, a spokeswoman said. (Georgia was No. 1 for 2012 with 3,844 claims totalling $21.5 million and for 2013 with 2,969 claims totalling $14.9 million, according to State Farm). Nationwide, lightning strikes cost about $674 million in homeowners insurance losses in 2013, down 30.5 percent from 2012, according to the institute. From 2007 to 2011, local fire departments across the country responded to an average of 22,600 fires a year that were started by lightning, according to the National Fire Protection Association. These fires caused an average of $451 million in direct property damage and nine civilian deaths a year, an NFPA analysis shows. Lightning deaths  Florida led the nation for lightning deaths in 2014 with six, followed by Wisconsin with three. Georgia, Arizona, Arkansas, Colorado and Massachusetts each had two deaths. Seven additional states -- California, Michigan, Missouri, Mississippi, New Mexico, Pennsylvania and Texas -- reported one lightning death in the year. The 26 lightning deaths in 2014 followed a record low of 23 set in 2013. The National Weather Service said deaths from lightning strikes averaged 33 a year from 2004 to 2013 and, going back over the last 30 years, an average of 51 people died each year after being hit by lightning. The significant decline in lightning deaths has been attributed to fewer farmers working in the fields, technological advances, improved safety standards and protection. As of the June 1, 2015 there have been six lightning fatalities, two in North Carolina and one each in Iowa, Florida, New Mexico and West Virginia, according to the National Oceanic and Atmospheric Administration (NOAA). WSB-TV meteorologist Brian Monahan said lightning strikes occur most often in Georgia during the summer months when the high pressure area out in the Atlantic around Bermuda pumps in warm, humid air, creating those all-too-familiar afternoon and evening thunderstorms. A secondary spike of lightning strikes also occurs in the severe weather seasons of March to early May and around October and November, when the air is still warm and humid enough to support storms, Monahan said. Our ruling State Farm says Georgia residents file the most claims for lightning strikes in the country. There’s evidence this has been the case last year and the two previous years." Claim: Georgia residents file the most insurance claims for lightning strikes in the country.

Ex Output:
State Farm says Georgia residents file the most claims for lightning strikes in the country. There’s evidence this has been the case last year and the two previous years.


Ex Input:
Paragraph: Supporters must gather enough petition signatures to ensure the measure will be placed on the 2016 ballot. United With Care, a medical marijuana advocacy group, said on its website it needs to secure 683,149 signatures by Dec. 31 to bring the amendment to a popular vote. Some 400,000 Florida residents have already signed the petition, the group said. Twenty-three states and the District of Columbia allow marijuana use for those suffering from a range of ailments, from HIV to glaucoma and cancer to epilepsy. The language approved by the Florida Supreme Court in Tallahassee addressed whether the proposed amendment informed voters fairly on the issue and also accepted a financial impact statement prepared by economists, the Tampa Bay Times reported. In a 2014 poll, state residents said they supported the legalization of medical marijuana with 57.6 percent of the vote, the newspaper said. Sixty percent would be required to pass a constitutional amendment. Opponents of the measure saw drawbacks could include the backdoor legalization of recreational marijuana in the state. Claim: Florida Supreme Court approves language of medical marijuana proposal.

Ex Output:

The Florida Supreme Court on Thursday approved language of a proposed constitutional amendment legalizing medical marijuana for people with debilitating medical conditions, paving the way for a vote next year.