Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Q: Paragraph: In its latest "report card," the American College of Emergency Physicians said such reduced access earned the nation a "D+" that's down from the overall "C-" grade from the group's last report in 2009. Shortages and reduced hospital capacity make it more difficult to access emergency care, the group said. It also warned about the impact on disaster preparedness. While the report does not measure the actual quality of care provided, it does offer a snapshot of national and state policies affecting emergency medicine as seen by providers. Washington, D.C., was ranked the highest in the report, earning a "B-" grade, while Wyoming ranked last and was the only state to earn an overall failing grade of "F." The group's task force looked at scores of measure in five major categories access to care, quality and patient safety, liability, injury prevention and disaster preparedness and relied on data from the Centers for Disease Control and the Centers for Medicare and Medicaid Services, among others. The report comes just as the Affordable Care Act, known as Obamacare, comes into full effect this year. The 2010 law aims to expand access to health insurance and reduce the nation's healthcare costs, but it has become a political flashpoint amid a troubled rollout of the federal insurance exchange website. While the physician's report does not factor in all of the effects of the law its grades are based on data from early 2013 emergency rooms could be used even more as more Americans gain insurance coverage under Obamacare, it said. Some health experts have predicted that increasing the number of insured patients should reduce pressure on hospital emergency rooms because access to regular doctor care will improve, something that is hoped would prevent chronic conditions from spiraling out of control or help catch other problems before they worsen. But insurance coverage could also lead those who might have held off going to the emergency room to seek care, said Jon Mark Hirshon, an emergency medicine doctor and researcher at the University of Maryland who oversaw the group's report card. Newly insured people also may have a hard time finding a regular doctor who accepts their plan, he said. "On top of that, emergency departments are open 24 hours a day, seven days a week. If I have a primary care provider but it's 9 o'clock at night on a Friday and they're closed, then people come to the emergency department," Hirshon told Reuters. The group is asking for congressional hearings to probe whether the law puts "additional strains" on emergency rooms. Already, beds for patients have fallen from a rate of 358 per 100,000 people four years ago to about 330 beds per 100,000 people now, the report said. Wait times have increased to a median of 4.5 hours compared to four hours in 2009. Despite the dismal U.S. grade given by the group, it noted that policies and infrastructure varied widely by state. States with the best emergency care include Massachusetts, Maine, Nebraska and Colorado, while Kentucky, Montana, New Mexico and Arizona rounded out the bottom, just above Wyoming. States are also still grappling with the uninsured. By law, hospitals must provide emergency care regardless of patients' ability to pay. Under Obamacare, states can expand access to Medicaid, the federal-state health insurance plan for the poor. Data shows that Medicaid patients use emergency rooms as much as other insured patients, but several recent studies have shown that Medicaid patients utilize them more than the uninsured. One study this month showed Oregon patients given Medicaid through a lottery increased their emergency room use by 40 percent compared to those not offered Medicaid. "We have to be leaner and more efficient, but it just becomes more and more challenging," Hirshon said. Claim: Doctors say pressure on ERs may rise, give U.S. failing grade.

A: People seeking urgent medical could face longer wait times and other challenges as demand increases under Obamacare, U.S. emergency doctors said in a report on Thursday that gives the nation's emergency infrastructure a near failing grade.
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Q: Paragraph: In November 2019, the Facebook page "Weird History" shared the following meme, which claimed that a four-megaton atomic bomb remained missing near Georgia and that it might be live:Under an image of a Cold War-style bomb or missile (which was incidentally published to Wikipedia in 2008), text read:There's been a four-megaton atomic bomb lost off the coast of Georgia since 1958 and no one really knows whether or not it's active.The meme was shared a day ahead of the release of the fourth and final season ofMan in the High Castle. A streaming and expanded adaptation of the 1962 Philip K. Dick novel of the same name,Man in the High Castle portrays an alternate history of Cold War-era America in which the Allies lost World War II.In the meme, the bomb is described as a "four-megaton atomic bomb." Megatons are a unit of measurement used to express the force of hydrogen bombs; atomic bombs are typically quantified in kilotons:Thermonuclear bombs can be hundreds or even thousands of times more powerful than atomic bombs. The explosive yield of atomic bombs is measured in kilotons, each unit of which equals the explosive force of 1,000 tons of TNT. The explosive power of hydrogen bombs, by contrast, is frequently expressed in megatons, each unit of which equals the explosive force of 1,000,000 tons of TNT. Hydrogen bombs of more than 50 megatons have been detonated, but the explosive power of the weapons mounted on strategic missiles usually ranges from 100 kilotons to 1.5 megatons.To their credit, "Weird History" did include a status update along with a Facebook-formatted link:A Routine Training Mission Went Incredibly Wrong And Resulted In The Loss Of A Nuclear Weapon rnkr.co/TybeeIslandThat link pointed to an entry on the listicle-heavy site Ranker, with atitlesimilar to the text of the meme: "The US Air Force Lost A Nuclear Bomb Off The Coast Of Georgia In 1958 And They Still Haven't Found It." It claimed:At around 1 am on February 5, 1958, Major Howard Richardson was piloting a B-47 Stratojet back to Homestead Air Force Base in Florida. The Major was cruising along at 38,000 feet following what he thought was a successful top-secret training mission a simulated bombing in Virginia. Then, the situation went underwater in every sense of the word.Unbeknownst to Richardson, the simulation was to feature one more pretend attack from an F-86 Sabre jet fighter piloted by Lieutenant Clarence Stewart. That's when disaster struck. []The device is believed to have landed somewhere near Tybee Island and the incident has since come to be known as the Tybee Island mid-air collision.One source cited by Ranker was a 2009 BBC article about the collision and its aftermath:More than 50 years after a 7,600lb (3,500kg) nuclear bomb was dropped in US waters following a mid-air military collision, the question of whether the missing weapon still poses a threat remains. []Shortly after midnight on 5 February 1958, Howard Richardson was on a top-secret training flight for the US Strategic Air Command. It was the height of the Cold War and the young Major Richardson's mission was to practise long-distance flights in his B-47 bomber in case he was ordered to fly from Homestead Air Force Base in Florida to any one of the targets the US had identified in Russia.Colonel Howard Richardson We thought maybe it was something from outer space, but it could only be another plane Colonel Howard Richardson The training was to be as realistic as possible, so on board was a single massive H-bomb the nuclear weapon he might one day be instructed to drop to start World War III.As he cruised at 38,000 feet over North Carolina and Georgia, his plane was hit by another military aircraft, gouging a huge hole in the wing and knocking an engine almost off its mountings, leaving it hanging at a perilous angle Colonel Richardson told me that the decision was instantaneous and he still has no doubt it was the right thing to do.They would ditch their nuclear payload as soon as possible in order to lighten the aircraft for an emergency landing and also to eliminate the danger of an enormous explosion when they made their unsteady arrival at the nearest available runway.A May 2004 CBS articledescribed the lost munition as an "H-bomb," reporting on the area in which nuclear weapons enthusiast Derek Duke believed it sat in the waters off Savannah. Duke's decades-dormant interest in the story was reinvigorated by internet chatter in the late 1990s, and he went looking with Geiger counters and a boat:There seems to be nothing special out here. But beneath the ocean floor off Savannah, an aluminum cylinder lies entombed in silt. It's like an 11-foot-long bullet with a snub nose and four stubby fins. Written on it, its name: "No. 47782." Enclosed in its metal skin: 400 pounds of conventional explosives and a quantity of bomb-grade uranium.No. 47782 is an H-bomb.A Mark 15, Mod 0 to be exact, one of the earliest thermonuclear devices developed by the United States. This is the kind whose mushroom clouds boiled in South Pacific tests. It was designed to be 100 times more powerful than the Hiroshima bomb.No. 47782 has rested off Savannah since Feb. 5, 1958.In some pieces the missing weapon was described as an atomic bomb or A-bomb, and in others, a hydrogen bomb or H-bomb. The explosive in questionwas the "first relatively light (3450 kg) thermonuclear bomb," a Mark 15, in service from 1955 to 1965.CBS went on to describe conflicting information on whether the device posed a threat in its purported "watery grave":Four months after Richardson's [1958] accident, the Atomic Energy Commission changed [a] policy, banning the use of nuclear bombs during training exercises.As Duke was learning all of this, he turned up a copy of the Atomic Energy Commission receipt Richardson had signed. Written in ink near the top of the document was the word "simulated." That, according to the Air Force, meant the bomb, containing 400 pounds of conventional explosives and an undisclosed amount of uranium, did not have a detonation capsule. Without it, there was no risk of a nuclear explosion.That was reassuring. And it might have been the end of the story if not for another document Duke soon acquired.This one was a letter, written in 1966 to the chairman of the Joint Committee on Atomic Energy, recounting the testimony of Assistant Defense Secretary Jack Howard before a 1966 congressional committee investigating the country's missing and lost nuclear weapons.Howard, the letter says, testified there were four complete nuclear weapons, including detonation capsules, that were missing or lost. Among them: the bomb Richardson had dropped off the coast of Georgia.Reporters also contacted Richardson, the pilot, who maintained the sunken bomb was not active, and that if it was he would have known. In October 2004, theNew York Timesreported that the United States military began its first search for the missing bomb, but maintained it was "incapable" of detonation:It is the first time the military has sought signs of the 7,600-pound hydrogen bomb in the murky waters of Wassaw Sound since a crippled B-47 bomber dumped the Mark-15 bomb into the sea near Savannah in 1958.A team of 20 experts in nuclear weapons, gamma spectroscopy and underwater salvage confined their search to an area roughly the size of a football field, marked by buoys floating on the surface The Air Force says the bomb is incapable of a nuclear explosion because it lacks the plutonium capsule needed to trigger one. Still, it contains about 400 pounds of conventional explosives and an undisclosed amount of uranium.The bomb was dropped into Wassaw Sound in February 1958 during a training flight when the bomber carrying it collided with a fighter jet.Four years later, a February 2009 NPR piece about the mystery of the missing nuke off Tybee Island began with the following clarification:Clarification: In the broadcast version of this report, NPR said that there was general agreement that the lost Savannah nuclear bomb contains significant quantities of uranium and plutonium. A 1966 Congressional document indicates that the bomb was a complete weapon containing both uranium and plutonium. But the Air Force and the former pilot of the plane, retired Col. Howard Richardson, deny the bomb contains plutonium.NPR reported that the Navy initially spent two months looking for the weapon, finally deciding that leaving it in its place was a better course of action than a recovery attempt:The Navy searched for the bomb for more than two months, but never found it, and today recommends it should remain in its resting place. In a 2001 report on the search and recovery of the bomb, the Air Force said that if the bomb is still intact, the risk associated with the spread of heavy metals is low. If [it is] left undisturbed, the explosive in the bomb poses no hazard, the report said. It went on to say that an "intact explosive would pose a serious explosion hazard to personnel and the environment if disturbed by a recovery attempt."The original meme claimed that a "four-megaton atomic bomb" was "lost off the coast of Georgia" in 1958, and that "no one really knows whether or not it's active." OnFebruary 5 1958, an F-86 collided with the B-47 carrying aMark 15 thermonuclear weapon, causing an emergency landing during which the bomb was jettisoned, landing in the waters near Tybee Island, Georgia.Initial Naval searches for it were unsuccessful, and the missing nuke remained a subject of interest for more than half a decade; as the meme indicated, some dispute still surrounds its level of risk. Documents from the Cold War regarding whether the sunken munition contained bothuranium and plutonium and whether it could be detonated contain conflicting information. Claim: Since 1958, a four-megaton atomic bomb has been missing off the coast of Georgia, and we don't know if it's active.

A: A Four-Megaton Atomic Bomb Was Lost off Georgia's Coast in 1958 (And No One Knows If It's Active)
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Q: Paragraph: The tougher regulations, set by the United Nations shipping agency, the International Maritime Organization (IMO), come into force on Jan 1. Costs will rise for ships towards the end of this year and there will be a knock on effect for trucks and other transporters that move goods around the world. For shipping companies it is the biggest shakeup in decades and adds to the pressures of an economic slowdown and the threat of an escalating trade war between the United States and China. While consumers are not expected to pay more for goods, higher transport bills and disruption to company deliveries could further dent economic growth. Ship owners must cut sulphur emissions to 0.5% from 3.5%. They can do this by using low-sulphur fuel, installing exhaust gas cleaning systems or opting for other, more expensive, clean fuels such as liquefied natural gas or traveling more slowly. Jeff Child, president of Berkshire Hathaway's RC Willey Home Furnishings, moved the delivery of about 450 containers from September and October to July and August. He wants to avoid any disruption in the peak fourth quarter as ships prepare for the changes, including refitting equipment. "We just don't want to get caught in a situation where it affects our inventory," he told Reuters. Analysts say the container industry, which transports consumer goods such as sofas, designer clothes and bananas, will be one of the worst hit with extra costs of about $10 billion. The world's two biggest container shipping lines - Denmark's Maersk and Swiss headquartered MSC - say they face annual extra costs of over $2 billion each. Twenty-five logistics company executives told Reuters they would pass along any IMO-related costs, such as ship upgrades or more expensive fuel, to customers. "The sulphur cap will further put pressure on ocean freight rates and we... will have to pass those costs on to remain competitive," Peder Winther, global head of ocean freight with Swiss transportation company Panalpina Group said. Economists say manufacturers are expected to absorb their part of the cost and are unlikely to raise the price of consumer goods, but the hit to companies could be a drag on the world economy. A Nestle S.A. spokesperson said the food group was talking to transport companies about "fuel adjustment methodology" to reflect the impact of the new rules. "Higher fuel prices would result in higher transport costs," said Peter Nagle, an economist with the World Bank's Development Prospects Group. "This would have the potential to lead to slower economic growth and trade." Trucking companies will also suffer. The IMO rules do not apply to them but they will face new competition from ships for lower sulfur fuel. This is expected to push up the price of diesel fuel for trucks by as much as 100 percent. Small to mid-sized truckers may find it tough as they lack the clout to negotiate fuel deals or to recoup the costs. "I'm at the whim of the market. All I can do is let the customers know what's going on," said Mike Baicher, president and chief executive of New Jersey based West End Express, which runs 90 trucks in New York, New Jersey and along the East Coast. "There is only so much that the trucking company can absorb." In a letter sent to top U.S. government officials including National Security Advisor John Bolton, transport associations including trucking groups said there was consensus that U.S. transport industries would be "negatively affected by IMO 2020 pricing pressure". It said there could be market disruptions. "There's a storm approaching but we don't know how bad the storm is going to be," said Glen Kedzie, energy and environmental counsel for the American Trucking Associations. Shipping and freight forwarding companies, who offer a service overseeing the delivery of goods from beginning to end, expect to feel more cost pressure. Bart de Vries, chief operating officer for air & sea with U.S. headquartered Hellmann Worldwide Logistics, expects to pay more for services as shipping companies pass along the costs. Some companies may overhaul their business plans. "It will undoubtedly force many exporters and importers to review their sourcing strategies and vendors," said Cas Pouderoyen, senior vice president of ocean freight with global logistics company Agility Richard Fattal, co-founder of digital freight forwarder and logistics provider Zencargo, said there could be as much as a 10 to 20% rise in overall operating costs next year. Allen Clifford, a U.S.-based executive vice president with MSC, said at a recent forum in California that his company was facing huge expenses. "Who's going to pay for it? You're going to pay for it. Because I'm tired of paying for it," he told industry executives, and port and customs officials. Claim: Education Week rates Ohio schools in the top five in the nation.

A:
U.S. furniture company RC Willey Home Furnishings is so concerned that new global clean air rules will cause transport disruption that it brought forward the shipment of arm chairs and sofas from China by two months.
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