Connect with us

Massachusetts

580,000 in Massachusetts live in ‘pharmacy deserts,’ new report shows – The Boston Globe

Published

on

580,000 in Massachusetts live in ‘pharmacy deserts,’ new report shows – The Boston Globe


Pharmacy shortages can be detrimental to both customers and the broader health system. Pharmacy closures are associated with older adults skipping heart medications and increased use of hospital and emergency department services.

“Without access to this source of care, residents may turn to higher-cost care settings like emergency departments, which further burdens our health care workforce, drives up spending, and leads to worse health outcomes,” David Seltz, executive director of the Health Policy Commission, said in a statement. “It is imperative for the Commonwealth to increase and sustain pharmacy access.”

The loss of nearby pharmacies affects access not only to drugs, but also to primary care. In Massachusetts, where the shortage of primary care providers has become acute, pharmacists can step in to provide some services, including administering vaccines.

Under contracts with prescribers called Collaborative Practice Agreements, pharmacists can answer patients’ questions, order labs, and even adjust medication doses, said Dr. Kaley Hayes, associate director of pharmacoepidemiology at Brown University’s Center for Gerontology and Healthcare Research.

Advertisement

“We are living in a very strained system that is getting more strained by the day, and we are running out of levers to pull to make sure that people still have access to care,” Hayes said. “Pharmacy deserts compound that issue by removing one more health care professional.”

Since 2019, the number of pharmacies in Massachusetts has shrunk by nearly 200, or about 17 percent. Small chain and independent drug stores and pharmacies operating in grocery stores saw the highest proportions of losses.

Some of the hit to independent pharmacies can be blamed on the consolidation of retail pharmacy chains and pharmacy benefit managers, the middlemen that negotiate drug costs between insurers and pharmacies, the Health Policy Commission said.

The report pointed to mergers, such as the 2007 combination of CVS and pharmacy benefit manager Caremark, as disadvantaging smaller pharmacies, since Caremark could give CVS preferred prices and steer customers to the large chain.

CVS and Walgreens are also cutting back, as they come under pressure from pharmacy benefit managers to control drug costs and retail profits decline. The number of Massachusetts stores owned by large chains fell to 578 from 630 to over the past year, according to the report.

Advertisement

The Health Policy Commission considered several factors in defining pharmacy deserts. Rural areas were considered a desert if they did not have a pharmacy within five miles. Urban areas were considered a desert if they lacked a pharmacy within one mile. Those distances were halved for areas with below-average vehicle ownership or more than 20 percent of households sitting below the federal poverty level.

Overall, the Health Policy Commission found that pharmacy deserts tended to be in neighborhoods with lower population density and a slightly higher proportion of residents over the age of 65.

New pharmacy deserts are appearing in Massachusetts’ largest cities. Springfield, for example, added six new deserts, while New Bedford added five.

Worcester was able to rid of two pharmacy deserts, but six others appeared after drug stores closed. Boston removed two pharmacy deserts, but five others popped up.

The report is the first by the Health Policy Commission to specifically evaluate pharmacy deserts. The next phase of the research will focus on understanding the factors that contribute to pharmacy closures, said Yue Huang, associate director for the Office of Pharmaceutical Policy and Analysis at the commission.

Advertisement

Huang said that different types of pharmacies face different kinds financial pressures and incentives, which her team is considering as they evaluate ways to combat the creation of deserts.

“It’s important that when we’re thinking about potential policy recommendations, we avoid painting with broad strokes,” Huang said.


Marin Wolf can be reached at marin.wolf@globe.com.





Source link

Advertisement

Massachusetts

Massachusetts beach towns look to ease ‘overly strict’ conservation rules: ‘Common sense’

Published

on

Massachusetts beach towns look to ease ‘overly strict’ conservation rules: ‘Common sense’


As certain shorebirds rebound in population along the Massachusetts coast, beach towns are pushing for the state to strike a healthier balance between conservation and recreation.

State Rep. Kenneth Sweezey, a South Shore Republican, is leading the charge on Beacon Hill, authoring legislation to untangle what he describes as “overly strict” regulations hindering his region’s access to its beaches.

Over the years, Duxbury Beach, in particular, has borne the brunt of protecting recovering bird species, including piping plovers and terns, limiting business and recreational opportunities at the prominent South Shore coastline.

The Duxbury Beach Reservation, a private landlord, has had to close certain roads and portions of the shoreline while birds are nesting. Residents and visitors are also required to have an oversand vehicle permit, which costs more than $150, for beach access.

Advertisement

Under one of Sweezey’s proposals, the state Division of Fisheries and Wildlife would only restrict over-sand vehicle access or other recreational activities if the bird species is listed as endangered or threatened under the federal Endangered Species Act.

Sweezey has said that piping plovers are the only species nesting on Duxbury Beach, which his district includes, that are federally endangered, while other birds carry a state designation.

“Birds may be federally protected because they’re doing poorly in one region of the nation, even though they may be thriving in the Commonwealth,” Sweezey said at the State House last week. “Those differences sort of create problems when you’re looking at human access, recreational opportunities on the beaches and conservation on the beach.”

Sweezey made his appeal to the Joint Committee on Environment and Natural Resources, touting shorebird management expert Chris Kennedy for helping him craft his proposals.

Kennedy, a wildlife biologist who has worked for the state Environmental Police and Division of Fisheries and Wildlife over the decades, is championing an equal balance between conservation and recreation.

Advertisement

In response to a post in the ‘Save Duxbury Beach’ Facebook page, Kennedy highlighted how the Bay State has seen a nearly “tenfold” jump in nesting plovers since 1986, going from 140 to over 1,200 last year. Roseate and common terns are also “strongly increasing,” while least terns are “slowly climbing.”

“Reasonable public access is not anti-birds,” Kennedy stated. “It is simply common sense.”

The 1,221 nesting pairs of plovers identified in 2025 marked a record high for the species’ population, up even from the 1,196 in 2024, numbers show.

According to the state’s Natural Heritage & Endangered Species Program, Duxbury Beach had 149 days of recreational activity last year.

Sweezey is also calling state regulators to conduct a review of their recreational management guidelines that protect piping plovers, terns and their habitats across the state at least once every two years. Part of that process would include two public hearings.

Advertisement

Patrick Parquette, a government affairs officer for the Massachusetts Striped Bass Association, called the state’s current shorebird management program “long outdated,” having been adopted in 1993.

Parquette pointed out how, decades ago, nests of certain shorebirds needed to be a minimum of an eighth of a mile apart. Today, species, including the piping plover, are nesting within 100 feet of each other.

“At the time, it was based on the best thinking that we had,” he said. “I don’t think there’s a reasonable human being in this building, no matter the ilk or philosophy they come from, that would say that our knowledge base 33 years ago could compare with today’s knowledge base.”

Andrew Marshall, founder of the Save Duxbury Beach nonprofit advocacy group, centers his concerns around climate change and its effects on the Plymouth County town of roughly 16,000.

“We’re being unfairly punished due to climate change, with some of these southern birds moving up to the north here,” Marshall told lawmakers. “These birds aren’t rare or threatened. They’re just new in our area.”

Advertisement

A third piece of legislation that Sweezey has crafted would ban state regulators from prohibiting any beach management program from using all legally authorized shorebird nesting mitigation tools under the state’s habitat conservation plan.

Sweezey said a goal of the bill would be to promote parity among Massachusetts beaches.

“These bills,” the representative said, “are critically important to our environment, our coastal traditions and local economies down in Duxbury, but really along the entire coast.”

A woman takes in the shoreline view at Duxbury Beach. (Staff Photo By Faith Ninivaggi/Boston Herald/Media News Group, File)



Source link

Advertisement
Continue Reading

Massachusetts

State police investigate fatal crash on I-93 in Quincy

Published

on

State police investigate fatal crash on I-93 in Quincy


A person has died after a single-vehicle crash on I-93 in Quincy on Sunday morning.

Troopers responded to the single-vehicle crash around 6:05 a.m. and found two people injured. One person has died, and another was seriously hurt.

The right lane remains closed at this time to allow for an investigation, according to Massachusetts State Police.

The victim’s name is not being released at this time.

Advertisement



Source link

Continue Reading

Massachusetts

Here’s what’s on tap during Mass Beer Week

Published

on

Here’s what’s on tap during Mass Beer Week


Calling all beer lovers…More than 200 small, independent breweries from all over the state are participating in Mass Beer Week, a celebration that highlights the craft beer community by bringing businesses together.

Gov. Maura Healey has officially proclaimed March 7-14 as Mass Beer Week in the Commonwealth, formally recognizing the vital role that local breweries play in the state’s economy, culture, tourism and communities.

“From Boston to the Berkshires, our craft breweries are anchors in their communities and significant contributors to our regional economies,” Healey said in a statement. “I’m proud to proclaim Mass Beer Week and encourage everyone to go celebrate at their local brewery safely and responsibly!”

The statewide celebration of Massachusetts-made beer officially kicked off Saturday and continues through the next week, during which time participating breweries will host special releases, collaborative brews, tasting events, educational programming, and community fundraisers.

Advertisement

The Massachusetts Brewers Guild says the formal recognition of this week by the Commonwealth is an incredible honor for the brewing community.

“Massachusetts breweries are small manufacturers, employers, and community gathering spaces,” said Katie Stinchon, the executive director of the Massachusetts Brewers Guild. “This proclamation underscores the importance of supporting local businesses and the people behind them.”

The owner of Drawdown Brewing says unification is exactly how she would describe Mass Beer Week.

“Beer is intrinsically very community based and brings people together and the Massachusetts/New England community we’re definitely kind of ride or die so it’s just a great unifier,” said Liz Nicol. “We’re all making beer. We’re all moving in the same direction, but everyone has something that makes us really unique so for us we do more malt forward beverages.”

Sarah Harkness says she also loves the comraderie.

Advertisement

“I just love that it grows the craft beer community as opposed to pitting breweries against each other,” she said.

While others say they just love beer, period.

“It’s such a New England thing to go to a brewery after going hiking and stuff so Boston really loves their beer,” said Dylan Pollman-Blom.

Events are scheduled all over the state for the next week. Beer lovers are encouraged to visit local taprooms, try Massachusetts-made beer, and share their experiences on social media. Click here for a full list of participating breweries and event details.

Advertisement



Source link

Continue Reading
Advertisement

Trending