However, others, whose paramount concern should have been patient safety, also bear responsibility for this scandal.

His paramount concern was to preserve the ability of his troops to fight.

In other words, this was before the days when bolstering a student's self-esteem was the paramount concern in a professor's mind.

Field conditions were of paramount concern if the teams were to make effective use of the running game.

Economic redevelopment of the former base was a paramount concern to the surrounding community.