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Xanax buying their drug at local pharmacies and illegally distributing it. On April 4, 2012, a federal grand jury returned 10-count indictment charging three employees of the Phoenix Veterans Affairs Regional Health Care System with violating the Controlled Substances Act including "conspiring to purchase narcotics from a pharmacy to be Is over the counter fastin the same as phentermine delivered patient at an offsite facility for improper distribution and use." In response to the indictment, VA Secretary Eric Shinseki announced a major reform of the Veterans Health Administration, which includes expanding access to mental health services and increasing oversight for the prescription of painkillers. Also, in an unprecedented move, the VA moved hundreds of doctors and other supervisors from Phoenix to states create a centralized clinic there. However, VA critics are pointing out that the problem remains. In May 2013, the Inspector General of Department Veterans Affairs released a report, concluding that the VA still did not have a plan in place to combat the overprescribing of opioids. IG's final report states: Xanax 1mg 240 $440.00 $1.83 $396.00 "VA and its senior officials continue to have a lack of understanding the magnitude this problem within VA. The findings in this report raise additional concerns that the lack of systemic controls and quality data may not be adequately addressed." This lack of understanding is the result a flawed system, and is symptom of the systemic problem as well. A system that's broken The VA is an example of a systemic problem. The VA is an agency whose employees spend their lives serving people in need. But as a result, in many cases, their health and careers are not taken into consideration, as is what best for the people, VA, and itself. The Veterans Health Administration (VHA) is one of the four largest health care systems in the country and is largest in the U.S. (It serves 19 million patients). To understand what goes wrong, we must look at a systemic system: the health care system as a whole. A systemic system is in which the health care system interacts with other systems and policy programs in ways that are intended to coordinate and improve care. be meaningful, health care needs to be a system, and system must be made better. Without the coordination of all health care decisions, it cannot work. The best of VA and federal government's overall system for health care delivery is the Physician Payment Sunshine Act, through which all health care providers are subject to a set of public reporting rules that are designed to identify misreports and fraud within the health care system. However, this system still faces problems. The VA Inspector General has made the following recommendations for improvement: -The VA should identify a method to require all VA facilities submit information regarding pain medications prescribed and dispensed by an individual a particular VHA outpatient or inpatient provider. As the Agency has indicated in regard to other health care providers, providers cannot be required to submit information directly the VA. -The VA should establish a robust internal process for determining when a pain medication may be appropriate for an individual patient. The VA has indicated that this information must be determined within the context of each healthcare team's individual clinical practices. -The VA should create a system to evaluate how pain medications are prescribed, dispensed, and accessed. This system could be used to determine the extent which pain medication may be considered as an alternative to VHA-authorized treatment, determine if the physician considers medication as an alternative to VHA-authorized treatment, and determine that pain medications are prescribed to patients in a manner that minimizes unnecessary risk of harm. -VA online pharmacy new zealand viagra medical center personnel should adhere to established protocols concerning the use of analgesics with patients, including.