TY  - JOUR
T1  - The Pharmacy Counter as a Site of Public Health Advocacy: Reconciling Commercial Obligations, Professional Independence, and Claims from Underserved Communities
A1  - Mei Lin
A1  - Nadia Haddad
A1  - Samuel Boateng
JF  - Annals of Pharmacy Education, Safety, and Public Health Advocacy
JO  - Ann Pharm Educ Saf Public Health Advocacy
SN  - 3108-4850
Y1  - 2023
VL  - 3
IS  - 2
DO  - 10.51847/xPxkWtptTg
SP  - 131
EP  - 142
N2  - Community pharmacies occupy an unusual position in health systems: they are commercial enterprises, sites of regulated professional practice, and highly accessible points of contact for communities whose health needs may not be adequately met elsewhere. This combination raises a normative question that cannot be resolved by evidence of accessibility or unmet need alone: when should a community pharmacist move beyond individual service provision and undertake public-health advocacy? This conceptual article develops an Advocacy-Obligation Framework for distinguishing ethically permissible advocacy from individual professional obligation, collective professional responsibility, organizational escalation, and policy-level action. The framework separates descriptive evidence about need, access, discrimination, professional autonomy, organizational capacity, and community preferences from the ethical principles required to convert those facts into obligations. Justice, harm prevention, respect for persons and communities, professional responsibility, proportionality, legitimacy, competence, and feasible efficacy are treated as distinct considerations. Commercial obligations and organizational constraints are recognized as morally relevant without being allowed automatically to defeat professional duties. Conversely, professional accessibility is not treated as sufficient to create unlimited responsibility for social or public-health problems. The resulting account places the allocation of responsibility at the center of pharmacy advocacy: stronger community claims may justify stronger action, but the appropriate actor and level of action depend on practical independence, capacity, authority, community legitimacy, available alternatives, and the likely consequences of intervention. Advocacy becomes a professional obligation only under bounded and defensible conditions.
UR  - https://smerpub.com/article/the-pharmacy-counter-as-a-site-of-public-health-advocacy-reconciling-commercial-obligations-profes-s73mlywicwiltvr
ER  -