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Increasing pharmacy closures mean long drives for Vermont residents, mirroring a national trend – VTDigger

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Increasing pharmacy closures mean long drives for Vermont residents, mirroring a national trend – VTDigger


Lynne Vezina of the Vermont Family Pharmacy in Burlington on Dec. 30, 2021. File photo by Glenn Russell/VTDigger

Hardwick’s sole pharmacy — a Walgreens that had twice been hit by Vermont’s recent summer floods — closed for good at the end of September. Since then, residents have had to drive 25 minutes to access a pharmacy in Morrisville or 40 minutes to the closest Walgreens in Lyndon, leaving Hardwick squarely in a “pharmacy desert.”

Pharmacy deserts are generally defined as places where there is no or limited access to a pharmacy. In rural areas, this means the closest is over 10 miles away, while in urban areas, the closest is over one mile away.

Hardwick is hardly the only pharmacy desert in the state. According to a recent analysis of pharmacy locations across the country, 41 of Vermont’s 193 census tracts (21%) had low access to a pharmacy in 2022. The analysis, published by the academic journal Health Affairs Scholar, defined low access as at least one-third of the tract’s population living within a pharmacy desert. Between closures of independent pharmacies and national chains continuing to scale back back “less profitable” operations, the number of pharmacy deserts is only increasing.

Mike Fisher, Vermont’s chief health care advocate, said that pharmacy closures across the state are an ongoing and “very serious” trend.

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“I live in Addison County,” he said. “When the local Marble Works Pharmacy closed, I remember just how upsetting and difficult that was for so many people.”

According to the state’s Board of Pharmacy, 28 Vermont pharmacies have closed permanently over the past five years, leaving 126 currently operating in the state. A nationwide study has linked such closures to a decline in older Americans taking their prescription cardiovascular medications.

Often, Fisher said, there’s another pharmacy in town, as in Middlebury. But in a growing number of towns, there isn’t.

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Brattleboro’s Hotel Pharmacy has operated out of the town’s former Methodist church since 1993. Photo by Kevin O’Connor/VTDigger

According to a study published this month in the journal Health Affairs, more pharmacies closed than opened between 2018 and 2021 both nationally and in Vermont, with independent pharmacies and those located in Black and Latinx communities a higher risk for closure.

Options for those living in a pharmacy desert do exist. In Hardwick, area residents can utilize mail-order pharmacies for their prescriptions and Kinney Drugs offers weekly deliveries. However, Fisher notes, pharmacies don’t solely dispense medications, but also vaccines and advice.

“The pharmacist at the local pharmacy counter is an accessible, front-line healthcare professional that many people depend on,” he said. “You lose something really important when you lose your community pharmacist.”

Marty Irons, a full-time Vermont pharmacist for almost two decades and a member of the Vermont Pharmacists Association’s board, said in an email that the organization is very aware of pharmacy closures and expects them to continue to impact Vermont.

Pharmacists largely attribute closures to pharmacy benefit managers: companies that act as intermediaries between drug manufacturers and insurance companies. In Vermont, two pharmacy benefit managers — CVS Caremark and Express Scripts — account for 95% of Vermont’s drug market for commercial health insurance plans, according to the state Attorney General’s Office.

Pharmacy benefit managers, often abbreviated as PBMs, are known to under-reimburse pharmacies for the costs of filling prescriptions. According to Irons, this loss of income often requires pharmacies to pull back on services — such as the number of hours they’re open — and, in some cases, close.

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“Negative, or below cost, reimbursement is no longer the exception,” Mike Duteau, president of the Vermont Association of Chain Drug Stores, said in an email. “The growing impact is so substantial that pharmacies are closing in larger numbers and more quickly.”

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In addition, Irons and Duteau point to staffing challenges only exacerbated by the closure of Vermont’s only pharmacy school three years ago.

The Legislature passed a bill this year to regulate PBMs, the system for which is currently being set up at the Department of Financial Regulation, Fisher said. The bill requires PBMs to obtain a license from the department, strengthens its oversight and bans some of the companies’ practices.

In addition, Vermont Attorney General Charity Clark announced a lawsuit against PBMs earlier this year, alleging that the state’s two major PBMs skim money from drug transactions. However, it is unclear how — and how soon — these two state efforts might improve the situation for pharmacies and their customers.

“Our Vermont pharmacy infrastructure is so fragile,” said Irons. “Most people assume it will always be there; I hope so!”

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Vermont high school sports scores, results, stats for Saturday, Jan. 10

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Vermont high school sports scores, results, stats for Saturday, Jan. 10


The 2025-2026 Vermont high school winter season has begun. See below for scores, schedules and game details (statistical leaders, game notes) from basketball, hockey, gymnastics, wrestling, Nordic/Alpine skiing and other winter sports.

TO REPORT SCORES

Coaches or team representatives are asked to report results ASAP after games by emailing sports@burlingtonfreepress.com. Please submit with a name/contact number.

Contact Alex Abrami at aabrami@freepressmedia.com. Follow him on X, formerly known as Twitter: @aabrami5.

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Contact Judith Altneu at JAltneu@usatodayco.com. Follow her on X, formerly known as Twitter: @Judith_Altneu.

SATURDAY’S H.S. GAMES

Girls basketball 

Games at 12:30 p.m. unless noted

Missisquoi 50, Winooski 49

M: Kelsey Paradee 14 points. Aurora King 13 points.

W: Taraji Bradley 18 points. Moo July Htoo 14 points.

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Note: King hit the game winner at the buzzer to give the Thunderbirds the win.

Enosburg at Colchester

Mount Abraham at Middlebury

Danville at Williamstown, 4 p.m. 

Boys basketball

Games at 2:30 p.m. unless noted

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Hazen 65, Vergennes 60

H: Jameson Lamarre 22 points, 7 rebounds, 5 assists. Sullivan Laflam 17 points. Ethan Gann 10 points, 6 rebounds.

V: Theo Elzinga 15 points, 12 rebounds. Cohen Howell 15 points. Ryan Wright 11 points.

Lake Region at Missisquoi, 1:00 p.m.

BFA-Fairfax at Danville

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Stowe at Richford

Oxbow at Blue Mountain

Northfield at Williamstown, 7 p.m.

Watch Vermont high school games on NFHS Network

Girls hockey

Burlington/Colchester at Chittenden Charge, 2:20 p.m.

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Brattleboro at U-32, 2:30 p.m. 

BFA-St. Albans at Essex, 3 p.m. 

Burr and Burton at Stowe, 4:15 p.m. 

Hartford at Rutland, 4:30 p.m. 

Kingdom Blades at Rice, 4:35 p.m. 

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Harwood at Woodstock, 5:15 p.m. 

Spaulding at Missisquoi, 5:30 p.m. 

Boys hockey

BFA-St. Albans at Essex, 5 p.m.

Rice at Champlain Valley, 6:50 p.m.

Mount Mansfield at Burr and Burton, 5 p.m.

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U-32 at Colchester, 4:50 p.m.

Stowe at Brattleboro, 4:45 p.m.

Middlebury at Saranac, NY

Milton at Missisquoi, 8 p.m.

Burlington at Hartford, 2 p.m.

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St. Johnsbury at Woodstock, 7:15 p.m.

MONDAY’S H.S. GAMES

Girls basketball 

Games at 7 p.m. unless noted

Spaulding at Lyndon, 6:30 p.m. 

BFA-Fairfax at Twinfield/Cabot

Milton at Enosburg

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Winooski at Danville

Boys basketball

Games at 7 p.m. unless noted

BFA-St. Albans at Burlington

Thetford at Peoples

St. Johnsbury at Champlain Valley

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Montpelier at Harwood

Essex at South Burlington

Rice at Mount Mansfield

(Subject to change)





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How UVM hockey teams fared Jan. 9-10 — Schedule, scores, results

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How UVM hockey teams fared Jan. 9-10 — Schedule, scores, results


UVM welcomes Adrian Dubois as new men’s soccer coach

Adrian Dubois answers questions from the media following his introductory press conference on Monday, Dec. 22.

Conference play is in full swing to both Vermont basketball and hockey teams. Vermont basketball and women’s basketball both have a bye on Saturday, Jan. 10, meaning only the hockey teams are in action.

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How did those Catamounts men’s and women’s hockey teams fare this weekend? For schedule, scores and stats from all games, read on below:

FRIDAY, JAN. 9

Women’s hockey

Vermont 4, Merrimack 1

V: Oona Havana 2G. Kaylee Lewis 1G. Rose-Marie Brochu 1G. Julia Mesplede 2A. Stella Retrum 1A. Lauren O’Hara 1A. Brooke George 1A. Ashley Kokavec 1A. Zoe Cliche 19 saves.

M: Emma Pfeffer 1G. Stina Sandberg 1A. Avery Anderson 1A. Lauren Lyons 39 saves.

Note: The women’s hockey team has won three straight games securing its largest win streak of the season.

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Men’s hockey

Vermont 3, Northeastern 2

V: Sebastian Tornqvist 1G, 2A. Jens Richards 1G. Massimo Lombardi 1G. Colin Kessler 1A. Aiden Wright 1A. Jack Malinski 1A. Cedrick Guindon 1A. Aiden Wright 20 saves.

N: Joe Connor 1G. Amine Hajibi 1G. Jack Henry 1A. Tyler Fukakusa 1A. Dylan Hryckowian 1A. Dylan Finlay 1A. Lawton Zacher 21 saves.

Note: The men’s hockey team has won two straight games for the first time since winning its first two games of the season (Oct. 4-10).

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SATURDAY, JAN. 10

Women’s hockey

Vermont at Merrimack, 2 p.m.

Men’s hockey

Northeastern at Vermont, 7 p.m.

Contact Alex Abrami at aabrami@freepressmedia.com. Follow him on X, formerly known as Twitter: @aabrami5.

Contact Judith Altneu at JAltneu@usatodayco.com. Follow her on X, formerly known as Twitter: @Judith_Altneu.





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Brattleboro Memorial Hospital reaches settlement with US Justice Department over ADA compliance

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Brattleboro Memorial Hospital reaches settlement with US Justice Department over ADA compliance


Brattleboro Memorial Hospital has reached a settlement with the U.S. Department of Justice over allegations that the hospital violated the Americans with Disabilities Act during patient visits dating back to at least 2018.

The U.S. attorney for the District of Vermont received a complaint from a patient who said Brattleboro Memorial failed to provide qualified sign language interpreters and appropriate auxiliary aids and services during visits to the emergency department.

After an investigation, the U.S. attorney’s office said it discovered other patients, whose primary means of communication is American Sign Language, who did not receive adequate services from the hospital.

Under terms of the agreement, the hospital says it will provide qualified interpreters, create a new grievance procedure, provide training to its staff personnel on effective communication, and designate a program administrator who will coordinate 24/7 access to auxiliary aids and services.

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“BMH believes the agreement represents a positive step forward and aligns with the Hospital’s ongoing commitment to accessibility, inclusion, and high-quality care for all patients,” hospital spokesperson Gina Pattison wrote in a prepared statement. “The agreement reflects improvements BMH has implemented over the past several years to better serve patients who are deaf or hard of hearing.”

Pattison wrote that the hospital worked cooperatively with the Department of Justice throughout the investigation, and that over the past few years a series of new steps have been taken to better serve the deaf and hard of hearing community.

Since 2023, Brattleboro Memorial has been working with the group Deaf Vermonters Advocacy Services to update policies, procedures, staff education and clinical practices, according to Pattison.

Pattison said the hospital now has an on-call, in-person interpreter program along with access to video remote interpreting services.

The settlement agreement also requires the hospital to establish a fund to compensate people who have been affected by the failure to provide appropriate communication services from 2018 through 2025.

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“For the average person, going to the ER during a medical emergency is scary. Deaf individuals have the added stress and worry that they will not be able to communicate their symptoms, understand the doctor’s questions, or give consent because they do not have effective communication,” Deaf Vermonters Advocacy Services Director Rebecca Lalanne wrote in an email. “It is everyone’s hope that this agreement will change that experience and that BMH will assess and accommodate in accordance with the law.”

The U.S. attorney’s office will not pursue further legal action, according to the agreement.

Any person who visited the hospital and failed to receive appropriate services can contact the U.S. attorney’s office to fill out a civil rights complaint form.

“It is well settled under the ADA that patients have the right to effective communication in hospitals and doctors’ offices,” the Department of Justice press release said. “BMH has already taken steps to comply with its obligations under the ADA. And with the resolution agreement, BMH will timely provide qualified interpreters when necessary to ensure effective communication with patients and companions.”

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