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 California deaths were caused by a strain of the influenza virus that is sending sufferers across the nation to the doctor for flu-like symptoms at rates that are 50 percent higher than normal, said Lyn Finelli, head of the influenza surveillance and outbreak response team at the Centers for Disease Control and Prevention. “That’s way above the norm for flu,” Finelli said. “It tells us we’re still in the middle of flu season, and in the Northeast and California it’s going up, up, up.”  The flu strain responsible for the California deaths, H1N1, also predominates nationwide this year. It hits people hardest between the ages of 25 and 64, partly because some older people are believed to have more immunity due to similar outbreaks many decades ago. In California, 52 people died last week alone, including one child, the state’s chief of communicable disease control told reporters on a conference call Friday. “This influenza season continues to be a severe one as the increasing number of influenza-related deaths indicates,” Ron Chapman, director of the California Department of Public Health, said in a statement, urging Californians to get vaccinated. In addition to the 147 confirmed California flu-related fatalities this season among people under age 65, another 44 suspected flu deaths remain under investigation, said Dr. James Watt, chief of the state’s Division of Communicable Disease Control. Most of those felled by the disease had other health conditions, but not all, he said. Last year at the same time, the state had recorded just 14 flu deaths among Californians under age 65. The death of a 47-year-old television advertising executive in the state’s capital city prompted a renewed call for residents to become vaccinated against flu. Sacramento County, with 21 deaths so far, leads the state in fatalities. “After reading the heartbreaking story of Nancy Pinnella, went to CVS and got my first flu shot ever,” California’s first lady, Anne Gust Brown, posted on Twitter. It is not fully clear whether California is an outlier in the severity of its cases, because states are not required to report flu deaths to the CDC, and data is collected differently from state to state and county to county, said CDC spokesman Jason McDonald. The fatality data that the public health agency does collect, on pediatric deaths, is not useful in studying H1N1, because the virus is more likely to attack adults, Finelli said. The public health agency does, however collect information on why people go to the doctor, and whether they are hospitalized for flu. Those signs, she said, show that this year’s flu is likely to continue to hit hard. Although the number of cases nationwide appears to have plateaued, she said, that does not take into account that California and the Northeast are lagging other areas with a late flu season. Meanwhile, CDC data does show that far more people under the age of 65 are being hospitalized with flu-like symptoms than last year. As of last week, for example, 76 percent of those hospitalized for flu were under age 65, compared to less than 50 percent last year. Nationwide, the data shows that somewhat fewer people have contracted flu so far this year than last year, Finelli said. This year’s strain, however, appears to be causing severe illness in a population that is more typically robust, she said. Claim: California sees high rate of flu deaths in unusually severe season.

Ex Output:
An unusually severe flu season has claimed the lives of at least 147 young and middle-aged people in California - 10 times the number killed by influenza viruses by the same time last year, public health officials said on Friday.


Ex Input:
Paragraph: London’s Metropolitan Police said the company had been charged with seven counts of supplying a medicinal product which was not of the nature or quality specified in the prescription. It was also accused of failing to take all reasonably practicable steps to ensure that patients were not infected by contaminants. The north London company said in a statement: “As founders of ITH we have every sympathy for all the families affected, regardless of the cause. However, we are disappointed by the decision to charge the company and will vigorously defend this case.”  The police investigation was launched in September 2014 following the death of a baby three months earlier at London’s Guy’s and St Thomas’ hospital. The death of a second baby at the same hospital and a third at the Rosie Maternity Hospital in Cambridge, central England, in June 2014 were then also investigated. The inquiry followed an outbreak of a bacterial infection that affected some babies receiving Total Parental Nutrition (TPN), an intravenous feed. The seven babies involved in the investigation, including the three who died, had all received the feed. The investigation established that the cause of death of the first baby could be linked to TPN, although the deaths of the other two were not found to be linked. Five hospitals in total were involved in the investigation, the other three being Russells Hall Hospital in Dudley, Luton and Dunstable Hospital and Lister Hospital in Stevenage, all in central England. ITH Pharma, which was founded in 2008, said it had manufactured more than 1.4-million components of TPN since its launch and was the sole commercial supplier of reactive feeding solutions to the National Health Service. “This product has helped thousands of extremely vulnerable infants survive premature and complex births,” it said. The case is due to start at Westminster Magistrates’ Court in London on Dec. 17. Claim: UK police charge pharmaceutical company over hospital baby deaths.

Ex Output:
Police said on Wednesday they had charged pharmaceutical company ITH Pharma with a number of offences as part of an investigation into the deaths and illnesses of seven babies at several hospitals.


Ex Input:
Paragraph: It marks the final deadline for most Americans to sign up for health insurance under President Barack Obama’s 2010 Affordable Care Act, popularly known as Obamacare, if they want coverage starting on January 1. If enough people - and the right mix of young and old - do not enroll, the ambitious program designed to provide health benefits to millions of uninsured and under-insured Americans risks eventually unraveling. The deadline caps a turbulent roll-out this year for Obamacare and the HealthCare.gov website that is key to enrolling millions of people in the initiative. The website crashed upon its launch on October 1, frustrating users trying to shop for insurance plans. It now is functioning much better, but is still not at 100 percent. Despite the continuing problems, the administration is expressing confidence that Obamacare is getting back on track after enrollment accelerated in December, with more than 1 million people signing up for private insurance. Here is a look at some notable moments in the months leading up to Obamacare’s troubled launch. In June 2012, Margaret Tavenner was worried. As acting director of the Centers for Medicare and Medicaid Services (CMS), she was responsible for orchestrating the launch of the most sweeping U.S. domestic legislation in more than four decades. With uncertainty surrounding how the new law would work, most states were undecided whether to establish their own insurance marketplaces or rely instead on a federally run exchange. “What keeps me up at night is knowing around December, there are going to be like 30 states who want to come in and be state-based exchanges,” Tavenner told a Washington healthcare conference, according to the Modern Healthcare newsletter. Tavenner’s anxiety - more than a year ahead of the planned launch of the exchanges - spurred concerns among industry and advocacy groups, which publicly questioned whether the multiple government agencies involved in the effort would be able to pull it off. The White House was closely briefed on the issues. Tavenner was cleared to visit White House officials involved in the project 425 times from December 2009 to June 2013, including several meetings with Obama, visitor logs show. The White House said later that Obama knew only the broad picture, not details of the effort. The administration also sought industry feedback, but some groups complained their warnings fell on deaf ears. On a video of a February 2013 conference of health insurance brokers and agents in Washington, attendees could be heard grumbling when CMS official Chiquita Brooks-Lasure asked for feedback by the next day on a “streamlined” insurance application form. The 21-page packet was jammed with questions on income and insurance status. For insurance brokers who had learned to keep it simple for customers, it was a harbinger of trouble. “It was ridiculous,” said Tom Harte, president of the National Association of Health Underwriters, which sponsored the conference. He said the group had been making suggestions to the administration on Obamacare enrollment for months. “The image I always had (of the administration’s efforts) was of a horse with blinders on, just plowing ahead and ignoring everything else,” he said. Added to technical and administrative issues, CMS had run into political problems on Capitol Hill with Tavenner’s permanent appointment as director. A former head of Virginia’s state health system, Tavenner had been acting director of CMS since December 2011 while her confirmation was delayed by partisan clashes in the Senate over Obamacare. Finally, a Senate hearing was set for April 9, 2013, and she and others on the CMS staff had to prepare her for tough questions about the healthcare program’s roll out. Tavenner assured the panel that software development and testing for HealthCare.gov would be done by September 2013. A week later, on April 18, Tavenner’s boss, Katherine Sebelius, secretary of Health and Human Services, delivered a similar message to a House budget panel. She said work on the insurance exchanges was “up and running, and we are on track.”  These confident public displays masked a different reality. Earlier that month, Tavenner and Sebelius had been briefed by an outside consultant about a broad array of risks threatening the October 1 launch of HealthCare.gov. The report by the consulting firm McKinsey & Co depicted a tangled, leaderless bureaucracy managing the effort and warned of possible system failures that materialized barely six months later. It blamed tight deadlines, insufficient testing and the absence of a “single, empowered decision-making authority.”  The report sounded the alarm. Attendees at high-level briefings that followed included Todd Park, the White House chief technology officer, and Brian Sivak, the HHS technology whiz brought in to jumpstart health technology systems. The consultants met with Tavenner and Jeanne Lambrew, Obama’s healthcare adviser who, two decades earlier, had worked on a failed healthcare overhaul spearheaded by then-first lady Hillary Clinton. Obama also was briefed on McKinsey’s findings, White House press secretary Jay Carney later acknowledged. White House logs show two McKinsey consultants arriving for a meeting on April 8, but the company would not comment on the visit. The first public hints of official concern about possible problem’s with Obamacare’s technology actually came on March 22 - before Tavenner and Sebelius had expressed their confidence to Congress and just as McKinsey’s findings began to make their way through the administration. At a forum sponsored by America’s Health Insurance Plans, the national trade association representing the health insurance industry, CMS chief technology officer Henry Chao noted that the launch of HealthCare.gov was about 200 days away. “I’m pretty nervous — I don’t know about you,” Chao told the group, according to Congressional Quarterly. “The time for debating about the size of the text on the screen, or the color, or is it a world-class user experience, that’s what we used to talk about two years ago,” Chao said. “Let’s just make sure it’s not a third-world experience.”  By July, Chao’s concerns had escalated. A former Navy avionics technician once billed as a rising federal tech star, his reputation was tied up in the success of a website that was partially built and not yet fully tested. His agency already had paid the website’s prime contractor, CGI Federal Inc, nearly $88 million by March 2013. And costs were climbing. Chao wrote to colleagues on July 16 to say that he feared CGI could “crash the plane at takeoff,” according to e-mails released by Republican congressional investigators. CGI has declined to comment. Alarming assessments streamed in from CMS technical advisers. “We believe that our entire build is in jeopardy,” wrote one, referring to the elaborate website construction. E-mails flew back and forth between Chao and the contractors until a CGI vice president assured Chao, “I am on top of this.”  For Chao, meeting the October 1 deadline to have the website functioning well had become a matter of personal honor. Along with Tavenner, he had given sworn testimony to a congressional committee and assured skeptical members that the agency was on track. On July 20, Chao urged his staff to redouble its effort and sent a link to his testimony. “I wanted to share this with you so you can see and hear that both Marilyn and I, under oath, stated we are going to make October 1,” Chao wrote. He urged them to “put yourself in my shoes” and help him make those words the truth. As October 1 approached, bleak assessments about the website surfaced everywhere - except from the Obama administration. Brett Graham, a partner at the healthcare consultant Leavitt Partners, predicted a rocky enrollment period. “The lack of testing and short timelines increases the probability of exchanges experiencing unexpected problems,” he told a House subcommittee on September 10. At CMS, system tests during the third week of September were “not good and not consistent at all,” one employee told Chao in an e-mail. At a time when the website should have been able to accommodate 10,000 simultaneous users, it was crashing with 500 simulated users on it - about a week before the site’s scheduled launch. Contractor CGI called the glitches “part of the tuning exercise.”  Chao shot off an all-caps message to his staff, ordering that tests continue, just five days before the deadline. At the White House, technology officer Park questioned Chao about the website’s progress. If Park sensed disaster, he gave no hint. “Massive kudos again for the incredible progress the team is making!” Park wrote in an e-mail. HealthCare.gov went live on October 1 amid a sea of error messages, blank pages and crashed applications. “We are making improvements as we speak,” Tavenner told reporters on a conference call that afternoon. The site’s meltdown continued, however. A frustrating month of up-and-down performance prevented many Americans from purchasing insurance. The administration brought in technical advisers to help with an upgrade. After a few weeks of stumbling explanations from top officials, Sebelius took responsibility during an October 30 congressional hearing. “No one indicated it could possibly go this wrong,” she said. “Hold me accountable for the debacle.”  Obama apologized on November 14. Compounding the technical problems, Obama’s repeated promise that Americans could keep their existing insurance if they wished proved to be inaccurate. Millions of people with bare-bones policies that did not meet the minimum standards set in the Affordable Care Act lost them. Republican critics of Obamacare accused the administration of a lack of transparency. “The administration was on track - on track for disaster,” Rep. Fred Upton, the Republican chairman of the House Energy and Commerce Committee said on November 19. “But stubbornly, they stayed the course.”  The political damage flowing from the website’s troubles is likely to continue through the 2014 elections. Control of Congress will be at stake, and Republicans have vowed to make Obamacare’s troubled roll out, as symbolized by the botched debut of Healthcare.gov, part of an assault on the healthcare program that they say is too costly and robs Americans of coverage choices. The website eventually found its footing. As of late Sunday, more than 1 million people had signed up for private coverage through HealthCare.gov, and hundreds of thousands more were expected to do so Monday and Tuesday, just before a deadline to get coverage that starts January 1. Even so, the administration’s initial goal of signing up 3.3 million people by the end of December seems out of reach. Claim: The painful path to Obamacare deadline.

Ex Output:

Tuesday is a moment of truth for Obamacare.