Premise:
"Any inefficiency would exacerbate the loss."
Hypothesis: Inefficiency couldn't possibly do any more damage than the loss already has.

no

Premise:
"This has already occurred in family medicine, which is currently the medical service with the highest screening rate."
Hypothesis: This barely happened in family medicine.

yes

Premise:
"i do know though it's easy to get put in jail for life"
Hypothesis: It is tough to be put in jail for life.
no