News
Why community pharmacies are closing – and what to do if your neighborhood location shutters
Lucas A. Berenbrok, University of Pittsburgh; Michael Murphy, The Ohio State University, and Sophia Herbert, University of Pittsburgh
Neighborhood pharmacies are rapidly shuttering.
Not long ago, Walgreens, one of the nation’s biggest pharmacy chains, announced plans to close 1,200 stores over the next three years. That’s part of a larger trend that has seen nearly 7,000 pharmacy locations close since 2019, with more expected in the coming years.
Many community pharmacies are struggling to stay open due to an overburdened workforce, shrinking reimbursement rates for prescription drugs and limited opportunities to bill insurers for services beyond dispensing medications.
As trained pharmacists who advocate for and take care of patients in community settings, we’ve witnessed this decline firsthand. The loss of local pharmacies threatens individual and community access to medications, pharmacist expertise and essential public health resources.
The changing role of pharmacies
Community pharmacies – which include independently owned, corporate-chain and other retail pharmacies in neighborhood settings – have changed a lot over the past decades. What once were simple medication pickup points have evolved into hubs for health and wellness. Beyond dispensing prescriptions, pharmacists today provide vaccinations, testing and treatment for infectious diseases, access to hormonal birth control and other clinical services they’re empowered to provide by federal and state laws.
Given their importance, then, why have so many community pharmacies been closing?
There are many reasons, but the most important is reduced reimbursement for prescription drugs. Most community pharmacies operate under a business model centered on dispensing medications that relies on insurer reimbursements and cash payments from patients. Minor revenue comes from front-end sales of over-the-counter products and other items.
However, pharmacy benefit managers – companies that manage prescription drug benefits for insurers and employers – have aggressively cut reimbursement rates in an effort to lower drug costs in recent years. As a result, pharmacists often have to dispense prescription drugs at very low margins or even at a loss. In some cases, pharmacists are forced to transfer prescriptions to other pharmacies willing to absorb the financial hit. Other times, pharmacists choose not to stock these drugs at all.
And it’s not just mom-and-pop operations feeling the pinch. Over the past four years, the three largest pharmacy chains have announced plans to close hundreds of stores nationwide. CVS kicked off the trend in 2021 by announcing plans to close 900 pharmacy locations. In late 2023, Rite Aid said that thousands of its stores would be at risk for closure due to bankruptcy. And late in 2024, Walgreens announced its plans to close 1,200 stores over the next three years.
To make matters worse, pharmacists, like many other health care providers, have been facing burnout due to high stress and the lasting effects of the COVID-19 pandemic. At the same time, pharmacy school enrollment has declined, worsening the workforce shortage just as an impending shortfall of primary care physicians looms.
Why pharmacy accessibility matters
The increasing closure of community pharmacies has far-reaching consequences for millions of Americans. That’s because neighborhood pharmacies are one of the most accessible health care locations in the country, with an estimated 90% of Americans living within 5 miles of one.
However, research shows that “pharmacy deserts” are more common in marginalized communities, where people need accessible health care the most. For example, people who live in pharmacy deserts are also more likely to have a disability that makes it hard or impossible to walk. Many of these areas are also classified as medically underserved areas or health professional shortage areas. As pharmacy closures accelerate, America’s health disparities could get even worse.
So if your neighborhood pharmacy closes, what should you do?
While convenience and location matter, you might want to consider other factors that can help you meet your health care needs. For example, some pharmacies have staff who speak your native language, independent pharmacy business owners may be active in your community, and many locations offer over-the-counter products like hormonal contraception, the overdose-reversal drug naloxone and hearing aids.
You may also consider locations – especially corporate-owned pharmacies – that also offer urgent care or primary care services. In addition, most pharmacies offer vaccinations, and some offer test-and-treat services for infectious diseases, diabetes education and help with quitting smoking.
What to ask if your pharmacy closes
If your preferred pharmacy closes and you need to find another one, keep the following questions in mind:
• What will happen to your old prescriptions? When a pharmacy closes, another pharmacy may buy its prescriptions. Ask your pharmacist if your prescriptions will be automatically transferred to a nearby pharmacy, and when this will occur.
• What’s the staffing situation like at other pharmacies? This is an important factor in choosing a new pharmacy. What are the wait times? Can the team accommodate special situations like emergency refills or early refills before vacations? Does the pharmacist have a relationship with your primary care physician and your other prescribers?
• Which pharmacies accept your insurance? A simple call to your insurer can help you understand where your prescriptions are covered at the lowest cost. And if you take a medication that’s not covered by insurance, or if you’re uninsured, you should ask if the pharmacy can help you by offering member pricing or manufacturer coupons and discounts.
• What are your accessibility needs? Pharmacies often offer services to make your care more accessible and convenient. These may include medication packaging services, drive-thru windows and home delivery. And if you’re considering switching to a mail-order pharmacy, you should ask if it has a pharmacist to answer questions by phone or during telehealth visits.
Remember that it’s best to have all your prescriptions filled at the same pharmacy chain or location so that your pharmacist can perform a safety check with your complete medication list. Drug interactions can be dangerous.
Community pharmacies have been staples of neighborhoods for more than a century. Unfortunately, current trends in pharmacy closures pose real threats to public health. We hope lawmakers address the underlying systemic issues so more Americans don’t lose access to their medications, health services and pharmacists.
Lucas A. Berenbrok, Associate Professor of Pharmacy and Therapeutics, University of Pittsburgh; Michael Murphy, Assistant Professor of Pharmacy Practice and Science, The Ohio State University, and Sophia Herbert, Assistant Professor of Pharmacy, University of Pittsburgh
This article is republished from The Conversation under a Creative Commons license. Read the original article.
News
How healthy is Sodastream?
The SodaStream Sparkling Water Maker is a device that forces carbon dioxide (CO2) gas (stored under pressure in a cylinder) into water, making it sparkling (fizzy)
Sodastream machines have been gaining popularity in recent years as an alternative to store-bought soft drinks. Not only are they more environmentally friendly, but they also offer several health benefits compared to traditional sodas.
Reduced Sugar Intake
One of the most significant health benefits of using a Sodastream machine is reducing sugar intake. Traditional sodas are loaded with sugar, and excessive sugar intake can lead to weight gain, obesity, and other health problems such as Type 2 diabetes. With a Sodastream machine, you can control the amount of sugar you add to your drink, allowing you to enjoy a refreshing beverage without the harmful effects of excessive sugar consumption.
No Artificial Sweeteners
Many store-bought soft drinks contain artificial sweeteners, which can have negative health effects such as headaches and digestive problems. Sodastream machines, on the other hand, allow you to use natural sweeteners such as fruit extracts, honey or agave nectar, giving you a healthier and more natural alternative.
No Preservatives
Another advantage of using a Sodastream machine is that you can avoid preservatives commonly found in store-bought soft drinks. Preservatives such as sodium benzoate and potassium sorbate have been linked to health problems such as cancer and allergies. By making your own drinks, you can avoid these harmful additives and enjoy a healthier, preservative-free beverage.
Eco-Friendly
In addition to the health benefits, using a Sodastream machine is also environmentally friendly. Traditional soft drinks are packaged in plastic bottles or cans, which contribute to environmental pollution. With a Sodastream machine, you can reuse the same bottle multiple times, reducing waste and helping to reduce your carbon footprint.
Variety
Finally, Sodastream machines offer a wide variety of flavors and options, allowing you to customize your drink to your liking. You can mix and match different flavors or create your own unique blends, giving you a healthier and more enjoyable alternative to traditional sodas.
In conclusion, Sodastream machines offer several health benefits compared to traditional store-bought soft drinks. By reducing sugar intake, avoiding artificial sweeteners and preservatives, and being eco-friendly, they offer a healthier and more sustainable alternative to traditional soft drinks. Moreover, with a wide variety of flavors and options, you can customize your drink to your liking, making it a fun and enjoyable way to stay healthy.
Consumer Corner
Behind the Product: What Sustainability Looks Like in Beauty Development
Beauty Development: Shoppers want to know what ingredients are used, how items are packaged and whether the production process includes thoughtful choices. Beauty brands are taking note, and sustainability is increasingly shaping decisions across sourcing, packaging, production, shipping, storage and replenishment.
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(Feature Impact) Shoppers are paying closer attention to the products they bring into their homes. They want to know what ingredients are used, how items are packaged and whether the production process includes thoughtful choices. Beauty brands are taking note, and sustainability is increasingly shaping decisions across sourcing, packaging, production, shipping, storage and replenishment.
Responsible product lines rarely come from sweeping change. They are built through smaller, connected choices made throughout development. Packaging, ingredient sourcing and production planning influence how a product performs, how much waste it creates and how sustainably products can be produced.
Consider this beauty sustainability information from Laura Badcock, Chief Operating Officer of NourishUs Naturals.
Why packaging matters beyond appearance
“Packaging is often the first thing shoppers notice,” Badcock said. “It can shape how someone feels about a product before they ever try what’s inside.”
A package should look appealing, though appearance is only part of the equation. It also needs to protect the product, travel safely, store well and hold up through regular use. Once the product is finished, the packaging should allow easy recycling, refilling or responsible disposal.
There is no single packaging option that works best for every beauty product. A lightweight container may reduce shipping weight. A refillable option may stay in use longer. A recyclable material may work well in one area but create challenges in another if local recycling systems cannot process it. Even packaging that appears sustainable can create problems in practice if it leaks, breaks or requires excess shipping materials.
Why ingredient sourcing matters
“Ingredient lists have become an important part of how people evaluate beauty products,” Badcock said. “Shoppers often look for familiar oils, butters, botanical extracts and information about how ingredients were sourced, which plays a major role in the environmental impact.”
A product’s environmental footprint is influenced by many factors, including shipping distance, processing methods, storage conditions and supplier practices.
These factors can also affect product consistency and ingredient availability over time. Beauty brands working with wholesale skin care suppliers or private label manufacturers often need to balance ingredient goals with sourcing reliability and production needs.
How better planning can lead to less waste
“Packaging and ingredients are usually the first things people associate with sustainability, but how much product gets made, stored and discarded matters, too,” Badcock said.
Overproduction is one of the biggest hidden sources of waste in beauty and personal care. Products that sit too long in storage may eventually expire or remain unsold. Excess inventory can also create additional packaging waste, warehousing needs and disposal costs.
Smaller batch sizes give producers more room to adjust as trends or demand shift, and producing closer to expected sales windows helps reduce long storage periods and unnecessary waste. Testing new products in smaller volumes and restocking based on actual demand makes overproduction less likely.
How sustainable beauty choices are connected
Packaging, ingredient sourcing and production planning are closely connected throughout development.
“A packaging choice can affect shipping weight, storage needs and whether a package can be refilled,” Badcock said. “Ingredient choices can influence sourcing timelines and how products need to be stored. Production planning affects how much material gets used and how much product could eventually go unsold.”
Beauty shoppers want more transparency around sustainability claims
Sustainability claims carry less weight when those claims aren’t explained in practice.
This shift is pushing many beauty brands to focus more heavily on traceability, supplier relationships and clearer product information. Transparency is becoming part of the customer experience itself.
More responsible product lines are built over time
Responsible beauty products come together through ongoing choices around packaging, sourcing, production and inventory planning. For shoppers, those choices influence the products they bring into their homes.
“The brands that build sustainability into early decisions tend to have the easiest time maintaining it later,” Badcock said. “Once supplier relationships, packaging formats and production routines are in place, small adjustments are far easier than major changes. Treating sustainability as part of product development from the beginning, rather than something to fix later, is what makes it work in practice.”
To find more information on the intersection of beauty and sustainability, visitNourishUsNaturals.com.
Photo courtesy of Shutterstock
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Automotive
EPA removal of vehicle emissions limits won’t stop the shift to electric vehicles, but will make it harder, slower and more expensive
The EPA’s move to rescind the 2009 “endangerment finding” and roll back vehicle emissions limits won’t stop the shift to electric vehicles—but it will slow adoption, raise costs, and increase climate and public health harms.
Alan Jenn, University of California, Davis
The U.S. government is in full retreat from its efforts to make vehicles more fuel-efficient, which it had been prioritizing, along with state governments, since the 1970s.
The latest move came on Feb. 12, 2026, when President Donald Trump and the Environmental Protection Agency issued a new rule rescinding the landmark “endangerment finding,” and reversing various emissions limits on cars and trucks. The 2009 finding stated that greenhouse gases pose a threat to public health and welfare. If the new rule stands up in court and is not overruled by Congress, it would undo a key part of the long-standing effort to limit greenhouse gas emissions from vehicles.
As a scholar of how vehicle emissions contribute to climate change, I know that the science behind the endangerment finding hasn’t changed. If anything, the evidence has grown that greenhouse gas emissions are warming the planet and threatening people’s health and safety. Heat waves, flooding, sea-level rise and wildfires have only worsened in the decade and a half since the EPA’s ruling.
Regulations over the years have cut emissions from power generation, leaving transportation as the largest source of greenhouse gas emissions in the U.S.
The scientific community agrees that vehicle emissions are harmful and should be regulated. The public also agrees, and has indicated strong preferences for cars that pollute less, including both more efficient gas-burning vehicles and electric-powered ones. Consumers have also been drawn to electric vehicles thanks to other benefits such as performance, operation cost and innovative technologies.
That is why I believe the EPA’s move will not stop the public and commercial transition to electric vehicles, but it will make that shift harder, slower and more expensive for everyone.
Putting carmakers in a bind
The most recent EPA rule about vehicle emissions was finalized in 2024. It set emissions limits that can realistically only be met by a large-scale shift to electric vehicles.
Over the past decade and a half, automakers have been building up their capability to produce electric vehicles to meet these fleet requirements, and a combination of regulations such as California’s zero-emission-vehicle requirements have worked together to ensure customers can get their hands on EVs. The zero-emission-vehicle rules require automakers to produce EVs for the California market, which in turn make it easier for the companies to meet their efficiency and emissions targets from the federal government. These collectively pressure automakers to provide a steady supply of electric vehicles to consumers.
The new EPA move would undo the 2024 EPA vehicle-emissions rule and other federal regulations that also limit emissions from vehicles, such as the heavy-duty vehicle emissions rule.
The possibility of a regulatory reversal puts automakers into a state of uncertainty. Legal challenges to the EPA’s shift are all but guaranteed, and the court process could take years.
For companies making decade-long investment decisions, regulatory stability matters more than short-term politics. Disrupting that stability undermines business planning, erodes investor confidence and sends conflicting signals to consumers and suppliers alike.
A slower roll
The Trump administration has taken other steps to make electric vehicles less attractive to carmakers and consumers.
The White House has already suspended key provisions of the Inflation Reduction Act that provided tax credits for purchasing EVs and halted a US$5 billion investment in a nationwide network of charging stations. And Congress has retracted the federal waiver that allowed California to set its own, stricter emissions limits. In combination, these policies make it hard to buy and drive electric vehicles: Fewer, or no, financial incentives for consumers make the purchases more expensive, and fewer charging stations make travel planning more challenging.
Overturning the EPA’s 2009 endangerment finding would remove the legal basis for regulating climate pollution from vehicles altogether.
But U.S. consumer interest in electric vehicles has been growing, and automakers have already made massive investments to produce electric vehicles and their associated components in the U.S. – such as Hyundai’s EV factory in Georgia and Volkswagen’s Battery Engineering Lab in Tennessee.
Global markets, especially in Europe and China, are also moving decisively toward electrifying large proportions of the vehicles on the road. This move is helped in no small part due to aggressive regulation by their respective governments. The results speak for themselves: Sales of EVs in both the European Union and China have been growing rapidly.
But the pace of change matters. A slower rollout of clean vehicles means more cumulative emissions, more climate damage and more harm to public health.
The EPA’s move seeks to slow the shift to electric vehicles, removing incentives and raising costs – even though the market has shown that cleaner vehicles are viable, the public has shown interest, and the science has never been clearer. But even such a major policy change can’t stop the momentum of those trends.
This is an updated version of an article originally published Aug. 5, 2025.
Alan Jenn, Associate Professor of Civil and Environmental Engineering, University of California, Davis
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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