I remember September 11th, 2001, as if it were yesterday. I was working as a relief pharmacist in Morgan City, Alabama, when my wife called to tell me there had been an airplane crash in New York. In these pre-smartphone days, news traveled a little bit slower and the pharmacy I was working in did not have a television so we made do with a radio. I remember the confusion—there were some early reports about additional planes headed for landmarks across Washington, DC.

For all my 32 years in the profession, pharmacists have been asking for the right to bill third-party payers, namely major medical insurance companies, (e.g., Medicare, Medicaid, and commercial) for their care services. We’ve had fits and starts, and in some states the uptake has been good because in large part the state pharmacy association has done tremendous work to make the processes of becoming an in-network provider easy to understand and navigate.

All around us, the pharmacy landscape is changing rapidly. Rite-Aid is working through bankruptcy. Walgreens just announced closure of up to 25% of its stores. Winn-Dixie pharmacies are gone. The National Community Pharmacists Association indicates in verbal communications that one independent pharmacy and three community pharmacies are closing every single day in 2024. Much has been said and written about the impact of PBMs on these closures, but I want to speak to another culprit impacting decisions to close pharmacies: retail theft.

Early in my career, when I was practicing in Alabama there was a bill before the state legislature related to pharmacy technicians. The state pharmacy association strongly supported the bill, yet one of the big hospitals in the state opposed the bill. I can distinctly remember visiting a legislator’s office to ask for support for the bill and the senator said, “Michael, why do you expect me to support something you can’t even get your profession to agree on?” It was a humbling moment.

One year ago, I had the honor of becoming APhA’s 15^th CEO and Executive Vice President. It’s been a tremendous year with challenges I did not anticipate and joys I never could have predicted.