# Pharmacists and refusals

**URL:** <https://boards.straightdope.com/t/pharmacists-and-refusals/577713>\
**Category:** Great Debates\
**Created:** [April 8, 2011, 8:18pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713 "2011-04-08T20:18:00Z")\
**Posts on this page:** 20\
**Page:** 32

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**Author:** ![Lobohan](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/lobohan/32/79_2.png) [@Lobohan](https://boards.straightdope.com/u/Lobohan)\
**Post date:** [April 14, 2011, 11:46pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/621 "2011-04-14T23:46:21Z")

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> [@Bricker](#):
>
> That, too, is a reasonable position, which means your presence in this thread is quite an anomaly. You’re supposed to accuse me of supporting apartheid and using water hoses on freedom marchers.

Tell me you wouldn’t support waterhosing some hippies? 😃

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**Author:** ![FinnAgain](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/finnagain/32/12500_2.png) [@FinnAgain](https://boards.straightdope.com/u/FinnAgain)\
**Post date:** [April 14, 2011, 11:48pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/622 "2011-04-14T23:48:31Z")

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> [@Bricker](#):
>
> Now I’m reading [http://www.michie.com/colorado/lpext.dll?f=templates&fn=main-h.htm&cp=](http://www.michie.com/colorado/lpext.dll?f=templates&fn=main-h.htm&cp=)

Classy.  
But try to find us some cites about how states don’t protect gays from discrimination. That’ll make your point, boy howdy.

> [@Bricker](#):
>
> Gee, I wonder why they weren’t convinced by your calling them racists?

Gee, I wonder who’s convinced by your hopping up on the cross and claiming that you’ve been called a racist, rather than the fact that you’re utterly unable to identify any actual principles that differentiate your desire to discriminate against women if they dare to violate your religious views with people who would discriminate against “uppity darkies”.

But that’s okay, you’re the victim here Bricker. Not the women who are denied their medicines. It’s you. The victim is you. Because people point out that your rationalizations suck and you haven’t provided even an illusion of a principled stand. You’re the victim.

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**Author:** ![Damuri\_Ajashi](https://avatars.discourse-cdn.com/v4/letter/d/898d66/32.png) [@Damuri\_Ajashi](https://boards.straightdope.com/u/Damuri_Ajashi)\
**Post date:** [April 14, 2011, 11:49pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/623 "2011-04-14T23:49:45Z")

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> [@Morgenstern](#):
>
> I don’t see WV on the list of CC state.
> 
> As long as we’re going to base our arguments on fear, let’s look at it from both sides.  
> Let’s assume there is 1 pharmacist in town, and the closest competitor is 100 miles away.  
> The pharmacist decides he has moral concerns over filling certain prescriptions.  
> The pharmacist says “I quit, I’m moving to a CC state. See ya later.”  
> Now, you have no pharmacist.

Lets say there is an independently owned pharmacy that doesn’t have another pharmacy within 100 miles (I don’t think such a place exists but lets just say 'frinstance).

If the owner of the pharmacy suddenly contracted a weird form of religion that didn’t allow him to dispense birth control pills. Should he be forced to carry and dispense the pill?

Under what federal theory would you tell that private citizen that they must carry and sell a product in violation of his conscience without a law saying he must do so.

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**Author:** ![Bricker](https://avatars.discourse-cdn.com/v4/letter/b/977dab/32.png) [@Bricker](https://boards.straightdope.com/u/Bricker)\
**Post date:** [April 14, 2011, 11:50pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/624 "2011-04-14T23:50:03Z")

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> [@Lobohan](#):
>
> Tell me you wouldn’t support waterhosing some hippies? 😃

It’s surely tempting. If I had Ward Churchill in my sights, resisting the temptation to open the valve would be tough indeed.

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**Author:** ![Whack-a-Mole](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/whack-a-mole/32/141_2.png) [@Whack-a-Mole](https://boards.straightdope.com/u/Whack-a-Mole)\
**Post date:** [April 14, 2011, 11:51pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/625 "2011-04-14T23:51:26Z")

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> [@Morgenstern](#):
>
> One more time. With respect to the law…  
> I’ll quote the provision I referenced a few posts up.  
> \*  
> (5) The provisions of this section do not allow a health care professional or employer of the health care professional to refuse to provide health care services because of a patient’s race, color, religion, sex, age, disability or national origin.\*
> 
> As you can see, your CI example is clearly excluded from the protection of the law. Do you see the patient differences between the two now with respect the the applicable law.
> 
> One is legal, one isn’t. Is that enough of a difference, or should we also discuss the public policy behind excluding racial discrimination in a CC law?

Again, if you look to the likes of Poll Taxes and Literacy Tests the states that implemented them proclaimed a legitimate interest in doing so. The law applied to all citizens so they could proclaim innocence that the laws had nothing whatsoever to do with race. They could have (don’t know if they did) had laws on the books that proclaimed no one will be denied the right to vote on the basis of race, color, religion, sex, age or disability.

You would point to that and proclaim there is no discrimination cuz look! Says so right in the law!

Except of course you would be wrong. Those laws absolutely were discriminatory and have been banned since for that very reason. The states would bashfully bat their eyes and proclaim they don’t know what we’re talking about. It is all very innocent…really! Honest! :rolleyes:

You can cite this law till you are blue in the face but it remains it falls disproportionately (indeed pretty much completely) on a particular segment of our population. A distinct and defined group which is also considered a quasi-suspect class.

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**Author:** ![Damuri\_Ajashi](https://avatars.discourse-cdn.com/v4/letter/d/898d66/32.png) [@Damuri\_Ajashi](https://boards.straightdope.com/u/Damuri_Ajashi)\
**Post date:** [April 14, 2011, 11:52pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/626 "2011-04-14T23:52:05Z")

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> [@Czarcasm](#):
>
> Is this your indirect way of saying that no distance would be too great? If so, then have the guts to say it direct instead of your “there’s another one a couple of blocks away!” mantra. If not, please tell me what distance _would_ be unreasonable, in your personal opinion..

I’ll say it. No distance would be so great that I would force a pharmacist to dispense a drug that they could not dispense in good conscience but might if their livelihood depended on it. That is the sort of thing that we liberals (in the ACLU sense) are against.

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**Author:** ![Damuri\_Ajashi](https://avatars.discourse-cdn.com/v4/letter/d/898d66/32.png) [@Damuri\_Ajashi](https://boards.straightdope.com/u/Damuri_Ajashi)\
**Post date:** [April 14, 2011, 11:53pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/627 "2011-04-14T23:53:20Z")

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> [@Bricker](#):
>
> If I heard that a person had actually been refused service at a pharmacy where there was no other pharmacy within 60 miles, I would consider that unreasonable.

And at that point, under what authority would you force that pharmacist to carry and dispense a drug that he could not dispense in good conscience.

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**Author:** ![Damuri\_Ajashi](https://avatars.discourse-cdn.com/v4/letter/d/898d66/32.png) [@Damuri\_Ajashi](https://boards.straightdope.com/u/Damuri_Ajashi)\
**Post date:** [April 14, 2011, 11:54pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/628 "2011-04-14T23:54:26Z")

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> [@Bricker](#):
>
> Ahem:
> 
> (emphasis added)

Then why do they all act like you did.

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<div class="post-metadata">

**Author:** ![Bricker](https://avatars.discourse-cdn.com/v4/letter/b/977dab/32.png) [@Bricker](https://boards.straightdope.com/u/Bricker)\
**Post date:** [April 14, 2011, 11:57pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/629 "2011-04-14T23:57:41Z")

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> [@Whack-a-Mole](#):
>
> Again, if you look to the likes of Poll Taxes and Literacy Tests the states that implemented them proclaimed a legitimate interest in doing so. The law applied to all citizens so they could proclaim innocence that the laws had nothing whatsoever to do with race. They could have (don’t know if they did) had laws on the books that proclaimed no one will be denied the right to vote on the basis of race, color, religion, sex, age or disability.
> 
> You would point to that and proclaim there is no discrimination cuz look! Says so right in the law!
> 
> Except of course you would be wrong. Those laws absolutely were discriminatory and have been banned since for that very reason. The states would bashfully bat their eyes and proclaim they don’t know what we’re talking about. It is all very innocent…really! Honest! :rolleyes:

Poll taxes were eliminated by constitutional amendment. You know – the process by which legislators vote to approve a law?

If state legislators similarly opposed this practice, it too would end.

Your line almost seems as though you imagine some court courageously drew he analogy between poll taxes and lunch counters, as you’ve been urging on readers. But that’s not how it was done. Instead, in keeping with our notions of democracy, our elected officials banned the practice by approving a constitutional amendment.

> [@](#):
>
> You can cite this law till you are blue in the face but it remains it falls disproportionately (indeed pretty much completely) on a particular segment of our population. A distinct and defined group which is also considered a quasi-suspect class.

And the courts are magically unable to reach the same conclusion. What a shame. You, and only you, know The Truth.

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<div class="post-metadata">

**Author:** ![Bricker](https://avatars.discourse-cdn.com/v4/letter/b/977dab/32.png) [@Bricker](https://boards.straightdope.com/u/Bricker)\
**Post date:** [April 14, 2011, 11:59pm UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/630 "2011-04-14T23:59:27Z")

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> [@Damuri\_Ajashi](#):
>
> Then why do they all act like you did.

Surely you have noticed that comprehension of arguments from their side is… er… not their strongest suit. Rote repetition of racially charged arguments, now – there’s where they shine. But if you leave that comfort zone, they got nuthin.

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<div class="post-metadata">

**Author:** ![Whack-a-Mole](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/whack-a-mole/32/141_2.png) [@Whack-a-Mole](https://boards.straightdope.com/u/Whack-a-Mole)\
**Post date:** [April 15, 2011, 12:00am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/631 "2011-04-15T00:00:15Z")

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> [@Bricker](#):
>
> Immutable characteristic.
> 
> Patient in a pharmacy = temporary.  
> Black =immutable.

Seems to me to be equivalent it should be:

Woman in a pharmacy = temporary  
Black person at a lunch counter = temporary

Woman = immutable  
Black = immutable

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<div class="post-metadata">

**Author:** ![Bricker](https://avatars.discourse-cdn.com/v4/letter/b/977dab/32.png) [@Bricker](https://boards.straightdope.com/u/Bricker)\
**Post date:** [April 15, 2011, 12:01am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/632 "2011-04-15T00:01:13Z")

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> [@Damuri\_Ajashi](#):
>
> And at that point, under what authority would you force that pharmacist to carry and dispense a drug that he could not dispense in good conscience.

Well, states have plenary police authority. So the authority is simply the state’s general sovereign authority.

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**Author:** ![Bricker](https://avatars.discourse-cdn.com/v4/letter/b/977dab/32.png) [@Bricker](https://boards.straightdope.com/u/Bricker)\
**Post date:** [April 15, 2011, 12:03am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/633 "2011-04-15T00:03:37Z")

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> [@Whack-a-Mole](#):
>
> Seems to me to be equivalent it should be:
> 
> Woman in a pharmacy = temporary  
> Black person at a lunch counter = temporary
> 
> Woman = immutable  
> Black = immutable

But woman at a pharmacy buying Lipitor gets served. Woman at pharmacy buying Nasonex gets served.

So the key element is not simply “woman,” is it?

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<div class="post-metadata">

**Author:** ![Whack-a-Mole](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/whack-a-mole/32/141_2.png) [@Whack-a-Mole](https://boards.straightdope.com/u/Whack-a-Mole)\
**Post date:** [April 15, 2011, 12:03am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/634 "2011-04-15T00:03:57Z")

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> [@Bricker](#):
>
> Poll taxes were eliminated by constitutional amendment. You know – the process by which legislators vote to approve a law?
> 
> If state legislators similarly opposed this practice, it too would end.

We’ve been through this before.

There are LOTS of laws that have been bad.

Are you suggesting it never happens?

Are you saying you have never seen a law, now or in the past, which you disagreed with and would argue against? Laws that may or may not have been rescinded?

Pretty sure you do not agree with abortion yet a woman’s right to have one is the law of the land. I am pretty sure you have argued Roe v. Wade was decided in error. I am pretty sure you do not just shrug your shoulders and move on figuring it is a done deal.

> [@](#):
>
> And the courts are magically unable to reach the same conclusion. What a shame. You, and only you, know The Truth.

See above.

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<div class="post-metadata">

**Author:** ![Lobohan](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/lobohan/32/79_2.png) [@Lobohan](https://boards.straightdope.com/u/Lobohan)\
**Post date:** [April 15, 2011, 12:05am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/635 "2011-04-15T00:05:33Z")

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> [@Bricker](#):
>
> But woman at a pharmacy buying Lipitor gets served. Woman at pharmacy buying Nasonex gets served.
> 
> So the key element is not simply “woman,” is it?

So it’s okay for a lunch counter worker to say, “Order what you like, but there is no way a fucking [N-word] can have a slice of my wife’s home-cooked pie!” And he takes the pie out of the display and puts it in the fridge.

As long as they only deny some services it’s okay?

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<div class="post-metadata">

**Author:** ![Whack-a-Mole](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/whack-a-mole/32/141_2.png) [@Whack-a-Mole](https://boards.straightdope.com/u/Whack-a-Mole)\
**Post date:** [April 15, 2011, 12:05am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/636 "2011-04-15T00:05:51Z")

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> [@Bricker](#):
>
> But woman at a pharmacy buying Lipitor gets served. Woman at pharmacy buying Nasonex gets served.
> 
> So the key element is not simply “woman,” is it?

So if the lunch counter consents to giving the black person a cup of coffee it is ok if they otherwise refuse service?

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<div class="post-metadata">

**Author:** ![Damuri\_Ajashi](https://avatars.discourse-cdn.com/v4/letter/d/898d66/32.png) [@Damuri\_Ajashi](https://boards.straightdope.com/u/Damuri_Ajashi)\
**Post date:** [April 15, 2011, 12:06am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/637 "2011-04-15T00:06:12Z")

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> [@Whack-a-Mole](#):
>
> Support for CC laws is perverse. Where does it end? What limits are there on them?
> 
> - If a court clerk decided, because of their personal conscience, they do not want to file your case is that ok? Just come back tomorrow and file with a different clerk. That is not too onerus.

thats government action.

> [@](#):
>
> - If a biology teacher decides not to teach evolution is that ok? The teacher’s conscience does not permit them to teach evolution. The kids can find the information on the internet or library.

If they are government employees then they cannot preach religion in class. If the teacher is a nun in a catholic school, I think they can teach creationism.

> [@](#):
>
> - If a pharmacist decides not to provide HIV medication is that ok? Their conscience does not agree with the lifestyle so they will not be a part of providing medication.
> 
> - If a medication for Alzheimers uses stem cells that a pharmacist’s conscience objects to can a pharmacist refuse to provide it to grandma?

The pharmacist is a private actor, the rules are applied differently to them.

> [@](#):
>
> You would have them interfering with the doctor/patient relationship based on personal belief.

The doctor can do whatever she wants, the patient can do whatever she wants, and so can the pharmacist.

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<div class="post-metadata">

**Author:** ![Cumberdale](https://avatars.discourse-cdn.com/v4/letter/c/8c91f0/32.png) [@Cumberdale](https://boards.straightdope.com/u/Cumberdale)\
**Post date:** [April 15, 2011, 12:06am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/638 "2011-04-15T00:06:44Z")

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> [@Bricker](#):
>
> Surely you have noticed that comprehension of arguments from their side is… er… not their strongest suit. Rote repetition of racially charged arguments, now – there’s where they shine. But if you leave that comfort zone, they got nuthin.

Please don’t paint everyone not on your side with that broad brush. I have avoided the racist stuff and tried to move the debate in other areas. Unfortunately I’m not the most eloquent debater, but even so, I feel your side has really not made a strong case for your position.

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<div class="post-metadata">

**Author:** ![doreen](https://avatars.discourse-cdn.com/v4/letter/d/858c86/32.png) [@doreen](https://boards.straightdope.com/u/doreen)\
**Post date:** [April 15, 2011, 12:12am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/639 "2011-04-15T00:12:19Z")

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> [@Lobohan](#):
>
> Being told you can’t have it at the point of sale isn’t about planning ahead. If you’re insulted by this you’re probably unable to function in society and should grow a thicker skin.
> 
> Your objections are silly. It may not be impossible to get it for a random imaginary woman. But each hurdle you put in place increases the chances of a failure to get this legal service.

I didn’t say it didn’t make it harder. Of course it does. But it doesn’t make it impossible and the government didn’t put those hurdles in place. I don’t have a problem with a state imposing a requirement to dispense birth control, Plan B Latisse or any other drug as a requirement for a license as matter of that state’s public policy . But neither do I have a problem with a state not imposing such a requirement. It appears that you do, and when you magnify the burdens to the extent that a 40 minute walk is an excessive burden, it starts to look like you’re less interested in the prescription being filled and more interested in imposing your morality on the pharmacist or at the very least, ensuring that this mythical woman endures no inconvenience whatsoever. If a 40 minute walk is too much of a burden I can only assume that a 40 minute wait is as well.

> [@](#):
>
> As I said above, a pharmacist isn’t a street hotdog vendor. He is the funnel through which necessary drugs are channeled in our society. If you want those drugs you need to access a pharmacist. If the only pharmacist in your town is a shitbag religiously delusional zealot he is inflicting far, far greater a burden on the woman than a single restaurant not serving her.
> 
> Probably because most people aren’t ignorant enough to equate abortions with dispensing medicine.

Most people probably understood that I am not comparing an abortion to filling a prescription, but rather equating a mandate that a pharmacist fill a morally objectionable ( to the pharmacist) prescription to a mandate that a doctor perform a morally objectionable ( to the doctor) procedure.

He is the funnel through which medical procedures are channeled in our society. If you want those procedures you need to access a doctor. If the only doctors for several states around are shitbag religiously delusional zealots they are inflicting far, far greater a burden on the woman than a single pharmacist not serving her.  
See, it works for doctors the same as pharmacists. Or you could substitute “prescriptions for oral contraceptives” for “medical procedures” . Still works, and no one proposes requiring that doctors write the very same prescriptions you want to mandate that the pharmacists fill.

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<div class="post-metadata">

**Author:** ![Whack-a-Mole](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/whack-a-mole/32/141_2.png) [@Whack-a-Mole](https://boards.straightdope.com/u/Whack-a-Mole)\
**Post date:** [April 15, 2011, 12:13am UTC](https://boards.straightdope.com/t/pharmacists-and-refusals/577713/640 "2011-04-15T00:13:33Z")

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> [@Damuri\_Ajashi](#):
>
> thats government action.

Why should that matter?

People here are claiming you should not be forced to do something against your conscience. Why should the clerk be any different?

> [@](#):
>
> If they are government employees then they cannot preach religion in class. If the teacher is a nun in a catholic school, I think they can teach creationism.

I did not say she taught Intelligent Design. I said she refused to teach evolution (even if it is part of the state mandated curriculum).

> [@](#):
>
> The pharmacist is a private actor, the rules are applied differently to them.

Pharmacists are licensed by the state and pharmacies are regulated by the state.

Lawyers are private actors too (or can be…certainly some work for the government). Despite that they have a whole pile of laws and ethics that regulate them.

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