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CVS Pulls Last Of Tobacco Items A Month Early, Plans Name Change

By Peter Frost, Chicago Tribune

The nation’s number-two drugstore operator has finally kicked the habit.

CVS plans to announce Wednesday that it has pulled all remaining cigarettes, cigars, smokeless tobacco and other tobacco products from each of its 7,700 pharmacies nationwide.

In doing so, the company, long known as CVS Caremark Corp., announced plans to rebrand as CVS Health, a clear nod to the broader role it hopes to play in the health care market.

The move to go tobacco-free, coming a month earlier than planned, carries a substantial risk to CVS’ bottom line, but it also holds the potential for a long-term competitive advantage over its peers, particularly Deerfield-based Walgreen Co., the nation’s largest pharmacy retailer.

“We believe this reflects our broader health care commitment,” said Larry Merlo, the company’s chief executive officer. “What this says about CVS is that we’re a pharmacy innovation company that is at the forefront of a changing health care landscape, and it helps us to play a bigger role in health care.”

The company, the first major pharmacy to undertake such a ban, first announced the plans in February.

CVS estimates that it will forgo about $1.5 billion in annual tobacco sales and an additional $500 million in associated purchases from people who visit pharmacies primarily to buy cigarettes or chewing tobacco.

But, Merlo said, getting out of tobacco clears up a “contradiction” and removes a “growing obstacle” for the company as it pushes deeper into health care.

Eliminating tobacco already has helped with some negotiations, he said.

CVS, based in Woonsocket, R.I., leads the nation with about 900 walk-in clinics, which are staffed to treat minor ailments, administer vaccines and help patients manage chronic illnesses like hypertension and diabetes.

It also has been seeking more partnerships with hospitals, health systems and physicians to manage the health care of groups of patients.

In some cases, such arrangements, which are being adopted by Medicare, Medicaid and private insurers, call for groups of providers to share in savings they’re able to produce by keeping patients healthier and their health care costs low.

A care network in which patients would be directed into a pharmacy where they could buy cigarettes while picking up their prescription began to make less sense for some health system executives, said Dr. Troy Brennan, CVS’ chief medical officer.

“This shows them we’re in health care to stay and we’re really serious about managing patient care and population health,” Brennan said.

Like CVS, Walgreen for years has faced criticism from health and advocacy groups over its policy of selling tobacco products. It also is transforming into a more health care-focused company.

Still, its policy on selling tobacco has not changed.

“We believe that if the goal is to truly reduce tobacco use in America, then the most effective thing retail pharmacies can do is address the root causes and help smokers quit,” Walgreen said in a statement. “A retail pharmacy ban on tobacco sales would have little to no significant impact on actually reducing the use of tobacco.”

Both Walgreen and CVS have smoking-cessation programs.

Still, about 18 percent of American adults smoke, a number that hasn’t moved significantly in a decade.

Groups including the Campaign for Tobacco-Free Kids and American Lung Association praised CVS’ decision and called on other retailers to follow suit.

“We feel it’s a very important move for a retail pharmacy to take tobacco out of their stores,” said Harold Wimmer, the national president and chief executive officer of the American Lung Association. “We feel this gives us another opportunity to go back to other retail pharmacies and encourage them to do the same.”

AFP Photo/Justin Sullivan

Cost To Raise A Child Rises To More Than $245,000

By Peter Frost, Chicago Tribune

The cost for a middle-income family to raise a child born in 2013 to age 18 rose to $245,340, up 1.8 percent from the previous year, according to a government report released Monday.

Housing comprised the largest expense at 30 percent, followed by child care and education (18 percent), food (16 percent), and transportation (14 percent), the U.S. Agriculture Department’s annual report said.

Families living in urban areas in the Midwest had a slightly lower cost than the national average, or $240,570. Families in the urban Northeast had the highest cost of raising a child to adulthood: $282,480. That was followed by the urban West at $261,330. Households in the urban South and in rural areas spent less on average.

Adjusted for inflation, the cost of raising a child born last year will be about $304,480, on average, for the average middle-income family, which the government defined as those with pre-tax annual income between $61,300 and $106,140.

Costs are lower for lower-income families. Families with incomes below $61,300, for example, can expect to spend an average of $176,550 in 2013 dollars.

Those who make more than $106,140 will spend an average of $407,820, according to the report.

The study, conducted annually since 1960, tracks seven primary categories of child-rearing expenses and is used to help the government estimate child-support costs, according to the USDA. That year, a middle-income family could expect to spend about $25,230 to raise a child to age 18, or about $198,560 in 2013 dollars.

For 2013, annual expenses to take care of a child for a middle-income, two-parent family ranged from $12,800 to $14,970, depending on the age of the child, the report said.

Expenses per child decrease as a family has more children, the report said, as children share bedrooms, clothing, and other items.

Ian BC North via Flickr

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