51.  All those involved in medical services need to work together to establish an emergency treatment system that ensures appropriate care by experts trained for the job.

52.  Breaux had proposed that the government, instead of paying separately for each medical service, offer a fixed amount of money to each beneficiary.

53.  Both articles cited underuse, overuse and misuse of medical services as major problems affecting the quality of care in America.

54.  Both managed-care and traditional plans often refuse to pay for some medical services.

55.  Bush wants to use private industry, including insurance companies and HMOs, to deliver drug benefits and other medical services to the elderly.

56.  Bush wants to make greater use of private industry, including insurers and health maintenance organizations, to deliver drug benefits and other medical services to the elderly.

57.  But expenses are climbing even faster as patients use more medical services and managed-care companies encounter growing resistance to cutbacks on payments.

58.  But he added that health insurance has become more affordable because managed care had driven down the inflation rate for medical services.

59.  But medical service officials said Thursday that dispatchers were never told that the child was unconscious, which would have led them to give the call priority.

60.  But most older Americans, it seems, are likely to forget about these medical services, and most doctors fail to remind them.