51.   These plans drive hard bargains in terms of payment rates and sometimes steer patients away from major academic medical centers altogether.

52.   Those old-media dinosaurs, it appears, can drive a hard bargain.

53.   To raise group-coverage premiums, insurance companies must negotiate with employers, and employers, with their own finances on the line, drive hard bargains.

54.   U S West has been driving a hard bargain with Time Warner so far, according to several people familiar with those talks.

55.   While driving hard bargains with the terminally ill, they also are disinheriting working class families who may be counting on the insurance money.

56.   While these big customers might drive hard bargains on prices, their steady flow of orders allows Dell to run more efficiently.

57.   With that kind of size, it could drive hard bargains with doctors and hospitals in the hotly competitive California market.

58.   Wowkanech is driving a hard bargain.

59.   But concern has been expressed in some quarters that BMW may have negotiated too hard a bargain.

60.   But powerful communists and socialists in the parliament are likely to drive a hard bargain.