51.   Consumer advocates and some members of Congress say that such financial rewards may encourage doctors to control costs by withholding care that patients need.

52.   Dialysis patients need a machine to help cleanse their blood of impurities, a function normally performed by the kidneys.

53.   Doctors know when a PDA patient needs treatment because they hear a continuous heart murmur.

54.   Depending on these and other basic data, the hospital decides whether the patient needs hospital treatment.

55.   Even then, most patients would need to supplement the pill with drug counseling to prevent a relapse.

56.   Even so, Rothrock said, she was not sure she would want to help private doctors whose mifepristone patients needed surgical abortions.

57.   Flovent is also more expensive, but can cost less overall since patients need to use less of it.

58.   For a while, the drug companies can sell more drugs than patients actually need, which can help hide a decline in prescriptions.

59.   Further reducing the allure of implants, patients still may need glasses following the procedure.

60.   Graham, the organ network official, predicted that giving priority to the sickest patients would actually cost lives, because more patients would need second and third transplants.