In Cleveland, 3 Institutions Vie to Become Medical Powerhouses

Tensions threaten a university's role in an emerging health center

Starting a new medical school is never simple. But in this city, where the competition among medical heavyweights is fierce, the prestigious Cleveland Clinic has had to plot its strategies for a possible start-up as meticulously as a Napoleonic campaign.

Among the options the clinic is quietly considering: Going it alone; joining forces with another medical school, probably nearby Case Western Reserve University;

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