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Saturday, September 21, 2024

World-famous wall drug isn’t immune from challenges going through rural pharmacies


Stacey Schulz parks in a rear lot to keep away from the crowded Essential Avenue entrances to her native pharmacy.

“In the course of the summer season, it is form of hectic,” she mentioned after greeting the pharmacist and technician by title.

That is as a result of Schulz’s pharmacy is tucked inside Wall Drug, a vacationer attraction that takes up virtually a whole block and attracts greater than 2 million guests a 12 months to a group of fewer than 700 residents.

The enterprise is known as after the city of Wall, which is simply off Interstate 90 close to Badlands Nationwide Park. Colourful, hand-painted billboards dot the roadside for a whole lot of miles, telling motorists how far they’re from Wall Drug’s free ice water, 5-cent espresso, and do-it-yourself doughnuts. Guests can pan for gold, take heed to singing animatronic cowboys, attempt on Western put on, and store for souvenirs, together with plush jackalopes — legendary jackrabbits with antelope horns.

Regardless of being a part of a booming vacationer attraction, Wall Drug’s pharmacy faces challenges frequent to unbiased rural pharmacies.

It is the lone pharmacy in Wall, serving locals year-round. Some, like Schulz, reside on the town, whereas others reside on ranches so far as 60 miles away. The subsequent-nearest pharmacy is a 30-minute drive northeast.

Wall Drug additionally serves vacationers who neglect their prescriptions at dwelling, get sick whereas roaming the nation of their RVs, or harm themselves whereas mountaineering via the otherworldly rock formations of the scorching Badlands, mentioned Cindy Dinger, its sole pharmacist.

Wall has no hospital, however a clinic is open 4 days every week. Schulz, a medical assistant there, mentioned she and her co-workers see lots of summer season vacationers. They ship them to Wall Drug to choose up prescriptions.

“After which we inform them to get fudge earlier than they go away,” Schulz mentioned.

Rural pharmacies, particularly unbiased ones, closed at a better price from 2003 to 2021 than pharmacies in different areas, in response to a research by the Rural Coverage Analysis Institute. By 2021, the institute discovered, almost 8% of rural counties have been left with no pharmacy. The Wall Drug pharmacy has fewer prospects than a typical metropolis pharmacy, which may imply much less revenue, Dinger mentioned.

She mentioned a few of its costs are larger as a result of the shop cannot negotiate reductions as steep because the offers suppliers grant chain pharmacies. Rural drugstores additionally lack leverage with insurers, and so they face growing competitors from mail-order pharmacies.

One other problem is staffing. When Dinger wants break day, she finds a fill-in from Fast Metropolis, almost an hour’s drive away.

“It’s a problem getting aid if I need to go on trip or if I would like a canopy in order that I can go to a health care provider’s appointment,” she mentioned. “You are taking what you will get and attempt to schedule round it.”

Dinger mentioned her pharmacy would wrestle with out the remainder of Wall Drug.

“All these items round us — the poster and print store, the boot store, the fudge store, the café — they pay our payments,” she mentioned.

The pharmacy’s white facade, with stained-glass indicators and home windows, is modeled after that of the unique drugstore, which was throughout the road. The window shows and high cabinets inside the shop are full of classic pharmacy provides, together with manuals, glass medication bottles, and a suppository-making machine.

Vacationers carrying buying luggage and sporting new cowboy hats cease to have a look at the shows. “It is an actual pharmacy,” a girl mentioned, sounding shocked.

Dinger and Sylvia Smith, the shop’s solely pharmacy tech, ring prospects up under a Tiffany-style gentle fixture and retrieve prescriptions saved behind a picket desk and wall.

Buyer Will Lovitt mentioned a pal suggested him and his spouse to cease at Wall Drug throughout their drive from Indiana to the Black Hills in western South Dakota. Lovitt developed a rash on the journey and ended up utilizing the go to to get Dinger’s recommendation on treating it.

He mentioned it may be troublesome for vacationers to know the place to seek out medical assist, particularly when driving via rural states like South Dakota.

“I believe it is time that America will get again to the grass roots of the small-town physician and the small-town pharmacist,” Lovitt mentioned.

Alex Davis and a pal determined to go to Wall Drug on their highway journey from Kansas to Yellowstone Nationwide Park.

“Then, after I noticed there was somewhat pharmacy, I believed I’d seize one thing that I wanted,” she mentioned.

Davis purchased Dramamine to deal with automobile illness on the lengthy drive.

Dinger mentioned she often sees uncommon conditions, just like the time a number of years in the past when a park ranger wanted antibiotics after getting bitten by a prairie canine.

“You by no means know what sort of illnesses they is perhaps carrying,” she mentioned of the animals, which just lately have been hit with an outbreak of plague.

Rick Hustead is the chairman of Wall Drug. The shop was opened in 1931 by his grandfather, pharmacist Ted Hustead. Ted’s spouse, Dorothy, had the concept to promote its soda fountain and free ice water to vacationers touring alongside unpaved roads in the course of the sizzling years of the Mud Bowl period. Rick’s father, pharmacist Invoice Hustead, started increasing the shop within the ’50s, turning it into the vacationer magnet it’s as we speak.

Rick Hustead did not comply with his father and grandfather’s path to pharmacy faculty, so he needed to recruit pharmacists from elsewhere.

Hustead discovered Dinger in 2010 after writing a letter to every pharmacist within the state.

Dinger mentioned she was dwelling on the time in Sioux Falls, South Dakota’s most populous metropolis. However she and her husband have been fascinated about elevating their youngsters in a small city, the best way she grew up. Dinger was additionally attracted by the shop’s restricted hours: She’d be completed working by 5 p.m. on weekdays and have the weekends off.

Hustead mentioned his household has by no means thought of closing the pharmacy, though it is not the primary attraction for many guests.

“We are able to’t be Wall Drug with out being a drugstore,” he mentioned.




Kaiser Health NewsThis text was reprinted from khn.org, a nationwide newsroom that produces in-depth journalism about well being points and is likely one of the core working packages at KFF – the unbiased supply for well being coverage analysis, polling, and journalism.

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