Post Tribune (Sunday)

Pharmacy deserts are a problem for Hoosiers

- By Eddie Melton Eddie Melton is a Democratic state senator representi­ng Gary.

Sixty percent.

According to a Healthy Allies study from 2021, that’s the share of neighborho­ods that qualify as pharmacy deserts in Indiana. That means that the majority of Hoosiers live in areas that do not have a pharmacy within 2 miles of their homes. That may not seem far, but without a car or reliable public transporta­tion, that distance can be impossible for some Hoosiers, especially our seniors and disabled residents.

Without transporta­tion, those who need a prescripti­on filled are forced to walk however many miles it is to and from their nearest pharmacy or go without the medicine that they need.

For residents with disabiliti­es or illnesses that make it impossible for them to walk, their only option is to go without the care or medicine they need. This increases the likelihood that those people will seek emergency care, which leads to worsened health and higher medical costs for them while also limiting the available health care resources for other Hoosiers.

Our state is failing our most vulnerable citizens. Those without access to a car or public transporta­tion, who have disabiliti­es and illnesses, and who do not have the financial or social support to address their lack of access are the ones who suffer the most in pharmacy deserts.

Rural and urban areas are hit especially hard, specifical­ly in neighborho­ods where public transporta­tion is underfunde­d or

non-existent such as communitie­s in my district and across Northwest Indiana.

We must address this failing by our state. Indiana cannot continue allowing 60% of our neighborho­ods to struggle to access something as essential as medicine, immunizati­ons and other preventive care services.

We already know that pharmacy deserts are a problem. We know that Hoosiers who can’t make it to a pharmacy for their insulin, vaccine or heart medicine could have their lives put at risk.

That’s why I continue fighting for action. Last session, I offered legislatio­n specifical­ly designed to make progress on this issue. My Senate Bill 319 would have created a task force to study the pharmacy deserts in our state and report the findings and recommenda­tions for progress to the General Assembly within a year. This would have allowed us to take critical first steps toward solving this issue using factbased evidence and data. But my proposal was never considered or even heard in committee.

Now, an article from this month has reported that CVS is beginning its closures of 900 stores around the nation over the next few years. Unfortunat­ely, our state is not safe from these closures. The pharmacy desert issue will only be exacerbate­d, especially in Northwest Indiana, where CVS has already closed 12 of its locations since 2017 and a series of Walgreens pharmacy closures has left only four in the entire region.

Pharmacies like CVS are planning to implement systems that allow prescripti­ons to be filled by mail or other delivery, but our state isn’t doing anything to ensure residents have ongoing, uninterrup­ted access to the services that pharmacies offer.

Already, Lake County ranks 74th in the state for health outcomes and 90th for health factors. The loss of essential pharmacies will only result in further health disparitie­s in Indiana.

Our most vulnerable Hoosiers — those who are low-income, lack transporta­tion or are dealing with illness — will be left with few options to access the prescripti­ons and care that they need. Even if they can access mail prescripti­ons, they will still have to find other locations to access other services that pharmacies offer.

This is where we’re headed if our state doesn’t step up. Indiana residents deserve to live in a state where their access to vital medical and health services is supported by its lawmakers.

That’s why I’ll be offering my pharmacy desert legislatio­n again next year. My proposal would allow 20 experts to study and give recommenda­tions to address this critical issue, including the Department of Health commission­er, Family and Social Services Administra­tion, one pharmacist from all nine congressio­nal districts and experts recommende­d by certain industries and groups.

Access to medicine is a basic human need, and I call on residents across the state to reach out to our Legislatur­e and demand that my important proposal be passed next session. My bill will allow us to find the best comprehens­ive solutions to address our pharmacy desert issue.

What we cannot do is continue to do nothing.

The health and lives of Hoosiers are at risk simply because they are not able to get to their nearest pharmacy. It’s unacceptab­le yet right now, that’s the reality for residents without transporta­tion in 60% of our neighborho­ods.

We must keep calling attention to this issue until our Legislatur­e makes it a priority. No one deserves to struggle with their health or potentiall­y lose their life because the pharmacy to access their medicine is too far away.

 ?? GENE J. PUSKAR/AP ?? A CVS store in Mount Lebanon, Pa., on May 3, 2021. The chain plans to close 900 locations over the next three years.
GENE J. PUSKAR/AP A CVS store in Mount Lebanon, Pa., on May 3, 2021. The chain plans to close 900 locations over the next three years.

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