The Mayo Clinic is facing twin challenges.

The state is now looking for Mayo Clinic to dramatically expand the regional economy with its planned Destination Medical Center, just as doctors and hospitals are being asked to rein in runaway health costs.

But if costs grow less rapidly, experts say, so do the jobs.

Mayo Clinic officials tell the St. Paul Pioneer Press they're uniquely prepared to satisfy both demands.

Brad Narr, medical director for the Destination Medical Center, says that by providing high-quality, efficient care while expanding operations in Rochester, Mayo plans to survive and prosper even as cost pressures might force other medical centers to shrink. He says there are going to be winners and losers in the industry, and some centers may be left in the dust.