Supply chain disruptions mean consumers who need prescriptions filled in Indiana and around the country are running into roadblocks.

Parents and caregivers have limited options, as the availability of generic medications is running low. There are several causes: Inoperable manufacturing plants cause production delays and back orders pile up. A key pharmaceutical ingredient needed to make a certain medicine has been discontinued, causing additional problems.

Veronica Vernon, assistant professor of pharmacy practice at Butler University, called the situation dire.

"We're seeing one of the worst cases of prescription drug shortages that we've seen in recent years," Vernon observed. "Unfortunately, this is a cause for concern because you go to the pharmacy and expect them to have the medication in stock, and they don't."

Vernon acknowledged pharmacists cannot guarantee patients when a certain medication will be delivered. She advised parents and caregivers to schedule refills up to two weeks in advance to make sure they will be ready on time, if the pharmacy can even get the medication.

According to Singlecare.com, atorvastatin, sold under the brand name Lipitor, was the most prescribed drug in Indiana last year. It's used to lower cholesterol.

The shortages affect both brand name and generic drugs. Vernon suggested keeping good lines of communication open with your pharmacist and asking if there are any negative health risks tied to taking a generic, if one is available.

"One of the most important things you can do is to always keep a list of your current medications with you," Vernon recommended. "And also keep a record of what you've tried in the past. When my patients experience a shortage, I'll say let's try this other medication that's in the same class is expected to have the same effect. Have you tried that before?"

Statista.com estimated the total market for generic drugs worldwide was estimated at $412 billion in 2022 and the figure is expected to increase to more than $600 billion by 2030.


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The fall harvest is around the corner and Minnesota farmers hope their equipment holds up.

Advocates said a new state law, intended to level the playing field in the electronics repair market, has a glaring omission: agriculture.

Minnesota has joined a handful of states in implementing policies known as "Right to Repair" laws, which require manufacturers of certain products to make documentation, parts and tools available to independent repair shops and product owners. The moves follow complaints tech firms hold a monopoly in making repairs.

Gary Wertish, president of the Minnesota Farmers Union, said they support the new changes, but wish they included farm machinery.

"It's really restricting the farmer's rights," Wertish contended. "It still gets back to when you buy a piece of equipment for that kind of money, you should have the right to be able to fix it yourself, or if not, take it to an independent dealership."

Tractors and other equipment are being fitted with new technology. Wertish pointed out if a farmer has to drive several hours to a dealership for an electronic fix, it cuts into their time in the field, potentially harming their bottom line. Companies like John Deere argued they share details through industry agreements called a "memorandum of understanding," but skeptics countered they do not provide enough access.

Wertish noted it would be great for farmers to do repairs themselves when they can. He added having more independent mechanics can bolster rural economies and thinks creating competition would not be a major disruption to large dealerships.

"If they're providing good service, which they are, they're still going to get a large percentage of the customers," Wertish argued. "They're still going to rely on them."

As big repair sites deal with staffing shortages, Wertish emphasized having more options could take some of the pressure off during busy farming seasons. He hopes Minnesota lawmakers take another look at the issue next session for potential changes. Congress also faces pressure to enact a similar law at the federal level.


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More than 70% of Coloradans believe drug companies, hospitals and insurance companies charge too much, according to a new Consumer Healthcare Experience State Survey.

Among respondents, 90% support policy solutions that include making the price of care transparent and ending the practice of surprise billing.

Priya Telang, communications manager for the Colorado Consumer Health Initiative, said nearly three in four Coloradans are experiencing financial hardships due to the high cost of health care.

"Being uninsured due to high insurance costs, or delaying their care because they can't afford it, or they are afraid of how much it's going to cost," Telang outlined. "People are not able to afford their basic health care costs."

More than two in three Coloradans said they have delayed or gone without health care altogether due to cost. Nearly 40% who did get care have struggled to pay those bills, were forced to deplete their savings, maxed out credit cards, faced collection agencies or went without necessities such as food, heat and even housing.

Most respondents blame big industry stakeholders for unfair prices. With November elections on the horizon, Telang pointed out the survey should underscore voters are looking for candidates who can make affordable health care available to all Americans, even in the face of some of the nation's most powerful special interests.

"This is a bipartisan issue," Telang argued. "Republicans and Democrats alike are fed up with having to continue to deal with high prices when it comes to their medical care or prescription drug prices."

Nine in 10 Coloradans support key interventions to lower costs. They say hospitals, doctors and insurers should provide upfront cost estimates and out-of-pocket costs for lifesaving medicines such as insulin should be capped. They said prices for medicines should be standardized and affordable and want the attorney general to take legal action to stop price gouging.


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Criticism of a plan to restructure U.S. mail service is mounting.

Postmaster General Louis DeJoy's 10-year plan, called Delivering for America, was announced in 2021 but has kicked into high gear this year. Intended to make the U.S. Postal Service more efficient and cut spending, the plan has involved moving mail through larger processing centers rather than smaller, local ones.

Sen. Jeff Merkley, D-Ore., said it has led to a slowdown in mail delivery.

"He has had a plan for getting rid of our regional sorting centers or downgrading them," Merkley explained. "Which means that the mail from Bend and Medford and Eugene -- basically all over the state -- has to go just to Portland and be sorted there and then returned."

DeJoy has paused his consolidation of centers through the end of the year, but said he will continue pursuing his Delivering for America plan. He was appointed to the position of postmaster general in 2020 during the Trump presidency by the Board of Governors of the Postal Service.

Merkley pointed out he has heard from constituents as delays in mail delivery increase. For instance, people are getting late fees for sending checks for bills or rent through the mail. He also noted medications are not making it to people in a timely manner.

"In some cases, they can't apply until they've run out of their medicine or nearly out, which means they have to apply at the last minute and by the time the slow mail operates, they have a space," Merkley observed. "They either miss their meds or they have to buy them locally at a much higher price."

Merkley added the Delivering for America plan is not realistic and should be reversed.

"Every other government service we provide we subsidize," Merkley stressed. "We don't expect it all to pay for itself 100%. Mail is so important to people, so important to our communities, so important to our small business, so important to our communication, so important to our sense of community that we should be sustaining it as a high-quality service."


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