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.

[EX Q]: The study tracked about 20,000 severely obese patients with Type 2 diabetes. Those who had weight loss surgery had a 40 percent lower chance of developing a heart attack or stroke in the five years following surgery compared to those who got usual care with diabetes medicines or insulin. For every 1,000 patients in the study who had surgery there were roughly 20 heart attacks or strokes compared to 40 such events per 1,000 who got regular care. More than 30 million Americans have diabetes, mostly Type 2 where the body loses the ability to produce or use insulin to turn food into energy. Other research has shown obesity surgery can reverse and even prevent diabetes. Taken together, it means doctors should discuss weight loss surgery more often, said study co-author Dr. David Arterburn of Kaiser Permanente Washington Health Research Institute in Seattle. Doctors usually mention insulin and pills, “but it’s not always brought up that weight loss surgery is another available treatment option,” Arterburn said. Researchers analyzed records from four U.S. health care systems: HealthPartners in Minnesota and Kaiser Permanente in Washington state, Northern California and Southern California. Results were published Tuesday in the Journal of the American Medical Association. The study can’t prove cause and effect because patients weren’t randomly assigned to get surgery. The researchers tried to match patients for gender, age, blood sugar levels and other factors. But other things they didn’t account for could have contributed to the surgery patients’ better results. Everyone in the study had a BMI, or body mass index, of at least 35. For instance, someone who is 5-foot-8-inches and weighs 230 pounds has a BMI of 35. Of the more than 5,300 who had surgery, most had gastric bypass, the most common type of stomach-shrinking operation. Some had gastric sleeve or gastric band procedures. The rest, nearly 15,000 people, had usual care. Obesity surgery can cost $20,000 to $25,000. Insurers are increasingly covering it, but some impose strict limits. The new findings suggest insurance coverage should be expanded for the right patients, Dr. Sayeed Ikramuddin of the University of Minnesota wrote in an accompanying editorial. Surgery is thought to help by affecting hormones, gut bacteria and other substances that affect how the body handles insulin and blood sugar. Weight loss without surgery also helps, but is difficult for many people to achieve. Most weight loss surgery today is done through small incisions. The dangers are similar to other surgeries, including a small chance of life-threatening complications, and some people need to have their surgeries repeated. ___ Follow AP Medical Writer Carla K. Johnson on Twitter: @CarlaKJohnson ___ The Associated Press Health &amp; Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.
[EX A]: Obesity surgery may lower heart attack danger in diabetics.

[EX Q]: His two attempts to craft legislation replacing Obama’s law have collapsed for lack of GOP support. Republican opposition seems likely to doom a vote next week on his Plan C, a bill simply repealing much of Obama’s statute. Along the way, conservative Sen. Ron Johnson, R-Wis., accused McConnell of a “serious breach of trust” by telling moderates that proposed Medicaid cuts would not occur. His fellow Kentucky Republican, Sen. Rand Paul, was a constant thorn and the most vociferous opponent of McConnell’s effort. And Utah Sen. Mike Lee, R-Utah, gave party leaders little advance word when he and Sen. Jerry Moran, R-Kansas, deserted the bill late Monday, effectively killing it in the dark of night. “This has been a very, very challenging experience for all of us,” McConnell told reporters Tuesday. McConnell faced a difficult environment. Polls have consistently shown Obama’s statute was far more popular than the GOP effort to repeal it, making his bill a tough sell to colleagues. President Donald Trump’s dismal approval ratings and zigzagging engagement haven’t helped. And facing unbroken Democratic opposition, McConnell needed to win over at least 50 of the 52 GOP senators, a .962 batting average he’s been unable to achieve. “Mitch has a tough, tough job and frankly I cut him a lot of slack on this. He can only do so much,” said Sen. Jeff Flake, R-Ariz. Democrats, who often grudgingly marvel at McConnell’s moves, kept waiting for him to pull a rabbit from what turned out to be an empty hat. They said he overreached by turning a bill reshaping Obama’s law into one that also cut nearly $1 trillion in taxes over a decade and sliced almost $800 billion from Medicaid, the health care program for the poor, disabled and nursing home patients. They say he boxed himself in by rushing to deliver on his party’s seven-year-old overpromise to repeal Obama’s law. That proved an arduous task that angered tens of millions who’ve benefited from the statute, especially with much of McConnell’s work performed behind closed office doors. “I don’t have any sympathy for him,” said Sen. Richard Durbin, D-Ill., his party’s No. 2 Senate leader. “I assume he felt duty-bound as the Republican leader” to pursue repeal of Obama’s law. But he said McConnell should have known that “rewriting the health care system of America on the fly and in secret was not going to work.” McConnell seemed to be trying to turn lemons into lemonade with next week’s likely rejection of a simple repeal of much of Obama’s law. By losing, GOP leaders would send a message to conservative voters that they tried to obliterate the law, while signaling to Republican senators that the votes aren’t there and it is time to move on. A senator for 33 years, the 75-year-old McConnell has a reputation for weaving compromises that avert onrushing political disasters. He cut several such deals during Obama’s years in the White House, including major budget pacts in 2011 and 2013. But once Donald Trump won the presidency and Republicans took House and Senate control this year, it became McConnell’s job to play offense. In particular, he is quarterback of the Senate GOP drive to repeal Obama’s law. But dismantling the law is not going to happen, at least in the immediate future. Assessing Democrats as unwilling to help them scrap Obama’s law — which they were — McConnell ignored them from the start. That tactic ignored his own advice from his 2016 memoir, “The Long Game,” in which he criticized Democrats for passing Obama’s 2010 statute “without regard for the views of the other side.” “Once you only have 52 votes and you try to do a bill just with Republicans, you set yourself up for a nearly impossible task,” said Senate Minority Leader Chuck Schumer, D-N.Y. McConnell’s latest bill would cut Medicaid, letting insurers sell policies with negligible coverage and rolling back Obama taxes on the health care industry. Getting GOP votes for it is a Rubik’s cube-like problem because conservatives and moderates have mutually exclusive demands, like whether to slash Medicaid or erase Obama regulations protecting consumers. “You have first- and second-term twerps that think they know the solution to everything,” said former Senate Majority Leader Trent Lott, R-Miss., who retired in 2007. “This was always going to be a difficult process and I’m not sure how we would have handled it differently,” said No. 2 Senate GOP leader John Cornyn of Texas. Movement conservatives who have often accused McConnell of not being an aggressive enough champion of their causes do fault him. “Mitchcare collapses,” read a statement by Ken Cuccinelli, who heads the Senate Conservatives Fund, which has clashed with McConnell. Cuccinelli called the bill’s demise “an embarrassing defeat for someone who portrays himself as a strategic genius.”
[EX A]: Crumbling health bill dents McConnell image as top tactician.

[EX Q]: The state Department of Health also said it would allow more sites where patients can access medical cannabis. The changes take effect in August, Minnesota Public Radio News reported. Minnesota’s medical marijuana program began in 2014. Originally, only nine conditions were on the list, but now it covers such conditions as obstructive sleep apnea, post-traumatic stress disorder and cancer. Sensible Change Minnesota, a group trying to change marijuana policy in Minnesota, sought the addition of chronic pain. A doctor’s diagnosis of chronic pain will be required. It could be easier to certify than intractable pain, which was added to the program a few years ago. Minnesota Health Commissioner Jan Malcolm said the added conditions give more people more ways to deal with debilitating illness. “The bottom line is that people suffering from these serious conditions may be helped by participating in the program, and we felt it was important to give them the opportunity to seek that relief,” Malcolm said in a statement. Maren Schroeder, policy director for Sensible Change Minnesota, said doctors have been hesitant to certify intractable pain cases because that carries a specific legal definition by which pain cannot be removed but only managed and other options have failed to achieve results. “This will give doctors a little more comfort in getting their pain patients into this program as well as helping those patients qualify,” Schroeder said. Residents petitioned to include the new conditions this summer. Those requests were reviewed by a citizens panel and Health Department staff. Four conditions were rejected: anxiety, insomnia, psoriasis and traumatic brain injury. As of October, nearly 18,000 patients were certified for the state’s medical marijuana program. Minnesota’s program is considered relatively restrictive because patients are not allowed to get marijuana in leaf form or ingest it through smoking. Pills, vapors, topical ointments and liquid gels had been the only forms people could obtain through licensed manufacturers. Starting next summer, new delivery methods will include water-soluble cannabinoid, such as powders or sprinkles, and products such as lozenges, gums, mints and tablets. In addition, LeafLine Labs and Minnesota Medical Solutions — the two licensed manufacturers — will be allowed to open a combined eight more centers in Minnesota. The Health Department said the proposed centers are in Blaine, Burnsville, Duluth, Golden Valley, Mankato, Rogers, Willmar and Woodbury.
[EX A]:
Minnesota OKs medical cannabis for chronic pain, eye disease.