51.   Americans have traded in paternalism for medical consumerism after fighting for a greater voice in making critical decisions about their care.

52.   Americans traditionally pump money into investments in January as they receive year-end bonuses and make decisions about their retirement plans.

53.   An ITV spokesman said yesterday there was yet to be a decision about when advertisements would reappear.

54.   An agency spokesman said the decision about each airline depended on individual circumstances.

55.   And as a political matter, austerity will no doubt become less attractive to the two parties as they face painful decisions about scaling back their agendas.

56.   An independent board would make the decisions about investing.

57.   And decisions about their scope are often a long time coming after the deal is done.

58.   And for most, it means making smart decisions about when to buy advertising time.

59.   And he said he had made no decision about his own possible run for president.

60.   And certainly he made his decision about military service well aware of the potential political ramifications of his choice.