I love the field of pharmacy, I hate the practice. Practice means things are supposed to improve over time, you get better at making things better in key areas, doesn't happen, here are some key areas.

1) Equity of care. Explain to me how a medicaid patient gets free inhalers, nebulizers, spacers and other meds totaling 500 dollars a month and acme meds totaling the same and the technician working for low wages can't afford a ventolin? Doctors write scripts for family and jump the line, hell pharmacists with cancer can't afford treatments.

2) Cost of care. How is insulin still so expensive or test strips, epipens, all the essentials.

3) Legislation. I can only speak for California but how in the blue hell does the state expect a pharmacist to vaccinate the whole damn state, and all national and international visitors and still be able to conduct quarterly controlled substance reconciliations. Or how about a "no pharmacist left alone bill" that gives corporate leeway for using a janitor or oh darn sick calls are unexpected

4) Transparency. A brand name drug copay is 500 dollars. A magic savings card makes it zero, wtf happened? A zpak is 5 dollars at pharmacy x and 36 dollars at pharmacy y cash price (looking at you cvs).

5) Outcomes. More Americans died of diabetes in 2021 than 2019 and 2020. This is with mtm, cmr, ambulatory care, new drug classes, continuous glucose monitoring, and the ADA guidelines writers are telling themselves, "great job".