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"It's not just contraceptives," said Mary Frank, M.D., a family physician from Mill Valley, Calif., during a discussion of the issue. "It's pain medications and psychotropics. And not only are the patients not getting prescriptions filled, but pharmacists are refusing to return the prescriptions and they are lecturing the patients about the drugs."

When the first story came out, I said that the pharmacist had the right to refuse. This, on the other hand, is completely reprehensible, and the a-holes who are keeping the Rx's should have their licenses stripped; the lecturers should be censured. If one of them tried to pull that with me, I'd be on them like a bad rash. Unfortunately, patients in pain or in need of psychotropic drugs often are not in a frame of mind to give a tongue lashing to a judgmental pharmacist. The self-righteous need to start up their own pharmacy chain. In fact, it's time for them to start a separatist movement, and we should happily oblige. Trying to think up a good name for their state and their pharmacy.

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