51.   The basic problem for Presbyterian as well as the other academic centers in New York is that they are expensive places to care for the average patient.

52.   The academic centers that Speck has tried to woo are circumspect about the prospects.

53.   The change is particularly tough on academic medical centers, where costs are higher.

54.   The city has long paid academic medical centers hundreds of millions of dollars each year to run its public hospitals.

55.   The committee plans to turn the ultimate decision in cases where bedside physicians and insurance companies disagree over to expert panels, some at faraway academic medical centers.

56.   The consortium, despite being an uneven assortment of academic centers, rallied to the challenge.

57.   The contestants are a publicly financed consortium of academic centers and Celera Genomics of Rockville, Md.

58.   The handful of academic centers across the country geared to educating Americans about the cultures of Central and South Asia produce but a trickle of specialists.

59.   The institute will draw on research efforts at Novartis plants in Switzerland and its collaborations with small companies and academic centers.

60.   The powerful academic centers will have to wrest the remainder from insurers in their contract negotiations, Dr. DeBuono said.