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I understand that any choice proving that the murder rate would've been higher is correct, but I'm not understanding the connection between healthcare and assault victims. How is that relevant and what does it imply?
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The citizen's argument is centered around the rate of violent crimes. The city official is trying to placate the severity of problem by showing that the absolute number of murder victims is declining. The city official is assuming that the declining murder rate reflects the rate of violent crimes. E (the correct answer) is saying that just because less people are being murdered doesn't mean less people are victims are violent crimes. Improved healthcare would equally explain the decrease in murder victims since victims have a higher chance of surviving an assault.
E is implying that the number of murder victims do not accurately reflect the number of violent crimes occurring.