11.   Even with a budget based on modest oil prices, this year will be one of painful decisions.

12.   For the Hajra family, it is the beginning of a new life, but for the Salihis, it has become a painful decision about their future.

13.   I have made a painful decision of conscience.

14.   If so, it could actually be a painful decision.

15.   It can be a painful decision, since it forces couples to confront lingering feelings about years of infertility treatment.

16.   It was a painful decision.

17.   It was a painful decision for Yeltsin, who has long denied any health problems.

18.   It was the second time that the owners, Steve and Bill Kurland, made the painful decision to close.

19.   Most American doctors are not well prepared to help patients and their families make painful decisions about dying.

20.   The most painful decision of his life, Phil had to make alone.