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Article filed under Independent Business | Written by Olivia LaVecchia | No Comments | Updated on Apr 5, 2017

With Healthcare Middlemen Controlling Prescription Drug Prices, There’s a Better Model for Pharmacy Care

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/with-healthcare-middlemen-controlling-prescription-drug-prices-theres-a-better-model-for-pharmacy-care/

There’s a small group of powerful companies, called pharmacy benefit managers, or PBMs, that increasingly controls the prices of prescription drugs. The results of this market power include higher costs, worse outcomes for patients, and diminishing competition. A new article in the American Prospect looks at the problem and what state and federal governments should do about it, including such solutions as North Dakota’s Pharmacy Ownership Law. Continue reading

Monopoly Report: Cover Image
Featured Article, Report, Resource filed under Independent Business | Written by Stacy Mitchell | No Comments | Updated on Aug 10, 2016

Monopoly Power and the Decline of Small Business: The Case for Restoring America’s Once Robust Antitrust Policies

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/monopoly-power-and-the-decline-of-small-business/

The United States is much less a nation of entrepreneurs than it was a generation ago. This report suggests that the decline of small businesses is owed, at least in part, to anticompetitive behavior by large, dominant corporations. Drawing on examples in pharmacy, banking, telecommunications, and retail, it finds that big companies routinely use their size and their economic and political power to undermine their smaller rivals and exclude them from markets. This report presents three compelling reasons to bring a commitment to fair and open markets for small businesses back into antitrust enforcement and public policy, and concludes by outlining several specific steps to revive competition and small business. Continue reading

Photo: Two beer glasses.
Featured Article filed under Independent Business | Written by Olivia LaVecchia | 1 Comment | Updated on Nov 23, 2015

With New Wave of Mega-Mergers, the Big Aim to Get Bigger

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/new-wave-of-mega-mergers-means-the-big-get-bigger/

A recent agreement between two beer conglomerates will turn them into a single company with control over nearly 30 percent of the global beer market and 70 percent of the U.S. market — and it’s just one deal in a recent spate of mega-mergers that’s set to make 2015 a record year for mergers and acquisitions. While much of this concentration is invisible to most of us, its effects ripple throughout all areas of the economy. Continue reading

Resource filed under Independent Business | Written by ILSR Admin | No Comments | Updated on Sep 2, 2015

Stacy Mitchell Speaks at American Antitrust Institute’s “Symposium on Entrepreneurship and Antitrust” [Audio]

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/stacy-mitchell-speaks-at-american-antitrust-institutes-symposium-on-entrepreneurship-and-antitrust/

This June, ILSR’s Stacy Mitchell spoke on the opening panel at the American Antitrust Institute’s invitational “Symposium on Entrepreneurship and Antitrust” in Washington, D.C. In her remarks, Stacy made the case that the national thinking on antitrust has gone awry since the 1970s, when antitrust shifted away from its longstanding goal of maintaining robust competition to focus instead on efficiency and low prices. Listen to her comments. Continue reading

Photo - Beulah Drug in North Dakota
Featured Article, ILSR Press Room filed under Independent Business | Written by Olivia LaVecchia | No Comments | Updated on Nov 5, 2014

In Big Win for Local Ownership, North Dakota Votes to Keep State’s Pharmacy Law

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/big-win-local-ownership-north-dakota-votes-states-pharmacy-law/

At North Dakota polls on Tuesday, local ownership was the winner. The state voted overwhelmingly to keep its forward-thinking Pharmacy Ownership Law, defeating Measure 7, the Walmart-funded effort to overturn it. Final returns came in with 59 percent of the vote in favor of the law, the Fargo Forum reports. Continue reading

Photo: Forman Drug
Featured Article filed under Independent Business | Written by Olivia LaVecchia | No Comments | Updated on Nov 3, 2014

Why North Dakotans Should Vote to Keep the State’s Unique Pharmacy Law this Election Day

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/north-dakota-should-vote-for-pharmacy-law/

This Tuesday, North Dakota voters will decide the fate of the state’s Pharmacy Ownership Law. Those working against the law—namely Walmart, which has sunk more than $3 million into a front group called North Dakotans for Lower Pharmacy Prices—contend that abandoning the long-standing policy would lead to an increase in the number of pharmacies serving North Dakota. Our research suggests just the opposite. Continue reading

Rule filed under Independent Business | Written by ILSR Admin | 1 Comment | Updated on Oct 23, 2014

Pharmacy Ownership Law — North Dakota

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/rule/pharmacy-ownership-laws/2832-2/

A forward-thinking policy choice, the Pharmacy Ownership Law, gives North Dakotans pharmacy care that outperforms care in other states on every key measure, from cost to access. In North Dakota, prescription drug prices are more affordable than in two-thirds of all states. Pharmacies are more plentiful, with more per capita than in neighboring South Dakota, Minnesota, or nationally, and they’re more broadly distributed; North Dakota’s rural areas are 51 percent more likely to contain a pharmacy than similarly-populated areas of South Dakota. And in general, independent pharmacies provide higher quality care, studies and surveys of customer satisfaction find. Continue reading

Rule filed under Independent Business | Written by ILSR Admin | No Comments | Updated on Oct 22, 2014

Pharmacy Ownership Laws — Europe

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/rule/pharmacy-ownership-laws/2833-2/

Many European countries employ Pharmacy Ownership Laws to ensure quality medical care. Sixteen E.U. member states regulate pharmacy establishment, and 13 of them have Pharmacy Ownership Laws that require pharmacists hold the majority stake in pharmacies. Continue reading

Chart: Share of Census Tracks Served By Pharmacies
Resource filed under Independent Business | Written by Stacy Mitchell | No Comments | Updated on Oct 20, 2014

Charts: How North Dakota’s Pharmacy Ownership Law Benefits the State

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/charts-north-dakotas-pharmacy-ownership-law-benefits-state/

  Thanks in large part to its Pharmacy Ownership Law, North Dakota outperforms neighboring states and the U.S. as whole on every key measure of pharmacy care.  For more details on the law and its impact, see our 2014 report, North Dakota’s Pharmacy Ownership Law: Ensuring Access, Competitive Prices, and Quality Care. Continue reading

Photo: Forman Drug
Article, Resource filed under Independent Business | Written by ILSR Admin | No Comments | Updated on Oct 20, 2014

Report: North Dakota’s Pharmacy Ownership Law Leads to Better Pharmacy Care

The content that follows was originally published on the Institute for Local Self-Reliance website at https://ilsr.org/report-pharmacy-ownership-law/

What a difference local ownership makes. Under a forward-thinking 1963 law, North Dakota does not allow chains to operate pharmacies. Instead of Walgreens and Walmart pharmacies, North Dakotans go to 171 independent and locally owned pharmacies across the state for their prescriptions. That may soon change though: Walmart is bankrolling — to the tune of $2.7 million — a campaign to pass a ballot measure on November 4th that would overturn the law. That’s more per person that Obama spent in the 2012 general election. Weighing into the debate, ILSR this week released a data-driven study that finds that North Dakotans receive significantly better pharmacy care by every measure, from some of the lowest drug prices in the nation to unparalleled access, particularly in rural areas. Continue reading