{"id":1342292,"date":"2026-01-09T11:23:36","date_gmt":"2026-01-09T09:23:36","guid":{"rendered":"https:\/\/prm.ua\/pharmacy-between-hot-dogs-how-government-affordable-drugs-can-cost-you-your-health\/"},"modified":"2026-01-10T07:56:43","modified_gmt":"2026-01-10T05:56:43","slug":"pharmacy-between-hot-dogs-how-government-affordable-drugs-can-cost-you-your-health","status":"publish","type":"post","link":"https:\/\/prm.ua\/en\/pharmacy-between-hot-dogs-how-government-affordable-drugs-can-cost-you-your-health\/","title":{"rendered":"Affordable Drugs, Unaffordable Risks: When Government Medicine Hits Like Fast Food"},"content":{"rendered":"<p><em>Source: Author&#8217;s <a href=\"https:\/\/www.facebook.com\/permalink.php?story_fbid=pfbid0YEjBGYEAht5qrUnxvRNo3VzXXCGJNYBM1ksCA2jzvCzbDks1ZD5EYEQZy6Bx2j7cl&amp;id=61560822014814\" target=\"_blank\" rel=\"noopener nofollow\">Facebook<\/a> page<\/em><\/p>\n<p><strong>Some things the government knows how to sell flawlessly\u2014not because they are any good, but because they come beautifully packaged.<\/strong><\/p>\n<p data-start=\"137\" data-end=\"470\">Here is a fresh \u201cvictory of social policy\u201d: under the decision of the National Security and Defense Council and a presidential decree, people are promised lower medicine prices and \u201cavailability everywhere.\u201d As a symbol of this new era, over-the-counter medicines are now being sold at gas stations \u2014 even through vending machines.<\/p>\n<p data-start=\"472\" data-end=\"652\">And that\u2019s when I became sharply wary. I know one very Ukrainian trick: when the state cannot provide a proper system, it absolves itself of responsibility and calls it a reform.<\/p>\n<p data-start=\"654\" data-end=\"821\">In a normal country, this would be about safety and oversight. Here, it\u2019s \u201cself-medicate\u201d \u2014 now with a coffee on the go.<\/p>\n<p><span style=\"font-size: 14pt;\"><strong>Great manipulation: &#8220;We do it like in Europe.&#8221;<\/strong><\/span><\/p>\n<p data-start=\"143\" data-end=\"315\">The main argument of lobbyists for selling medicines at gas stations is the alleged European experience. We are told: look at Poland, Sweden, or Denmark \u2014 it works there.<\/p>\n<p data-start=\"317\" data-end=\"365\">This is a half-truth that is worse than a lie.<\/p>\n<p data-start=\"367\" data-end=\"833\">Yes, in some EU countries you can buy medicines at gas stations. But the devil is in the details \u2014 details our officials prefer to keep quiet. First, in Europe, only a limited range of products is permitted.\u00a0 For example, in Poland, this list contains around products: common painkillers, throat lozenges, and treatments for heartburn. Second, there are strict requirements for packaging (small packs for 1\u20132 days of use to avoid overdoses) and storage conditions.<\/p>\n<p data-start=\"835\" data-end=\"1267\">What does the Ukrainian Ministry of Health propose? Opening the floodgates to the entire non-prescription range \u2014 thousands of items, from complex anti-allergic drugs to medications affecting blood pressure or the gastrointestinal tract. No EU country allows such uncontrolled circulation of medicines without a pharmacist\u2019s supervision. This is not European integration \u2014 it is deregulation at the level of a third-world country.<\/p>\n\t\t<aside class=\"shortcode-also\" data-title=\"Read also\" >\n\t\t<a href=\"https:\/\/prm.ua\/en\/the-governments-decision-to-allow-the-sale-of-drugs-at-gas-stations-poses-a-threat-to-consumers-according-to-an-expert\/\">The government&#8217;s decision to allow the sale of drugs at gas stations poses a threat to consumers, according to an expert.<\/a>\n\t<\/aside>\n\n<p data-start=\"141\" data-end=\"201\"><strong data-start=\"141\" data-end=\"199\">The Accessibility Paradox: Why Fix What Already Works?<\/strong><\/p>\n<p data-start=\"203\" data-end=\"355\">The greatest absurdity here is that the argument about the \u201cunavailability of medicines on the road\u201d is completely contradicted by reality.<\/p>\n<p data-start=\"357\" data-end=\"595\">Let\u2019s be honest: aspirin, paracetamol, Nurofen, Strepsils, Rennie, and\u00a0activated charcoal are already available at most branded gas stations in Ukraine. This basic kit, sufficient for emergencies on the road, is already available to drivers.<\/p>\n<p data-start=\"597\" data-end=\"920\">So why expand the range? Why turn a gas station into a full-fledged pharmacy without a pharmacist? The answer is obvious: this decision is driven not by concern for patients, but by the desire of large fuel networks to capture a share of a high-margin market \u2014 and for the government to tick a box in the \u201creform\u201d report.<\/p>\n<p>&nbsp;<\/p>\n<p data-start=\"160\" data-end=\"227\"><strong data-start=\"160\" data-end=\"225\">Gas Station Economics: Why It Will Be Expensive and Dangerous<\/strong><\/p>\n<p data-start=\"229\" data-end=\"707\">The authorities promise that competition with gas stations will force pharmacies to lower prices. This claim makes economists smile bitterly. The business model of any gas station is built on convenience pricing. Have you ever seen water or chocolate sold cheaper at a gas station than in a supermarket? No \u2014 everything is 30\u201350% more expensive. It is naive to expect that chains that sell hot dogs with triple markups will suddenly turn into social donors of cheap medicines.<\/p>\n<p data-start=\"709\" data-end=\"1358\">High prices are the smaller problem. The greater danger is the lack of control. Medicines are chemical compounds sensitive to temperature. Pharmacies allocate large budgets to maintain climate control systems and refrigeration equipment, which are subject to regular checks by health authorities. Who will monitor thousands of vending machines along highways? What happens to syrup or pills that have been sitting in a machine baking in the July sun, or frozen solid in January? This is no longer medicine \u2014 it is potential poison. And when a patient suffers complications, there will be no one to hold accountable: the gas station cashier is not responsible.<\/p>\n<p>&nbsp;<\/p>\n<p data-start=\"153\" data-end=\"229\"><strong data-start=\"153\" data-end=\"227\">Devaluation of the Profession: Cashier and Nurse Instead of Pharmacist<\/strong><\/p>\n<p data-start=\"231\" data-end=\"682\">The decision to allow the sale of medicines without the involvement of a specialist is a crime against pharmaceutical safety. A pharmacist is not a salesperson. They are trained experts who understand drug interactions, side effects, and contraindications. There will be no such filter at a gas station. Someone with an ulcer could buy a painkiller that triggers bleeding. A hypertensive person could purchase a cold medicine that provokes a crisis.<\/p>\n<p data-start=\"684\" data-end=\"1157\">At the same time, the government is pushing another \u201cbrilliant\u201d idea: allowing nurses to work in village pharmacies. With all due respect to nurses, their training emphasizes following doctors\u2019 orders and patient care, but they are not qualified to manage pharmaceutical responsibilities.\u00a0This is a blatant role reversal and a step back for professional standards. Instead of encouraging pharmacists to serve rural communities, the state is cutting corners and compromising care for the countryside.<\/p>\n\t\t<aside class=\"shortcode-also\" data-title=\"Read also\" data-right>\n\t\t<a href=\"https:\/\/prm.ua\/en\/the-government-responded-to-the-situation-in-lviv-with-hospital-outages\/\">The government responded to the situation in Lviv with hospital outages<\/a>\n\t<\/aside>\n\n<p><strong><span style=\"font-size: 14pt;\">&#8220;Dictatorship of cheapness&#8221; in hospitals<\/span><\/strong><\/p>\n<p>And finally, about &#8220;transparency&#8221; in hospital pharmacies. The requirement to sell only the three lowest-priced drugs from the National Drug Catalogue sounds social, but in practice, it is a trap. A patient in a hospital, often in serious condition, is deprived of a choice. The cheapest generic is imposed on him, which may be less effective or less purified than a more expensive analogue. High-quality European manufacturers will leave this market segment, unable to withstand a price war with the cheapest (often Asian) substances. This is not accessibility of treatment &#8211; this is forced savings on the health of the most vulnerable.<\/p>\n<p><span style=\"font-size: 14pt;\"><strong>Instead of conclusions:<\/strong><\/span><\/p>\n<p>What is being presented today as a great victory and a step toward European integration is, in reality, a set of chaotic, lobby-driven decisions.<\/p>\n<p>\u2022 We are not getting closer to Europe, but moving away from its safety standards.<br \/>\n\u2022 We are not lowering prices, but creating new channels of excess profits for fuel giants.<br \/>\n\u2022 We are not improving accessibility, but increasing the risk of mass poisonings from counterfeit and spoiled drugs.<\/p>\n<p>The real reform is insurance, medicine, reimbursement, and strict quality control. And turning the country into a big bazaar, where pills are sold mixed with petrol, is the path to the abyss. The government package under the brand name \u201caccessibility of medicines\u201d contains dangerous deregulation (gas stations + vending), which does not bring about either a reduction in prices or real accessibility \u2013 but removes pharmaceutical care from the system and shifts the risk to the citizen, this is the path to chaos, where the person-client of the gas station will again become the ultimate victim.<\/p>\n<p>Also, follow <strong>\u201cPryamyi\u201d<\/strong> on <a href=\"https:\/\/www.facebook.com\/pryamiy\/\" target=\"_blank\" rel=\"nofollow noopener\">Facebook<\/a>, <a href=\"https:\/\/twitter.com\/prm_ua\" target=\"_blank\" rel=\"nofollow noopener\">Twitter<\/a>, <a href=\"https:\/\/t.me\/+rtV4dxYu2_cyNjVi\" target=\"_blank\" rel=\"noopener nofollow\">Telegram<\/a>, and <a href=\"https:\/\/www.instagram.com\/pryamiy\/\" target=\"_blank\" rel=\"nofollow noopener\">Instagram<\/a>.<\/p>\n<p><span style=\"font-size: 10pt;\"><em>\u2022 Materials published in the \u201cOPINIONS\u201d section reflect the opinion of the author of the publication, who bears full responsibility for the accuracy of the information.<\/em><\/span><br \/>\n<span style=\"font-size: 10pt;\"><em>\u2022 The editorial staff of prm.ua may not share the opinions expressed in the author&#8217;s material.<\/em><\/span><br \/>\n<span style=\"font-size: 10pt;\"><em>\u2022 The owner of the webpage in the \u201cOPINIONS\u201d section is the author of the publication.<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Source: Author&#8217;s Facebook page Some things the government knows how to sell flawlessly\u2014not because they are any good, but because they come beautifully packaged. Here is a fresh \u201cvictory of social policy\u201d: under the decision of the National Security and Defense Council and a presidential decree, people are promised lower medicine prices and \u201cavailability everywhere.\u201d [&hellip;]<\/p>\n","protected":false},"author":57,"featured_media":1342285,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ep_exclude_from_search":false,"footnotes":""},"categories":[76871,76872,76893],"class_list":["post-1342292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-2","category-news-feed","category-thoughts"],"_links":{"self":[{"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/posts\/1342292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/users\/57"}],"replies":[{"embeddable":true,"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/comments?post=1342292"}],"version-history":[{"count":2,"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/posts\/1342292\/revisions"}],"predecessor-version":[{"id":1342659,"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/posts\/1342292\/revisions\/1342659"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/media\/1342285"}],"wp:attachment":[{"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/media?parent=1342292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/prm.ua\/en\/wp-json\/wp\/v2\/categories?post=1342292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}