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Pharmacy contractors continue to grapple with profit pressures despite many reporting significant sales revenue increases, according to Hutchings Consultants' England Pharmacy Market Update 2024. The report emphasises that gross profit margins are under considerable strain due to factors such as rising wholesale drug costs, the dispensing of certain drug lines at a loss, reduced drug tariff reimbursements, and ongoing medicine shortages. These challenges have led to a growing number of pharmacies reporting substantial declines in their profit margins this year. For instance, Cohens Chemists reported a £5.7 million loss in the last financial year, even as sales reached £253 million. Similarly, Day Lewis, the UK's second-largest independent pharmacy chain, experienced a 5.9% sales increase driven by growth in prescription dispensing, over-the-counter sales, and pharmacy services, yet faced a 32% drop in pre-tax profits due to heightened administration costs, which included inflation-driven increases in staff, energy, utilities, and rent. The average profit margin has declined to 33% in 2024, down from 34.4% the previous year.

Surrogate motherhood is an option for couples who are unable to have children, whether it be from age, infertility, or some other medical issue. It is also for women who can have children but choose not to have the pregnancy experience. The other option for women to have children is via adoption. Surrogacy can be accomplished by one, of two ways. In most cases, a man's sperm is instilled into the surrogate by a procedure called artificial insemination. If this is done, the surrogate is considered to be the biological and birth mother of the child. Another name for this type of surrogacy is traditional surrogacy. The other way surrogacy may be accomplished is by the man's sperm and woman's eggs being implanted into the surrogate. This process is known as vitro fertilization. In this case, the surrogate is not the biological mother but is still considered the birth mother of the child. This type of surrogacy is gestational surrogacy. Surrogacy has both supporters and opponents, and both parties have strong arguments that work in their favor. All that are against surrogacy feel it is unnecessary and it dismembers a woman's body, especially considering that surrogacy is a profitable transaction. Many build their belief against surrogacy on their religious beliefs, while others base it on political and legal beliefs. Roman Catholics are strongly against surrogacy and feel surrogacy takes away from the sacredness of marriage and the connection between father, mother, and child. They also feel that commercial surrogacy is greatly offensive. In commercial surrogacy, a child's birth is turned into a financial matter. They feel it turns women into reproductive robots and exploitation of children. Other groups that oppose to surrogacy are feminists. Many feminists will argue that surrogate women are pressured or forced into being surrogates when they really do not want to be. Feminists have even gone so far as to call surrogacy a reproductive prostitution. On

Instability in the supply chain network is frequently undermining the profit margins in community pharmacies, former Pharmacy Minister and Chair of the Health and Social Care Committee Steve Brine has said. Brine emphasised that community pharmacies often lack information about the prices wholesalers charge for essential generic medications. "They lack visibility into scarcity, and the pricing of these products is often significantly higher compared to other European countries," the former minister remarked during a parliamentary debate focused on the future of community pharmacies on September 14. From financial pressures to workforce crisis and pharmacy closures, the debate delved into critical challenges faced by pharmacies, aiming to propose tangible solutions for a sustainable future in the sector. Chaired by Sir Mark Hendrik, the debate was initiated by Conservative MP Peter Aldous and featured contributions from a host of participants including Labour MPs Taiwo Owatemi and George Howarth among others.

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