You make a good point, Jeri, though it is a bit more complicated than saying 'no more for you.' Especially for small private practices. It takes education, training and resources - all things many practices lack and do not have the time or resources to acquire.

Front desk staff needs trained also. Addiction doesn't happen overnight. Doctors want to help and to heal. And drug seekers can be very persistent. As I mentioned above, some addicts also have chronic pain.

There are no easy answers or one size fits all approach. Sounds like your VA clinic/facility has a reasonable approach that involves a clear contract between prescriber and client/patient.