31.   Improvements are gradual and subtle, but they are for real, say medical specialists.

32.   In rural America, where it is difficult to attract medical specialists, people sometimes joke that they are more likely to see a U.F.O. than a qualified psychiatrist.

33.   In virtually identical language, they would guarantee that people with insurance have access to emergency care, medical specialists, prescription drugs and other services when needed.

34.   It also probably would shorten his life, medical specialists say.

35.   Indeed, some drivers, like Dr. Jonathan Epstein, an emergency medical specialist in Manhattan, seem to be taking the price increases with a shrug.

36.   Iraqi scholars and medical specialists, considered among the best in the Arab world, once attended seminars and professional meetings around the globe.

37.   It would guarantee managed care patients reimbursement for necessary emergency room visits and guarantee access to medical specialists such as gynecologists and pediatricians.

38.   Medical specialists are testing radiation as a new tool to prevent coronary arteries from clogging again after they have been opened by medical procedures.

39.   Medical specialists have described methadone as the most effective treatment available for heroin addiction, observing that it has been studied more thoroughly than almost any other medication.

40.   Medical specialists say the use of such soaps has not proven to actually reduce the frequency of illnesses.