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Pharmacies struggle with shortages and online competition

Pharmacies struggle with shortages and online competition
The number of pharmacies in Saxony has been declining for years. (Symbolic image) / Photo: Robert Michael/dpa
From: DieSachsen News
The pharmacy network in Saxony continues to thin out. Why pharmacies are closing, many medicines are hard to find and pharmacists are having a hard time talking to Günther Jauch.

Stagnating fees, medicines that are not available, competition from online providers - Saxony's pharmacists are struggling with many problems. The result: according to figures from the state association, a good 30 percent of pharmacies are in the red or are considered economically at risk. As a result, investments are being postponed and such pharmacies are finding it difficult to find a successor when the owner retires. Despite an ageing population, pharmacies continue to die out. Further paths are the result. A nationwide protest is now planned for March 23.

"The number of pharmacies has been declining for years," laments Reinhard Groß, board member of the Saxon Pharmacists' Association. Last year alone, 18 pharmacies closed down and only five new ones opened. In the past ten years, more than 120 pharmacies have disappeared from the scene in Saxony, and there are currently 864 left across the state.

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Shortages of numerous medications

Groß himself runs a pharmacy in the Eckersbach residential area of Zwickau. One reason for the plight is that fees have not been increased for many years despite higher costs, he explains. Since 2013, pharmacies have been paid 8.35 euros per package. In the same period, however, operating costs have risen by 65 percent. In addition, there are shortages of numerous medicines. "We still have over 500 medicines that are unavailable or in short supply," explains Groß. This affects the entire range, including blood pressure and asthma medication, for example.

This means a lot of work for pharmacists and their employees, says the expert. They have to organize replacements, phone doctors and adjust dosages. "That takes up a lot of space."

Criticism of growing competition from mail-order pharmacies

In addition, competition from mail-order pharmacies is growing. One of them advertises with the well-known TV presenter Günther Jauch. The fact that he is making himself available for this is very annoying, says Groß. The providers are "cherry-picking". They skim off sales, are based abroad and, unlike stationary pharmacies, do not provide emergency services or personal advice. The e-prescription in particular has given them a boost. However, he sees no reason to panic. "In the area of self-medication, mail order has already achieved a market share of more than 20 percent. For prescription medicines, it is significantly lower, at around 1.5 percent."

At least the federal government has promised to remedy the situation with regard to fees. According to Federal Health Minister Nina Warken (CDU), the fixed fee is to rise to 9.50 euros per pack. Her reform aims to grant pharmacists more services, for example with regard to vaccinations and preventative services. There is also talk of reducing bureaucracy and making it easier to set up branch pharmacies.

Protest day: many pharmacies will remain closed

The fee increase should only be a first step, emphasizes Groß. In future, remuneration must be regularly adjusted in a regulated procedure. It is also positive that the role of pharmacies in the healthcare system as a whole should be strengthened. However, his association is critical of the proposal to allow pharmacies to be temporarily managed by pharmaceutical technical assistants in future.

Such a "pharmacy without a pharmacist" would be a deterioration in service, states Groß. This is because the full range of services could then not be offered - for example with regard to the dispensing of narcotics or special prescriptions. "We don't want a two-tier society, we want every pharmacy to offer the same services."

Saxony's pharmacists are coming together this Friday and Saturday in Chemnitz for the Pharmacists' Day. To draw attention to current problems, a nationwide day of protest is also planned for March 23. According to Groß, many pharmacies will also remain closed in Saxony, but an emergency service will be provided.

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