The word "systemically" refers to an issue or problem that is deeply ingrained within a particular system. When we talk about such issues, we often need to use synonyms to avoid repetitive use of the same word. One similar phrase could be "system-wide," which refers to something that affects the entire system from top to bottom. Another option is "holistically," which implies a more comprehensive approach, taking into account all aspects of the system. Another potential synonym for "systemically" might be "endemically," suggesting that the problem is inherent to the system in question and not just an isolated issue. These synonyms allow us to vary our language and more accurately convey the extent of a given problem or situation.