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28a) Take steps to cut costs in medical groups (9) P?A?T?C?S

Looks like PRACTICES but why?

Costs= prices, with take steps=act, inside, for a medical practice.

Thanks Rusty

i,m missing 3
3d its tight in hole as way to secure lucky mascot(4,4)
9d State of contents of paper raised as editor intervenes(6)
14a Pessimistic, for example, in local!(8)

thanks for any help or hints

I'm stuck on 3d too
9d SWEDEN - news with ed in going up
14a negative -eg in native

3d) Shoe Nail

thanks to you both