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: The California deaths were caused by a strain of the influenza virus that is sending sufferers across the nation to the doctor for flu-like symptoms at rates that are 50 percent higher than normal, said Lyn Finelli, head of the influenza surveillance and outbreak response team at the Centers for Disease Control and Prevention. "That's way above the norm for flu," Finelli said. "It tells us we're still in the middle of flu season, and in the Northeast and California it's going up, up, up." The flu strain responsible for the California deaths, H1N1, also predominates nationwide this year. It hits people hardest between the ages of 25 and 64, partly because some older people are believed to have more immunity due to similar outbreaks many decades ago. In California, 52 people died last week alone, including one child, the state's chief of communicable disease control told reporters on a conference call Friday. "This influenza season continues to be a severe one as the increasing number of influenza-related deaths indicates," Ron Chapman, director of the California Department of Public Health, said in a statement, urging Californians to get vaccinated. In addition to the 147 confirmed California flu-related fatalities this season among people under age 65, another 44 suspected flu deaths remain under investigation, said Dr. James Watt, chief of the state's Division of Communicable Disease Control. Most of those felled by the disease had other health conditions, but not all, he said. Last year at the same time, the state had recorded just 14 flu deaths among Californians under age 65. The death of a 47-year-old television advertising executive in the state's capital city prompted a renewed call for residents to become vaccinated against flu. Sacramento County, with 21 deaths so far, leads the state in fatalities. "After reading the heartbreaking story of Nancy Pinnella, went to CVS and got my first flu shot ever," California's first lady, Anne Gust Brown, posted on Twitter. It is not fully clear whether California is an outlier in the severity of its cases, because states are not required to report flu deaths to the CDC, and data is collected differently from state to state and county to county, said CDC spokesman Jason McDonald. The fatality data that the public health agency does collect, on pediatric deaths, is not useful in studying H1N1, because the virus is more likely to attack adults, Finelli said. The public health agency does, however collect information on why people go to the doctor, and whether they are hospitalized for flu. Those signs, she said, show that this year's flu is likely to continue to hit hard. Although the number of cases nationwide appears to have plateaued, she said, that does not take into account that California and the Northeast are lagging other areas with a late flu season. Meanwhile, CDC data does show that far more people under the age of 65 are being hospitalized with flu-like symptoms than last year. As of last week, for example, 76 percent of those hospitalized for flu were under age 65, compared to less than 50 percent last year. Nationwide, the data shows that somewhat fewer people have contracted flu so far this year than last year, Finelli said. This year's strain, however, appears to be causing severe illness in a population that is more typically robust, she said. Claim: California sees high rate of flu deaths in unusually severe season.

A: An unusually severe flu season has claimed the lives of at least 147 young and middle-aged people in California - 10 times the number killed by influenza viruses by the same time last year, public health officials said on Friday.
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Q: Paragraph: WellPoint, which released lower fourth-quarter results on Wednesday, said that based on age, insurance plan selection, income levels, gender and available pharmacy data, it believes it has set the right premium rates for these new customers. Insurance plans under President Barack Obama's healthcare reform law went on sale October 1 and into effect on January 1. Initial enrollment data nationwide has shown that the first wave of people who enrolled are older people who can be more expensive to insure because they often have more health problems than young people. Shares in WellPoint rose about 3 percent, or $2.75, to $87.05 in morning trading after the comments. Competitor Aetna Inc shares rose 39 cents to $69.32 while UnitedHealth Group Inc gained 33 cents to $72.03. "There was a concern that a lot of the firms that were involved in the exchanges would be underpriced for the demographic that would find the exchanges appealing, at least over the first year," Morningstar analyst Vishnu Lekraj said. "What they said was that they priced everything appropriately given the data they have currently, in terms of medical cost utilization," Lekraj said. WellPoint, one of the biggest players on the exchanges, said that it was still not certain about how enrollment, which is open until March 31, would finally end up, contributing to uncertainty about its 2014 earnings. The company forecast earnings of above $8 per share in 2014, representing a likely drop from the $8.52 it earned in 2013 before special items. Analysts on average were expecting 2014 earnings to fall to $8.39 per share, according to Thomson Reuters I/B/E/S. Chief Financial Officer Wayne DeVeydt said the 2014 outlook reflects about a $100 million negative effect of changes in government policy regarding the rollout of Obamacare. Late last year as political pressure mounted around technology problems on the exchanges and the higher premium rates on new plans, the Obama administration said that older individual plans could be renewed and it increased the number of people eligible for catastrophic coverage. DeVeydt said ACA insurer fees, which are not tax deductible for insurers, would cost earnings $1.10 per share and that it would spend about $30 million on first-year exchange costs. FOURTH-QUARTER PROFIT FALLS WellPoint said fourth quarter profit fell as consumers increased their use of medical services ahead of the cancellation of some insurance plans at the end of 2013. The company also took a charge for the recently announced sale of its contact lens business, 1-800 Contacts, to private equity firm Thomas H. Lee Partners, which caused a sharp decline in net profit. WellPoint, which sells Empire and Anthem Blue Cross Blue Shield plans, also said its costs went up as it prepared for the rollout of Obamacare, and an expected increase of 1 million new members this year. So far, about 3 million people have enrolled in exchange plans, according to the government. The Congressional Budget Office had forecast that about 7 million people would sign up for 2014 coverage. Sign-ups are lagging targets because of technology problems in the first two months after the launch of the national website HealthCare.gov that sells insurance plans in 36 states. The other 14 states run their own sites. WellPoint said it had received 500,000 applications for new individual health plans that went into effect January 1, most of them for exchange-based plans but some for plans it sells off the exchange. Income-based subsidies from the government are only available for exchange plans. It said most of these customers were new to WellPoint. WellPoint said net profit for the fourth quarter fell to $148.2 million, or 49 cents per share, from $464 million, or $1.51 per share a year earlier. Excluding costs for the sale of 1-800 Contacts and investment gains, earnings fell to 87 cents per share from $1.03 per share, which also included investment gains and acquisition costs. The quarterly earnings were in line with analyst expectations, according to Thomson Reuters I/B/E/S. The company spent 87.8 percent of its premiums brought in on medical claims, up from 87.3 percent a year ago. It said that as old individual plans were being canceled ahead of the introduction of the new 2014 insurance, customers used more medical services. Spending on medical procedures, doctor visits and hospitalizations has been at a historical low for the past several years. This has helped insurers keep these medical cost ratios down while still complying with the Affordable Care Act, which requires them to spend at least 80 percent of plan premiums on care or refund customers the difference. WellPoint said it added 145,000 members during the quarter as it picked up small business customers and new enrollees in the California Medicaid program for the poor. It had 35.7 million members at the end of 2013. Claim: WellPoint says health exchange applicants hit expectations.

A: U.S. health insurer WellPoint Inc said on Wednesday the applicants for the new Obamacare health plans are of the age and demographics it had expected, indicating that medical costs will not soar beyond the prices it charges.
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Q: Paragraph: Trinity Lewis had asked Judge Sandee Bryan Marion to issue an injunction in Tarrant County district court to ensure that Cook Children's Medical Center doesn't end her daughter Tinslee Lewis' life-sustaining treatment. Texas Right to Life, an anti-abortion group that is advocating for Tinslee, said the girl's mother will appeal the judge's decision. Doctors at the Fort Worth hospital had planned to remove Tinslee from life support Nov. 10 after invoking Texas' "10-day rule," which can be employed when a family disagrees with doctors who say life-sustaining treatment should be stopped. The law stipulates that if the hospital's ethics committee agrees with doctors, treatment can be withdrawn after 10 days if a new provider can't be found to take the patient. In a statement issued by Texas Right to Life, which opposes the "10-day rule," Lewis said she was "heartbroken" over the judge's decision. "I feel frustrated because anyone in that courtroom would want more time just like I do if Tinslee were their baby," she said. The hospital said in a statement Thursday that in order to keep Tinslee alive, she's on a constant stream of painkillers, sedatives and paralytics. She currently has severe sepsis, which isn't uncommon when patients require deep sedation and chemical paralysis, it said. "Even with the most extraordinary measures the medical team is taking, Tinslee continues to suffer," the hospital said. Efforts to find another facility to take her have been unsuccessful. The hospital said it has reached out to more than 20 facilities. Texas Right to Life and Protect TX Fragile Kids have also been trying to find a facility to take her. Prior to Thursday's ruling, both sides agreed that if Marion denied the injunction request, the hospital would wait at least seven days before taking Tinslee off life-support. In her decision, Marion said the seven-day period would give the girl's mother time to file a notice of appeal and a motion for emergency relief with a state court of appeals. Tinslee has been at Cook Children's since her premature birth. The hospital said she has a rare heart defect and suffers from chronic lung disease and severe chronic high blood pressure. She hasn't come off a ventilator since going into respiratory arrest in early July and requires full respiratory and cardiac support. Lewis testified at a hearing last month that despite her daughter's sedation, she has a sense of the girl's likes and dislikes, describing her as "sassy." She said Tinslee likes getting her nails done but doesn't like having her hair brushed. "I want to be the one to make the decision for her," Lewis said about removing her daughter from life support. At the hearing last month, Dr. Jay Duncan, one of Tinslee's physicians, described the girl's complex conditions and Cook Children's efforts to treat her, which have included about seven surgeries. The cardiac intensive care doctor said that for the first five months of Tinslee's life doctors had hope she might one day at least be able to go home. But Duncan said there came a point when doctors determined they had run out of surgical and clinical options, and that treatment was no longer benefiting Tinslee. Duncan said last month that the girl would likely die within half a year, and noted the hospital has made "extraordinary" efforts to find another facility for her. "She is in pain. Changing a diaper causes pain. Suctioning her breathing tube causes pain. Being on the ventilator causes pain," he said. Duncan said there had been "many, many" conversations with Tinslee's family about her dire condition. Tarrant County Juvenile Court Judge Alex Kim issued a temporary restraining order to stop the removal of life support on Nov. 10. But Kim was removed from the case after the hospital filed a motion questioning his impartiality and saying he had bypassed case-assignment rules to designate himself as the presiding judge. After his removal, Judge Marion, who is chief justice of Texas' Fourth Court of Appeals, was assigned to hear the request for an injunction in Tarrant County district court. The case has become a rallying point for Republicans in Texas, with the attorney general stating his opposition to the "10-day rule" and GOP state Rep. Tan Parker saying it "doesn't fit with Texas values." The 1999 law that shields from lawsuits doctors who follow the process of going through an ethics committee was crafted by a task force that included lawmakers, attorneys, doctors and anti-abortion groups. Supporters of the law passed when George W. Bush, a Republican, was governor include the Texas Alliance for Life, the Texas Catholic Conference of Bishops and the Texas Medical Association. Supporters say the law provides a framework for doctors and hospitals to resolve differences and ensures that doctors can't be forced to perform medical interventions that cause harm or suffering. Claim: Texas judge: Hospital can remove baby from life support.

A:
A Texas judge on Thursday sided with a hospital that plans to remove an 11-month-old girl from life support after her mother disagreed with the decision by doctors who say the infant is in pain and that her condition will never improve.
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