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.

Input: Consider Input: - Frustration over limited time spent with patients. - Inordinate amounts of time inputting required data. - Side effects including high levels of stress. The patient? Herself. The remedy? "I did the research and found direct primary care," said Anderson-Elder of Windsor. And in June she joined Dr. Frank Morgan at Balance Health in Greeley, a direct primary care clinic he founded four years ago in Greeley. Leaving her family practice at UCHealth Medical Clinic in Windsor after seven years wasn't an easy decision, she said, but it was the right decision for her. Many physicians from all specialties share Anderson-Elder's frustration and levels of stress incurred while working in insurance-based health care systems. In the 2018 Medscape National Physician and Depression Report, 42 percent of family physicians admitted to having burnout or depression, listing "too many bureaucratic tasks (charting, paperwork)" and "too many hours at work" as the leading factors in burnout. Although direct primary care has been around for some time, it is just now gaining a toehold with both physicians contemplating the switch to a different way of providing care and patients willing to give it a shot, so to speak. In 2017, there were more than 600 direct primary care clinics in the U.S., 10 percent of those in Colorado, according to the Colorado Independent. Anderson-Elder said in her research she found 1,000 out of the 80,000 family doctors practicing in the U.S. have gone the direct primary care route. DIRECT PRIMARY CARE What is direct primary care? And why the interest? First and foremost, the major difference is that direct primary care does not accept insurance. Patients instead pay a monthly membership fee that includes unlimited visits, calls and emails, along with many routine services and access to prescriptions and lab work at a reduced cost. For the physician, it means quality time spent with patients and no more time filling out paperwork to satisfy health insurance company regulations. What the monthly fee is varies from clinic to clinic. At Balance Health, it is $99 for adults, $180 for couples and $30 for children. Those who sign up for direct primary care are asked to sign an annual contract but can be released from it with 30 days' notice, Anderson-Elder said. "We want to be accessible to our patients. We don't want them to go to urgent care or ER if they don't have to," she said. And yes, that includes calls at 3 a.m., but if it can wait till morning, the patient is worked into that day's schedule. Anderson-Elder typically sees eight to 17 patients per day, depending on whether it's cold and flu season. And she spends as much time as needed with them. At her previous practice, she was limited to spending 15 to 20 minutes per patient. "People service their cars," she said. "They should do the same thing with their bodies. You should be looked at and tuned up." While most people think of going to the doctor only when they don't feel well or need a physical for work or school, Anderson-Elder said she likes to see patients even when they feel healthy so she can check in on their well-being and talk about proper nutrition. "Oftentimes patients think they're healthy, but then we do an exam and sometimes find things," she said. Direct primary care works best when combined with a high-deductible health plan, Anderson-Elder said, for those times when unexpected surgeries are scheduled and for patients who suffer from chronic illnesses. But she said about one-third of her patients have no health insurance at all. She also noted direct primary care should not be confused with concierge medicine, which also provides direct access to providers for a flat fee but still bills insurance companies for services provided. Another key distinction between the two is direct primary care is mentioned in the Affordable Care Act as an acceptable option for receiving medical care without insurance, while concierge medicine is not, according to the American Academy of Family Physicians. And last year, Colorado Gov. John Hickenlooper signed Colorado HB17-1115, which establishes that direct primary health care can operate without regulation of the division of insurance. Windsor Republican Rep. Perry Buck was a primary sponsor of the bill. Patients at Balance Health also can tap into other healthy-living services for additional fees. Dr. Dana Morgan, a family care physician, specializes in bioidentical hormone replacement therapy. Balance Health also has a small fitness gym replete with trainers and classes. Wellness coaching also is offered. Leaving her practice in Windsor, though a hard decision, has been the right prescription for her, she said. "I no longer take paperwork home," she said. "I'm happier and less stressed." ___ Information from: The Tribune of Greeley, Co, http://greeleytribune.com

Output: Windsor doctor joining direct primary care movement.

Input: Consider Input: The Centers for Disease Control and Prevention on Wednesday posted data showing nearly 68,000 drug overdose deaths were reported last year. The number may go up as more investigations are completed, but the agency expects the tally will end up below 69,000. Overdose deaths had been climbing each year since 1990, topping 70,000 in 2017. The numbers were celebrated by the U.S. secretary of health and human services. "Lives are being saved, and we're beginning to win the fight against this crisis," Alex Azar wrote in a tweet. But the overdose death rate is still about seven times higher than it was a generation ago. "We're still in a pretty sad situation that we need to address," said Rebecca Haffajee, a University of Michigan researcher. Researchers do not believe this is the start of a dramatic decline. Data from the first months of this year likely will show that the decrease is not gaining steam, said Farida Ahmad of the CDC's National Center for Health Statistics. The improvement was driven by a drop in deaths from heroin and prescription painkillers. Those falls were offset somewhat by continuing growth in deaths involving a different opioid, fentanyl, as well as other drugs such cocaine and methamphetamines. Overdose deaths often involve more than one drug. The improvement is not uniform: Some states seem to be making dramatic progress, while deaths continue to rise in others. The preliminary CDC data suggested deaths last year were down by as many as 1,000 or more in Ohio and Pennsylvania each seeing declines of about 20%. Meanwhile, deaths increased by about 17% in Missouri, which had more than 200 additional deaths. It can take months for authorities to complete toxicology tests and other elements of a death investigation involving drugs. And some states report faster than others. The CDC is expected to report more complete data later this year. The current overdose epidemic has killed more people than any other in U.S. history, and it had been on a soaring trajectory. From 2014 to 2017, overdose deaths jumped by 5,000 or more each year. Experts trace the epidemic's origins to 1995 and the marketing of the prescription painkiller OxyContin. It was meant be safer and more effective than other prescription opioids, but some patients got hooked and found they could crush the tablets and snort or inject them to get high. Gradually, many turned to cheaper street drugs such as heroin and fentanyl. In 2015, heroin began causing more deaths than prescription painkillers or other drugs. In 2016, fentanyl and its close cousins became the biggest drug killer, and in 2018 they were involved in about 46% of the reported overdose deaths, according to the preliminary CDC data. Strategies to reduce drug overdose deaths have included tougher policing, treatment program expansions, policies to limit opioid painkiller prescriptions and wider distribution of the overdose-reversing drug naloxone. Haffajee and other researchers are trying to figure out what measures are most responsible for the slight improvement. "It's complicated because there are so many policies going on, and as an evaluator it's very hard to separate them out and determine which is working," she said. Valerie Hardcastle, a Northern Kentucky University administrator who oversees research and other work on local health issues, has seen the overdose epidemic play out in her region, near Cincinnati. She believes a major factor is Narcan, a nasal spray version of naloxone, that has been widely distributed through the efforts of philanthropists and local, state, and federal officials. "It's fantastic that we have fewer deaths, don't get me wrong," she said. "But I'm not sure it's an indication that the opioid problem per se is diminishing. It's just that we have greater availability of the drugs that will keep us alive." ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content. ___ This story has been corrected to show Ahmad's first name is Farida, not Farid.

Output: Number of US overdose deaths appears to be falling.

Input: Consider Input: People wearing traditional Bavarian clothes toast with beer during the opening day of the 177th Oktoberfest in Munich September 18, 2010. REUTERS/Leonhard Foeger German researchers analyzed data from France, Italy, Spain, Britain, The Netherlands, Greece, Germany and Denmark and found 50,400 out of a total of 79,100 cases of certain types of cancers in including bowel and throat tumors in 2008 were caused by people drinking more than recommended limits. "Many cancer cases could have been avoided if alcohol consumption was limited to two alcoholic drinks per day in men and one alcoholic drink per day in women, ... the recommendations of many health organizations," said Madlen Schutze of the German Institute of Human Nutrition, who led the study. "And even more cancer cases would be prevented if people reduced their alcohol intake to below recommended guidelines or stopped drinking alcohol at all." A standard drink contains about 12 grams of alcohol and is equivalent to one 125 milliliter (ml) glass of wine or a half pint of beer. "Many people just don't know that drinking alcohol can increase their cancer risk," said Sara Hiom, director of health information at the charity Cancer Research UK. She noted that in Britain, mouth cancer has become much more common in the last 10 years, and "one reason for this could be because of higher levels of drinking, as this study reflects." According to the International Agency for Research on Cancer (IARC), part of the World Health Organization, there is a causal link between alcohol consumption and liver cancer, breast cancer colon or bowel cancer, and cancers of the upper digestive tract such as mouth, throat and oesophageal cancers. The researchers, whose work was published in the British Medical Journal, used data from research known as the European Prospective Investigation into Cancer (EPIC) study in which 363,988 men and women, mostly aged between 35 and 70 when they joined the study, were followed for cancer from the mid-1990s. They calculated that in 2008, alcohol consumption by men was responsible for about 57,600 cases of cancer of the types known to be linked to drinking. More than half of the cases, or 33,000, were due to having more than two drinks a day. Alcohol intake by women in the eight countries caused about 21,500 cases of upper digestive tract, liver, colorectum, and breast cancer, of which more than 80 percent, or 17,400, were due to their having more than one standard drink a day. Manuela Bergmann, who worked with Schutze on the study, said the findings provided solid support for recommended drinking limits and said she hoped more people would stick to them. "It underlines that at the very least, it would be good to stay within the limits," she said in a telephone interview. "Many people believe it's only a small group who drink more than the upper limits, but it's becoming more of a problem because alcohol is cheap and available, so people drink more." Estimates from the American Institute for Cancer Research and the World Cancer Research Fund published in February said a third of all common cancers in the United States, China and Britain could be prevented each year if people had healthier diets, drank less alcohol and exercised more.
Output: Study shows Europe's alcohol-linked cancer burden.