31.   Patient advocates blame managed care for an increasing amount of impersonal communication between doctor and patient.

32.   Patient advocates expressed alarm at the potential impacts on county residents.

33.   Patient advocates say that experiments should be carried out only on those who can give or withhold consent, not children and incapable adults.

34.   Politicians and patient advocates worry that the mayor, facing reluctant buyers, will not be able to protect the health of the poor.

35.   Researchers and patient advocates said the new initiatives could counteract a growing trend of doctors performing experimental procedures outside the confines of a clinical trial.

36.   Provide independent ombudsmen to serve as patient advocates.

37.   Some individual patient advocates have made up their minds.

38.   Some patient advocates and doctors find this a troubling abandonment of the rigors of science.

39.   Some doctors and patient advocates say that people with certain mental illnesses are much more susceptible to being manipulated than those with other medical problems.

40.   That requirement, many doctors and patient advocates contend, has stigmatized chronically ill patients and discouraged the prescription of morphine.