41.   One factor influencing Texas doctors to accept generics is a managed care system that emphasizes cutting costs.

42.   Partridge said Congress, not the Pentagon, is responsible for any hiccups in the conversion to a managed care system in the military.

43.   People are distrustful of managed care systems to keep them alive and well cared for at the end of their life.

44.   Put another way, will the city essentially end up with separate but unequal managed care systems, one for the poor and one for the middle class?

45.   She said the new approach is part of a larger effort to improve a foster care system that has grown stagnant at great cost to the children it serves.

46.   Similarly, just before the recess, the House passed a bipartisan bill to overhaul the managed care system.

47.   The fact is, though, that the managed care system is less about care than about costs.

48.   The proper inducement for any public health care system is to deliver good medical services as efficiently as possible.

49.   The other attempts were at managed care systems for Medicare patients in Vermont, New Hampshire and Florida.

50.   There is no question that for many children, orphanages would offer an attractive alternative to an archaic and overwhelmed foster care system.