instruction:
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.
question:
"The story deal with cost very early in the story: ""You have one kind of operation that could cost $20,000 and another that could cost $80,000 and there’s not good evidence the expensive one is being used appropriately in the majority of cases""… Add to that the expense for patients whose problems after surgery send them back to the hospital or to a nursing home and ""that’s not a trivial amount of money"" for Medicare… The cost to Medicare, just for the hospital charges for the three types of back surgery reviewed is about $1.65 billion a year, according to the researchers. The story clearly stated, ""The study didn’t address how successful the various types of surgeries were at relieving pain."" Good job using absolute risk data: Nice job emphasizing what’s known and what’s not known. Excerpts:"
answer:
Study: Riskier surgeries for back pain raise costs


question:
A new generation of hoop activists is putting another spin on the hoop, which ancient Greeks fashioned from grapevines and used to exercise the hips. Circus hooper Marawa Ibrahim, known professionally as Marawa the Amazing, lives a nomad’s life performing and teaching hula hooping around the world. “Fitness hooping is what I’m really into. Even at circus school I developed a workout using core muscles to push the hoop,” said Ibrahim, who can spin 133 hoops simultaneously and has appeared on the UK reality show “Britain’s Got Talent.”  The 32-year-old Australian said anyone, regardless of age or fitness level, can keep the hoop spinning but choosing the right size hoop is essential. “You can’t hoop with a kid’s hoop. When you were a kid you were half as tall,” she said, adding that a hoop should reach to the hips, at least. “I used to teach a gym class of overweight women. I made hoops that were almost up to their armpits and they could do it.”  Proper technique also means balance. Even the pros can develop lopsidedness, she said, so spin in both directions in order to tone the body evenly, head to toe. Kelly Strycker is the director of Chicago Hoop Dance, a community-based collection of performers, teachers and students who practice hooping as a form of moving meditation similar to Yoga, or Chi-gong, the Chinese system of exercise and breath control. “There definitely is a circus overlay in hoop dance,” said Strycker, adding toned muscles and weight loss are common benefits. “It tends to be a fitness workout because of the nature of the movement.”  Strycker said hoop dancing, which includes elements of yoga, attracts mainly women between 25 and 60 who want a fitness routine they will do. Her classes, held at venues including parks and beaches around Chicago, include 20 to 25 minutes of yoga moves, lunges and squats, and hooping for the wrists, hands, shoulders, legs, hips and waists. “The meditative aspect is in the rhythm, the rocking movement that stimulates the heartbeat, the back and forth,”  she said. Dr. Cedric X. Bryant, chief science officer at the American Council on Exercise (ACE), said a 2011 ACE-sponsored study found that hooping could burn up to 600 calories an hour. “We found that just by the nature of movement it did a pretty effective job,” Bryant said. “The only downside is if one had difficulty mastering movement. But larger hoops reduce the learning curve.”  Ibrahim said a hoop, unlike a trapeze, is portable and fun. “Walk up to any kid and they’ll have a go at it,” she said. “Everyone’s happy.”
answer:
Hoopsters put circus-inspired spin on cardio workout.


question:
The article fails to report how much the drug costs, especially as compared to generic or other alternatives. If it is a relatively expensive drug, this would provide useful context. The article should have made clear the absolute risks of the most severe cardiac outcomes in the Type 2 population in general and in Avandia takers specifically. This is especially important given the data the article focuses on clearly misrepresent prevalence. The author cites a 43 percent increase in heart attacks attributed to Avandia in the original New England Journal of Medicine article, but Nissen’s original NEJM report shows that the numbers of heart attacks and deaths were quite small. The article makes clear the range of side effect severity, properly focusing on the most serious: heart-related hospitalizations and deaths. More information on the benefits of this class of drugs would provide better balance. The article makes clear that the data it is examining are limited by the anecdotal, voluntary nature of the reports to the federal government. But it fails to specify the harms and benefits of the treatment as reflected in previous research. The risks of Type 2 diabetes itself and of taking Avandia are real. Still, the citation of a 43 percent increase in risk to Avandia takers, without context and proportion, creates a potentially misleading impression of the drug’s harm. The article makes clear the affiliations and potential conflicts of interest of key experts interviewed. A small oversight is the failure to mention that the original NEJM piece discloses that author Steve Nissen of the Cleveland Clinic has received research support from a number of diabetes drug makers, none of which is GlaxoSmithKline, Avandia’s maker. That study mentions that consulting fees he gets from various drugmakers (it is not revealed whether that group includes GSK) are donated directly to charity. The article fails to mention that there are cheaper, effective alternatives to Avandia on the market. The article makes clear that Avandia is widely used, and that 1 million Americans take it. Given the intent of the article, however, it would have been useful to include an estimate of the drug’s market share, or at least compare the one million to the national type 2 diabetes population. The author makes clear that the treatment is in widespread use. The reporter has undertaken considerable original research to do this article.
answer:

Diabetes drug side effect reports triple