Premise:
"but uh yeah a lot of changes"
Hypothesis: Everything is staying exactly the same.

no

Premise:
"Both Social Security and Medicare face long-term financing problems, and the Social Security and Medicare's Hospital Insurance trust funds eventually will be exhausted as the baby boomers draw their benefits (see figures 1.8 and 1.9)."
Hypothesis: There are issues with financing Medicare on a long-term basis.

yes

Premise:
"This thoroughfare runs south from Umeda to Kita's southern counterpart, Minami."
Hypothesis: It runs from Umeda to Tokyo.
no