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Is there a general sense of the extent to which there are unobserved healthcare provision to patients in the VA system?

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Is there a general sense of the extent to which there are unobserved healthcare provision to patients in the VA system?

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We know that among the VA population eligible for Medicare at least 30% of VA patients get additional health care services. Obviously, the expectation for this project is limited to VA care, although we would be interested in a project that could identify both VA and non-VA medications.

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