Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.

[Q]: Since 2011, Pugh received $500,000 selling her illustrated books to the University of Maryland Medical System, a $4 billion hospital network that’s one of the largest private employers in the state. Since the arrangement was exposed by The Baltimore Sun earlier this month, she’s stepped down from the volunteer board and returned her most recent payment of $100,000 for the hard-to-find books. She also defended her actions and portrayed press inquiries as a “witch hunt.” A Democrat who became mayor in 2016 and represented some of Baltimore’s poorest areas in the state’s Senate before that, Pugh is the public face of the still-unfolding debacle. But the Baltimore mayor — who served on the UMMS board since 2001 and once sat on a state Senate committee that funded the major health network — is hardly the only influential Marylander connected to the board or the medical system facing questions. One-third of the UMMS board members received compensation through the medical system’s arrangements with their businesses, a revelation that Gov. Larry Hogan has called “appalling.” Two other members of the board also resigned, and four others went on voluntary leave while the system reviews governance practices. The president and CEO of the University of Maryland Medical System has recently been sent on a temporary leave of absence. Maryland Comptroller Peter Franchot said Tuesday that an independent audit is urgent to understand how many “self-dealing” arrangements there have been over the years. In Pugh’s case, there needs to be a thorough examination of whether a product was actually delivered, he said. “I describe it as juvenile, this arrangement where she was providing or not providing books — no receipts, no contracts, no procurement. It was simply a $500,000 gift to her from the University of Maryland Medical System,” Franchot asserted in a phone interview. The slim “Healthy Holly” books, sharing tips on nutrition and exercise, were meant to be distributed to schools and daycares. However, the Sun has reported that 50,000 copies are unaccounted for, leading to widespread speculation that a good chunk were never printed in the first place. In recent days, fewer than 9,000 copies were tracked down collecting dust in a warehouse of Baltimore’s school district, which has described Pugh’s children’s books as “unsolicited” donations. The city library system, daycare programs and booksellers can’t find copies. “Healthy Holly: Exercising is Fun” is unavailable on Amazon, where the only reviews for the book are entries of people savaging Pugh’s ties with UMMS. In a written statement, Pugh has defended her lucrative book deal with UMMS, saying it started as a passion project. “I recall passing the time by thumbing through the first book before an UMMS meeting. One my colleagues loved it and thought it would help advance children’s health,” she said in a recent statement. Pugh has since cancelled all public appearances and her spokespeople say she was hospitalized over the weekend with pneumonia. They say she will address the matter more once her health improves. Criticism of UMMS and of Pugh — who faces a 2020 Democratic primary for re-election in a city dominated by a single party’s political machine — has been intense. The Washington Post’s editorial board asserted the UMMS had a “get-rich-quick program” for many of its board members, with Pugh’s involvement painted as an egregious case of “political sleaze.” Meanwhile, UMMS and Pugh have not provided clarity on the whereabouts of the 100,000 copies of the “Healthy Holly” series books or definitive proof they were published and distributed. A spokeswoman for the university-based health network says their communications team was “working hard on all of the inquiries.” The medical system had classified the “Healthy Holly” purchases as grants in federal filings. Some critics say the various statements made by Pugh and others regarding the arrangements with UMMS board members are absurd on so many levels that it’s hard to know where to begin. “Whatever Pugh does, she is going to be operating under a very, very big cloud for a long time,” said Donald Norris, professor emeritus of public policy at the University of Maryland Baltimore County. “This is an unethical lapse of humongous proportions — $500,000 worth.” ___ Follow McFadden on Twitter: https://twitter.com/dmcfadd
[A]: Baltimore mayor’s $500K book deal draws intense criticism.


[Q]: The University of Kansas will have what it says is the smallest four-year medical education site in the country when eight students begin taking classes on Monday on a satellite campus in Salina, Kansas. The move is in response to a shortage of rural doctors in the United States. “By training physicians in a nonmetropolitan area, we are showing young medical students that life can be good, and practice can be stimulating, outside of the big city,” said Dr. William Cathcart-Rake, the physician who directs the University of Kansas School of Medicine-Salina. Students will get some course work via tele-video and podcasts from the school’s other campuses, but they will also train through visits to doctors’ offices in small communities and at the hospital in Salina, school officials said. “It’s a bold and innovative move,” said Dr. Roland Goertz, president of the American Academy of Family Physicians. He said students at rural clinics will be exposed to a potential medical career they wouldn’t see in urban hospital settings. Cathcart-Rake said six of the eight students being taught at Salina, as part of their scholarships, have committed to practicing in a rural area. Seven of the eight students are from rural areas to begin with, he said. “They see the value of living in wide open spaces and going back to where their friends are,” Cathcart-Rake said. Attending medical school in a place such as Salina reduces chances they will change their minds, which could happen if they went to a big-city school, he said. Salina, with 46,000 residents, is about 175 miles west of the Kansas City metropolitan region where the university’s main medical school is located. Small-town America has become increasingly under-served by doctors. About 21 percent of U.S. residents live in rural regions but only about 10 percent of physicians practice there, according to data cited by the family physicians group. In Kansas, 12 counties don’t have a full-time doctor at all, said Barbara Atkinson, executive dean of the University of Kansas School of Medicine. Several factors are often cited for a shortage of rural doctors. Rural doctors tend to be paid less, partly because they are more likely to treat patients on Medicare and Medicaid, which reimburses at rates below standard insurance. General practitioners make up the largest share of rural doctors, but until recent years fewer medical students were going into general medicine, putting a strain on rural care. Older doctors who practice in small towns and retire are sometimes not replaced because younger doctors may prefer the greater cultural amenities urban regions tend to offer. Recent changes in federal healthcare laws are intended to make rural practice more acceptable to doctors. Doctors who practice in certain underserved areas will get bonuses beyond the 10 percent boost in Medicare reimbursements they were already receiving, Goertz said. He said another reason why there are fewer rural doctors is that the large majority of medical students come from urban areas, where medical schools are usually located, making them less like to consider rural medicine. “You tend to gravitate to where you grew up,” Goertz said. Cathcart-Rake is optimistic that the Salina medical school will be a success and that in future years admissions may grow from eight to 12 students.
[A]: Rural doctor shortage prompts opening of medical school.


[Q]: We received multiple inquiries from readers in September 2019 about news reports that claimed one of former Vice President Joe Biden’s eyes “filled with blood” during a CNN town hall debate on Sept. 4 and about the authenticity of video footage that appeared to show the incident. The Daily Mail wrote:  “Democratic presidential candidate Joe Biden’s left eye appeared to fill up with blood as he answered a question during CNN’s climate town hall on Wednesday night. Biden was answering a question about fracking when the blood suddenly became noticeable. As he turned away from the camera to take a question about China’s role in carbon emissions, the blood in his eye was easy to spot.” The right-leaning Washington Examiner published an article with the headline “Biden’s Eye Fills With Blood During CNN Climate Town Hall” and reported that: “Former Vice President Joe Biden appeared to have a blood vessel burst in his left eye while participating in CNN’s town hall on climate change. A broken blood vessel in the eye, also known as a subconjuctival hemorrhage, can be caused by several things, including high blood pressure, bleeding disorders, blood thinners, or even excessive straining.” Similar reports were published by the Daily Express and the right-leaning Townhall website. Many reports were accompanied by footage that appeared to show blood gathering in the corner of Biden’s left eye during the debate:  ﻿  The video footage was authentic, and blood did indeed gather, internally, in the corner of Biden’s eye during his appearance at the televised town hall. However, it’s not clear what caused that to happen, and much of the reporting that alluded to “health concerns” appeared to have been based on speculation. The incident began around 26 minutes into Biden’s appearance at the debate, which can be viewed on the CNN website. The blood becomes visible around 50 seconds into the following clip, which was posted to Twitter by CNN itself: “We can take millions of vehicles off the road if we have high-speed rail,” former Vice President Joe Biden says. “I’ve been the champion of that for the last 25 years.” #ClimateTownHall https://t.co/B8y4m3SMc5 pic.twitter.com/DNHPKJzDT3 — CNN (@CNN) September 5, 2019   It’s not clear what caused the incident. Some news reports speculated that the footage showed the aftermath of a blood vessel bursting in Biden’s eye, something that is relatively quite common and “usually harmless,” according to the American Academy of Ophthalmology. Burst blood vessels in the eye can be caused by straining, coughing or sneezing, but can also be linked to underlying health issues such as high blood pressure, diabetes, or the use of blood-thinning medications. Complications from the use of contact lenses can also cause blood vessels in the eye to break.
[A]:
Blood spots were visible in the left eye of Joe Biden, a 2020 U.S. Democratic presidential candidate, during a CNN debate in September 2019.