Nursing home costs are already taking a terrible toll on Federal and state governments.

People who had actually seen the firefever take its terrible toll.

It is likely that recent war in the region has taken a terrible toll on their numbers.

It has taken a terrible toll on him and his men.

The story took a terrible personal toll on both of them.

He had seen mass graves and the terrible toll civil wars took on the population.

Whatever he'd been through had taken a terrible toll.

The first officer looked no worse for his efforts, but the long hours had taken a terrible toll on the old physician.

The job takes a terrible toll on a family.

All those things mean that we do not have to accept this terrible toll among women.