With no explanation, label text_A→text_B with either "not_related" or "related".
text_A: Miyu Irino was born in Nebraska.
text_B: Paul M. Ellwood , Jr. -LRB- born 16 July 1926 -RRB- is a prominent figure in American health care .. American health care. Health care in the United States. Often referred to as the `` father of the health maintenance organization , '' he not only coined the term , he also played a role in bringing about structural changes to the American health care system to simultaneously control cost and promote health by replacing fee-for-service with prepaid , comprehensive care .. American health care. Health care in the United States. father of. father of. health maintenance organization. health maintenance organization. American health care system. American health care system. fee-for-service. fee-for-service. The term `` HMO '' was coined by Dr. Paul M. Ellwood , Jr. , in a January 1970 Fortune Magazine article .. HMO. Health maintenance organization. More recently , he has advanced an agenda for monitoring health outcomes , so that patients , providers , and payers can make health care decisions based on real information about what treatments and providers are actually effective .. Ellwood began his career as a pediatric neurologist , specializing in polio at the height of the international polio epidemic in the early 1950s .. pediatric. pediatrics. neurologist. neurologist. polio. polio. international polio epidemic. History of poliomyelitis. The epidemic subsided with the introduction of the polio vaccine by Jonas Salk .. polio. polio. polio vaccine. polio vaccine. Jonas Salk. Jonas Salk. The Sister Kenny Institute , which Ellwood directed , then filled its vacant beds with children suffering from learning disabilities .. Sister Kenny Institute. Elizabeth Kenny. learning disabilities. learning disabilities. According to Ellwood , one evening while doing rounds amid crying children , it struck him that they were making decisions for economic reasons -LRB- the need to fill hospital beds -RRB- that were not in the best interests of patients .. His growing conviction that this calculus -- putting the interests of health care providers over patient well-being -- characterized the American medical system in general , led him to conceive of and advocate for alternative approaches .
not_related.