Pharmacists’ Salaries and Future Prospects Divide Opinion — 5ch: “AI Can’t Take Responsibility, So the Job Will Survive”

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The story

A thread titled “Is it true that pharmacists don’t even earn that much and have unstable jobs?” got lively on 5ch. The discussion ranged from pay and working conditions to broader industry structure — covering the gap in difficulty between pharmacy school and medical school, fears that AI will replace dispensing work, layoffs among MRs (medical representatives), and the possibility of cuts to dispensing fees. Opinions that “AI can’t take responsibility, so the pharmacist job itself won’t disappear” coexisted with views that “the number of pharmacists will be scaled back going forward,” making for a discussion that leaned toward neither simple optimism nor pessimism.

What people said

1AnonymousSep 21, 2026 20:34
Is this career already washed up?
5AnonymousSep 21, 2026 20:36
Kind of regret not buckling down and studying to get into med school instead….
7AnonymousSep 21, 2026 20:36
Re: #5
The difficulty gap is way too huge
Even the lowest-ranked med school is far harder to get into than the top pharmacy school
9AnonymousSep 21, 2026 20:37
Re: #5
Re: #8
This is exactly the kind of labeling that makes nobody want to aim for it
8AnonymousSep 21, 2026 20:37
Sure, if you could've gotten into med school you should have, but most people choose pharmacy school precisely because they couldn't get into med school
10AnonymousSep 21, 2026 20:37
Re: #7
That's not true for private med schools
14AnonymousSep 21, 2026 20:39
Re: #10
Even the bottom ones need Waseda/Keio-level academics
Some private pharmacy schools basically let you in if you can write your own name
23AnonymousSep 21, 2026 20:40
Re: #14
Isn't the hardest pharmacy program the University of Tokyo's Science II track?
27AnonymousSep 21, 2026 20:42
Re: #14
Did you not know Keio has a pharmacy school?
The bottom-tier private med schools aren't Waseda/Keio level at all
Though the tuition is insane
11AnonymousSep 21, 2026 20:38
You guys are bashing pharmacists again
Seriously gross
79AnonymousSep 21, 2026 21:07
Re: #11
Agreed. Who do they think they are?
12AnonymousSep 21, 2026 20:38
They're often called one of the first jobs that'll disappear, right?
15AnonymousSep 21, 2026 20:39
Re: #12
Apparently AI is going to hit them hard
16AnonymousSep 21, 2026 20:39
I heard it's ¥7.5 million a year at 30, clock out on time, no overtime, 165 days off a year
17AnonymousSep 21, 2026 20:39
Re: #16
Who'd you hear that from?
19AnonymousSep 21, 2026 20:39
It's just the pharmacist role that's washed up — there are still jobs at pharma companies, cosmetics makers, and the like
25AnonymousSep 21, 2026 20:41
Re: #19
I heard research jobs are in trouble because of AI too
21AnonymousSep 21, 2026 20:40
Salaries are rising everywhere else — is it for real that theirs is dropping?
22AnonymousSep 21, 2026 20:40
Re: #21
Pharmacists!? No way!?
24AnonymousSep 21, 2026 20:40
Re: #21
Still better than hospital doctors, though
30AnonymousSep 21, 2026 20:42
Re: #27
Which one is the lowest-ranked private med school?
36AnonymousSep 21, 2026 20:44
Working in some tiny 50-square-meter pharmacy out in the countryside, doing the exact same thing every day from morning to evening — I'd lose my mind
41AnonymousSep 21, 2026 20:48
Re: #36
Sounds kind of like being a factory line worker, just with slightly better take-home pay?
38AnonymousSep 21, 2026 20:45
Back in the day even grads from bottom-tier pharmacy schools could become MRs, but that's probably tough now
40AnonymousSep 21, 2026 20:47
Re: #38
Apparently MRs are getting laid off these days too
44AnonymousSep 21, 2026 20:49
Re: #40
There were massive layoffs after COVID
Hiring is extremely tight now
46AnonymousSep 21, 2026 20:50
Re: #40
Is there even a point in choosing a 4-year pharmacy program? I keep wondering that
Wouldn't a regular chemistry department in a science faculty work just as well?
55AnonymousSep 21, 2026 20:54
It's a job that's really going to get replaced by AI
58AnonymousSep 21, 2026 20:54
Re: #55
People have been saying that for over 10 years now
80AnonymousSep 21, 2026 21:07
The pharmacist job itself isn't going away
AI can't take responsibility, after all
Pharmacists overseeing AI will stick around
It's just that they won't need as many people as now
Even drugstores are moving into an era of one pharmacist covering three nearby stores
81AnonymousSep 21, 2026 21:08
Re: #80
Won't insurance companies find some clever way around that?
82AnonymousSep 21, 2026 21:08
Re: #80
That's true
But under the Pharmaceutical and Medical Device Act, I don't think they'll ever be allowed to go below one pharmacist per store
84AnonymousSep 21, 2026 21:10
How exactly are they going to reduce the number of pharmacists going forward?
89AnonymousSep 21, 2026 21:12
Re: #84
Easy
Just cut dispensing fees and remove the cap on prescriptions per pharmacist, raising it from 40 to unlimited
98AnonymousSep 21, 2026 21:21
Re: #84
They could just cap the number of people who pass the national exam
107AnonymousSep 21, 2026 21:27
Re: #1
Nurses only make ¥6 million even working night shifts
Civil servants in their 30s are stuck in the ¥4 million range

Basically, there's no tax revenue left
108AnonymousSep 21, 2026 21:28
Re: #107
What are you even talking about?
111AnonymousSep 21, 2026 21:29
Re: #107
Can you speak Japanese, please
112AnonymousSep 21, 2026 21:29
I work at a hospital, and pharmacists are safe there
They're cheaper than hiring more doctors, and they qualify for fee add-ons too
114AnonymousSep 21, 2026 21:30
Re: #112
But don't hospital pharmacists earn less?
116AnonymousSep 21, 2026 21:32
Re: #112
Did you know most hospitals in Japan are running deficits?

Background and Key Points of This Discussion

Since pharmacy programs shifted to a six-year curriculum starting in the 2006 academic year, enrollment quotas have kept growing, and the number of people sitting the national pharmacist exam has remained high. Dispensing fees, meanwhile, are official prices revised with every round of medical fee reform, so changes in the business environment tend to flow directly into on-the-ground pay and conditions. The thread’s point that “hospital pharmacists earn less” is really the flip side of the fact that many hospitals themselves operate at a deficit, which tends to create a pay gap compared with working at a dispensing pharmacy or drugstore. The reduction in MR (medical representative) headcount is also a real trend playing out across pharmaceutical companies in recent years, driven by the shift to online sales channels and digital information delivery. As for the argument that AI will replace pharmacists, the discussion tends to blend two different things — tasks that can genuinely be streamlined, like prescription auditing and inventory management, and tasks where a human still has to be involved, like final medication counseling and taking responsibility for outcomes. Within the thread itself, the debate settled into a middle-ground view: “the job itself won’t disappear, but fewer people will be needed.”

※This article is excerpted and summarized from the 5ch (Nandemo Jikkyo G) thread “Is it true that pharmacists don’t even earn that much and have unstable jobs?

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