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. “There wasn’t a lot of discussion with the veteran except for the provider saying, ‘We’re not going to be doing this anymore because it’s not good for you,real cheap jordans retro,’ ” said Joy Ilem, of Disabled American Veterans, one of the country’s largest veteran service groups. Some vets have been warned that if they don’t take part in educational programs, they won’t get prescriptions. Failure to submit urine samples could result in expulsion from the program. Vets also complain of being kicked out of programs for failing “pain contracts” they were ordered to sign. The contracts require the vets to agree to submit to urine screenings and to take one of several VA opioid safety classes or risk being denied their medications. A VA directive acknowledges problems with pain contracts, called Opioid Pain Care Agreements (OPCAs), citing concerns about their use of “threatening language and their potential to undermine trust.” The VA denies that veterans are “kicked out” of the Minneapolis VA or Minneapolis pain management services. But,cheap jordan shoes, it said, if a veteran’s pain medications are found to be causing harm or failing to help, they may be “appropriately reduced or discontinued.” “Are you kicking people off opioids then or are you trying to do the right thing?” asked Marshall, the Minneapolis VA’s head of pain management. The VA appears to have sent mixed messages about the contracts, including whether they even exist. In a May 2014 letter to U.S. Sen. Al Franken, D-Minn., whose office had asked questions about local VA operations, Patrick Kelly, the director of the Minneapolis VA, wrote, “It is VA policy to have patients sign a pain agreement, sometimes termed a ‘pain contract,cheap jordans for sale,’ for patients who are receiving narcotic medications.” But when the Star Tribune asked the Minneapolis VA to provide the<ul>
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