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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.”

$189 charged, $15 collected: The life and death of a local independent drugstoreAdvertisement

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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Person killed in early morning crash on Route 7 in Pittsford

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Person killed in early morning crash on Route 7 in Pittsford


PITTSFORD, Vt. (WCAX) – One person died and another was injured in a two-vehicle crash involving a tractor-trailer on U.S. Route 7 early Friday morning.

The crash occurred at approximately 5:13 a.m. near the intersection with Giddings Lane in Pittsford, according to Vermont State Police.

Police said the driver of a tractor-trailer, identified as Paul Ricard, 64 of Castleton, was traveling northbound on Route 7 when the trailer became detached and stopped in the roadway facing northbound. The driver stopped and exited the vehicle to attempt to reconnect the detached trailer.

A second vehicle, operated by Christopher Cyr, 54, of Rutland, was traveling northbound on Route 7 and collided with the back of the detached trailer, police said.

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Ricard was transported to Rutland Regional Medical Center for suspected minor injuries. Cyr was pronounced dead at the scene.

Vermont State Police from the Rutland Barracks responded to the crash. Regional Ambulance Service, the Pittsford Fire Department and Pittsford First Response assisted at the scene.

The crash remains under investigation.



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Referee shortage threatens Vermont high school sports – Valley News

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Referee shortage threatens Vermont high school sports – Valley News


Vermont is in the midst of an alarming referee shortage — a problem unfolding nationwide, but one that has hit hard in a state with a small and aging workforce.

Between 2018 and 2023, the National Federation of State High School Associations reported a loss of almost 60,000 officials nationwide, a trend exacerbated by the COVID-19 pandemic.

In Vermont, officials are spread thin covering games across 23 sports at over 70 high schools in the Vermont Principals’ Association — the state’s governing body for school athletics. Trainees aren’t offsetting the number of retiring veteran officials, and the resulting gap in personnel is forcing games to be postponed or canceled.

“What was just affecting a couple sports out of the wide pool of varsity sports in the state — now it’s virtually every sport,” said Devin Wendel, president of the Vermont State Athletic Directors Association and athletic director at Mount Abraham Union High School.

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With a working population that is already strained, the persisting shortage of officials in Vermont carries a serious risk of interrupting high school seasons.

“If we don’t do something, in the next three to five years there won’t be enough of us to cover sporting events in Vermont and that is bad for all involved,” Steve Cicio — president of Vermont’s branch of the International Association of Approved Basketball Officials — wrote in a Nov. 13 email. “We are going to struggle this season with what we have for numbers,” he said.

This year alone, the association lost between 10 and 12 varsity officials, and five to six junior varsity officials, according to Cicio.

Many of those retiring have been in the business for numerous decades, with expertise in multiple sports. Their retirements mean fewer mentors for the next generation filling their shoes.

A 2023 survey of the association’s officials found that around half planned to retire by 2028.

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“Not only are we losing a large percentage of our board, but out of that 50%, a large percentage of those folks are capable and qualified to work almost any game in the state,” said Trevour Houle, a varsity basketball official of nearly 10 years. “If I were to guess, it’s going to create a snowball effect where we lose a large amount of officials — those who are left are asked to work more nights a week, those officials are probably going to get burnt out or injured, and they’re going to decide next year whether they want to do that all over again or not.”

Dwindling numbers puts a greater burden on those remaining, who are expected to cover more games across further distances than they had previously.

“You’re seeing officials that are getting overworked, trying to hustle over to get from one location to the next,” said Michael Jabour, senior director of activities at South Burlington High School and Middle School.

Varsity teams typically take priority because their regular seasons determine playoffs and championships, unlike junior varsity teams, said Tim Messier, athletic director at Lamoille Union High School. Teams at Lamoille Union lose a couple games each season because officials aren’t available, he said.

Referees are paid $97.50 for varsity and $75 for junior varsity games, plus the cost of mileage. First-time registration to be an official costs $30 and secures certification for one year. Referees can then officiate as many sports they choose to train for.

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The VPA’s officials committee increased the pay by 30% two years ago and the earnings are aligned with all other New England states, said Lauren Young, executive director of activities at the VPA.

“You take your $97.50 and it sounds like, ‘Wow, that’s a great fee for a game.’ Well, it was an hour there. You have to get to the game an hour early. The game takes an hour and a half to two hours. You shower, you’re in the locker room for 20 minutes after the game and then you have your hour ride home,” Houle said. “When you start breaking it down to an hourly rate, it’s not that great.”

Vermont’s handful of remaining referees also face continuing harassment, particularly from spectators, said Young. She suspects that poor sportsmanship is partially to blame for disillusionment about joining the force.

Among those who become certified, most new officials resign within their first three years, according to the National Federation of State High School Associations.

“They can never be right. They’re always to blame,” Jabour said. “It’s hard to be an official because you’re constantly being told how terrible you are.”

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As the VPA ramps up their recruitment efforts, Young wants to see a more accurate representation of Vermont’s student body with whistles — particularly through more women and people of color becoming certified to officiate.

“We have diverse schools, and I think there’s power in seeing people in a position of authority in the game that are reflective of what they look like to try to dispel some of the older white male dominance over the officiating world,” she said.

Nationally, the shortage could be on the mend. The National Federation of State High School Associations reported an 8% increase in registered officials this year compared to 2018.

But in Vermont, the void left by referees stepping down isn’t being filled. While the VPA is marketing to college students and tapping school administrators to spread the word about the shortage in their communities, Young expects to draw in just two or three newcomers this year.

“Even recruiting 10 officials in the state of Vermont can have a huge impact on a local high school being able to actually keep their schedule intact,” Wendel said.

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Busy Anderson is a reporter with the Community News Service, part of the University of Vermont’s Reporting & Documentary Storytelling program.



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Vermont-based fighter wing deploying to Caribbean amid tensions with Venezuela, US senator says – The Boston Globe

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Vermont-based fighter wing deploying to Caribbean amid tensions with Venezuela, US senator says – The Boston Globe


U.S. Sen. Peter Welch on Friday said the Pentagon had ordered the deployment of the Vermont Air National Guard’s 158th Fighter Wing to the Caribbean amid heightened tensions with Venezuela.

According to Welch, the deployment is part of Operation Southern Spear, which has been targeting drug trafficking in the region as President Donald Trump’s administration has sought the ouster of Venezuelan President Nicolás Maduro.

A Pentagon spokesperson on Friday referred questions to the Vermont Guard.

The 158th Fighter Wing, based in South Burlington, includes 20 F-35A Lightning II fighter jets and approximately 1,000 personnel.

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Joseph Brooks, a spokesperson for the Vermont Guard, told the Globe earlier this week that the unit had been ordered by the Department of Defense to mobilize, but he would not disclose the location or details of the deployment.

Brooks declined to comment further Friday night.

In a written statement, Welch thanked Vermont Guard members for their service but criticized the Trump administration for deploying them.

“I strongly oppose President Trump’s mobilization of the Vermont Air National Guard alongside thousands of other U.S. military units in what appears to be a relentless march to war,” Welch said. “An undeclared war against the Venezuelan regime would be illegal under our Constitution. If this president — or any president — wants to start a war with Venezuela, which has not attacked us and is not a source of the fentanyl that is killing Americans, then he needs to seek authorization from Congress, as the authors of the Constitution intended.”

Details of the deployment remained unclear Friday, though Seven Days, a Burlington newspaper, reported that the unit would be stationed at a recently reopened military base in Puerto Rico. The newspaper said some Vermont Guard members had already headed there to prepare for the deployment.

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This story has been updated.





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