Barry Baines
speaker
1,145 appearances
30 recordings
1 series
first heard Feb 2024
last heard 3 Apr
Barry Baines’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 6 in all, peaking in Jan 2026 with 2.
Appearances
No, it's a good question. I mean, I see one. This is going to be more of a medical advisor input question in terms of how it actually affects patients. And I'd like to hope that we would be able to solve the problem of pharmacy deserts. We're not. However, I think what's really important for this show in particular is to really sort of sound the alarm
that this is a lot more than just having to travel to a pharmacy to pick up medications. And so the perspective that, you know, it's almost like a domino effect, because what do pharmacies do? Well, in addition to, you know, Stan and I getting root beer floats, you know, at the corner drugstore, right now pharmacies are... probably provide more immunizations for people than just about anything.
When I call my doctor to get a flu shot, they say, we'll just go to a pharmacy. You can get in a lot sooner than in my class. So there's that piece. A lot of pharmacies dispense medical advice for minor medical conditions. So they're a health resource for the community that oftentimes, especially If you're in rural areas or poor urban areas or suburban areas.
There's not necessarily a lot of physicians and nurse practitioners around to kind of do that clinical work. And then the other piece is in getting those medications, especially elderly who are on a lot of medications, treating chronic illnesses. And the more barriers that are put in the way of people being able to access their medications, people don't get their medications.
And ultimately, you know, whether it be blood thinners, you know, heart medications, things like that. I know that there was an article yesterday in The New York Times about pharmacy deserts more from a national perspective rather than our, you know, more regional view. But it's pretty alarming to see what some of the changes are in terms of morbidity and mortality.
as it becomes more and more of a barrier for people to get their medications. And I do agree that certainly mail order is one part of a solution, certainly, but pharmacies offer so much more as a community health resource. And I just don't know how many people think of that, because you always think of a pharmacy as medications, but it's so much more than that.
from a community resource perspective. And so I just wanted to put that on the table that this really impacts patients a lot and in a lot more ways than just getting their prescriptions filled.
I have a simple question, and it's to everybody. On the issue of pharmacy deserts, I think the implications of it have been pretty clear from our conversation this morning. My simple question is, who is working on this in our state? this issue of pharmacy deserts? I mean, I don't know. So I'm sort of asking, who is having this bull by the horns, so to speak, and trying to impact this?
Good question.
Barry. Well, you know, I'm going to, you know, kind of side with Clarence here. And I think it's, you know, this reveals that right now, pharmacy deserts and the creation of those are serving an economic end and not an end for helping improve people's health care. So I'll say that. I'm a little bit pessimistic. I mean, this was great to unpack this very complex topic.
And it's really helped me to understand it a lot better. And I don't know, maybe it's because it's gray outside, but I'm feeling a bit pessimistic that we have not seen the bottom yet of the desert with pharmacy deserts just because of the systems we have in place. And the reality is that every system is designed to produce the outcomes it gets.
And pharmacy deserts is one of the outcomes that the systems we have in place is set to create. And we know who's going to bear the brunt of this.
it's usually people who are disadvantaged in one of any number of number of ways and so food for thought you know for me not to mention food deserts as well you know talked about you know also but it was just helpful to have the conversation and I know we don't have solutions but you can't develop solutions till you have more knowledge about it and
this has really expanded my perspective of the complexity of what goes into creating pharmacy deserts. And hopefully, you know, we can increase awareness and maybe hope to move this forward. So thank you, Christian. It was great to meet you and have you on the show from my perspective.
Barry. Thanks. Yeah, I want to try and create just a little bridge here between some things that Clarence was talking about and the information that Allison was presenting and Tom, you as well. A lot of these recommendations, to me, they're sort of like the gold standard and they have a great... you know, research base behind it, great evidence base behind it.
And oftentimes, I've always had a conundrum between, well, what's going to be, again, from the time and money piece that, you know, I think of that in terms of operationally how you do it, and then, and I How much does it cost to do that? In the recommendations and in the community guide and even back to the Community Preventive Service Task Force work, is there ever a prioritization
about sort of like, you know, the likelihood of success of operationalizing something that from a financial perspective, from a money perspective, it just could never be done. In other words, we have the answer, you know, if we could buy, you know, Vaxavans and send them around to every community knocking on every door, we can get a lot more people, you know, immunized.
But that's not going to be practical because of, workforce issues and financial issues. So I'm just trying to reflect that from a community hat perspective and even a clinician in an office. Are there some of these recommendations, do they get ranked in any way in terms of likelihood of success or ease of implementation so that you can sort of make that impact
but in a more efficient way, recognizing limitations on our time and money. I hope that makes sense.
Yeah, a little medical insight. This is just such the community guide in particular is such an excellent resource to have in a community and a clinician's toolbox. What I like about it is that it's pretty comprehensive. It doesn't tell you what to do because oftentimes community interests
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