Given a paragraph and a claim, classify it this way: If the claim contradicts the evidence present in the paragraph, classify the claim as '0'. If the claim has multiple supporting *AND* contradicting evidences, classify the claim as '1'. If the claim has supporting evidence and the paragraph is in overall favor of the claim, then classify the claim as '2'.
One example is below.
Q: Paragraph: While the financial costs of screening mammography&!1-positive recalls&biopsies were not included in the study,readers would benefit from being reminded that recall mammography&biopsies increase patient financial costs.This article leads with valuable information for all women over age 40 by stating "Getting screening mammograms every two years instead of annually reduces the chance of a!1 alarm,a new study shows." Unfortunately the writer doesn't quantify or elaborate adequately on that reduction.Instead,the writer later focuses on how women undergoing screening mammography shouldn't be anxious if they experience a recall because over half of women who have screening mammograms for 10 years will be recalled.Readers would have been better served if the writer had emphasized the significant reduction in both recall mammograms&!1-positive biopsies in women who are screened every two years rather than annually.Part of the continuing controversy over screening mammography focuses on annual versus biennial screening.Because this study showed a significant reduction in the percentage of those recalled&needing biopsies among women who are screened every other year,with no statistically significant increase in late-stage diagnosis of breast cancer,the article should have emphasized those important findings.The piece states that the researchers noted that "!1 positive recalls may cause inconvenience&anxiety and biopsies can cause pain and scarring." This article fails to include several important facts about the study.1)This is a prospective cohort study of women screened between 1994-2006.2)Most of the mammograms were film rather than digital.3)Few women underwent screening for the entire 10 year period.4)Screening mammography recall rates are influenced by the skill of the radiologists who read the mammograms.There was no disease mongering.No independent experts were quoted.The story did an adequate job comparing at a very high level annual screening versus biennial screening.Screening mammography is widely available throughout the United States.The study did not examine a new procedure.There's no evidence that the story relied solely on a news release.
Claim: Annual Mammograms May Have More False-Positives
A: 1
Rationale: This article reports on the results of a study of nearly 170,0 women who had screening mammograms beginning between age 40-59.The study found that over ten years of screening mammograms,over half of the women will experience a!1-positive recall for additional mammography.In addition,7%-9%of the women will have a biopsy for a suspicious lump which is not cancerous.Both of those percentages decrease if the woman is screened every other year rather than every year.Even with biennial mammography,41%of women will experience a recall over 10 years of mammography.The study's Principal Investigator emphasized that "in most cases,a recall doesn't mean you have cancer." She hoped this knowledge would reduce the anxiety of women who are recalled.The story never explained the size of the decrease in the number of!1 positives between annual(61.3%) and biennial screening(41.6%).Our first two reviewers were a researcher who specializes in health decisions and a breast cancer survivor trained in evidence by the Natiional Breast Cancer Coalition's Project LEAD.This study is valuable because it helps to quantify and compare the harms of annual and biennial screening,specifically the number of!1 positives and the number of unnecessary biopsies.Prior to this study,estimates of!1 positive screening mammography rates varied widely.The critical question is whether you can do less frequent screening,subject women to fewer harms and get similar results in terms of detection of "early stage" cancer.This study's data seems to suggest that answer is yes.
Q: Paragraph: "According to a chain email making the rounds, people over 75 years old will be denied cancer treatment under the Affordable Care Act, also known as Obamacare, after President Barack Obama. The email also states that vitamin B12 shots won't be covered under Medicare because of Obamacare. Also, your primary care physician will have to admit you into a hospital -- as opposed to, oh let's say, an emergency care doctor -- or Medicare won't pay for it, again, because of Obamacare. Here's a portion of the chain email, which a reader in Northeast Portland forwarded to PolitiFact Oregon, with a plea for more information. She said it came from a friend: ""Your hospital Medicare admittance has just changed under Obama Care. You must be admitted by your primary Physician in order for Medicare to pay for it! If you are admitted by an emergency room doctor it is treated as outpatient care where hospital costs are not covered. This is only the tip of the iceberg for Obama Care. Just wait to see what happens in 2013 & 2014! (ellipses) Please for the sake of many good people, please... pass this on. We all need to be informed. YOU ARE NOT GOING TO LIKE THIS... At age 76 when you most need it, you are not eligible for cancer treatment page 272."" The email goes on with a long list of other claims as assessed by a Judge David Kithil of Marble Falls, Texas. PolitiFact Oregon hopped to it. And we learned very quickly -- through the power of the Internet -- that a version of this chain email has been kicking around since 2009, based on H.R. 3200, a 2009 bill that did not become law. Many of the claims have been debunked. In fact, FactCheck.org found just four of the 48 claims in the original email to be accurate. PolitiFact ruled two statements to be . The chain email has morphed over the years, with new assertions added. As for the cancer-related statement, the email cites page 272 of H.R. 3200 to back up its assertion that seniors at 76 are not eligible for cancer treatment. Later, the email specifies that under Section 1145 of H.R. 3200, ""cancer hospital will ration care according to the patient's age."" Neither statement is accurate. There is no rationing, based on age or otherwise, on cancer treatment under the Patient Protection and Affordable Care Act signed into law in March 2010. Likewise, there is no rationing or cut-off age in 2009's H.R. 3200. H.R. 3200 contained a section on ""treatment of certain cancer hospitals."" But the American Nurses Association described the section as ""the opposite of rationing. The section allows Medicare to pay cancer hospitals more if they are incurring higher costs."" FactCheck.org agrees with the nurses group. And again, the bill never became law. ""All medically necessary treatment is covered by Medicare. Including cancer treatments, regardless of age,"" said Katherine Fitzpatrick with the Medicare Rights Center in Washington, D.C. and in New York. Yet, none of the debunking seems to matter, because four years later, the email lives on via the forward button. The Internet is unstoppable. What, we wondered, did the Texas judge think of his undying notoriety? ""I wish it would die. I can't control it,"" David Kithil told PolitiFact Oregon. ""I don't know how something like that goes viral like that."" The former judge said he wrote a letter to his local newspaper in 2009, protesting the initial version of the health care act. The letter was published in the River Cities Daily Tribune, circulation 5,000. Somehow, he said, the letter was republished online. Kithil wants readers to disregard his letter as it is outdated and based on legislation that did not become law. ""I've had calls from all over the country, 300 to 400 calls over three or four years on this,"" he said. He pleads with the callers, ""Don't pass it on. It's not accurate anymore. Trash it."" He says he still has problems with the Affordable Care Act, but that's neither here nor there. Both the Medicare Rights Center and AARP, the national organization for seniors, verified that hospital admittance has to do with billing under parts A or B of Medicare, the government health plan for seniors 65 and older. The Affordable Care Act reduces Medicare payments to hospitals with readmissions within 30 days for certain conditions, such as pneumonia, but that's not based on who admits the patient. Also, a spokesman for the Centers for Medicare and Medicaid says Medicare has never covered vitamin B12 shots as a preventive benefit. Again, this isn't related to the Affordable Care Act. Older patients diagnosed with cancer need not worry that treatment will be rationed or denied under the Affordable Care Act. The claim is based on an inaccurate reading of a bill that went nowhere. We don't know where or how the specific age of 76 was added -- Kithil said he doesn't remember including a specific age in his letter. But we do know enough to rule this widely debunked and ridiculous-on-its-face statement a ." Claim: "Chain email Says ""At age 76 when you most need it, you are not eligible for cancer treatment"" under Affordable Care Act."
A:
0