Anchor: Without ongoing strong support, both in spirit and in action, of top-level program officials and legislative bodies, the chances for success in implementing the changes needed to address improper payments are slim.
Entailed: Without strong support from the top level, success is unlikely.
Contradiction: They don't need support from anyone to succeed.
Contradiction: The men are wearing skirts.
Contradiction: A tree is being cut
Contradiction: That sounds really bad. 
Contradiction: There are different reporting standards for audits