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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
The difficulty gap is way too huge
Even the lowest-ranked med school is far harder to get into than the top pharmacy school
Re: #8
This is exactly the kind of labeling that makes nobody want to aim for it
That's not true for private med schools
Even the bottom ones need Waseda/Keio-level academics
Some private pharmacy schools basically let you in if you can write your own name
Isn't the hardest pharmacy program the University of Tokyo's Science II track?
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
Seriously gross
Agreed. Who do they think they are?
Apparently AI is going to hit them hard
Who'd you hear that from?
I heard research jobs are in trouble because of AI too
Pharmacists!? No way!?
Still better than hospital doctors, though
Which one is the lowest-ranked private med school?
Sounds kind of like being a factory line worker, just with slightly better take-home pay?
Apparently MRs are getting laid off these days too
There were massive layoffs after COVID
Hiring is extremely tight now
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?
People have been saying that for over 10 years now
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
Won't insurance companies find some clever way around that?
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
Easy
Just cut dispensing fees and remove the cap on prescriptions per pharmacist, raising it from 40 to unlimited
They could just cap the number of people who pass the national exam
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
What are you even talking about?
Can you speak Japanese, please
They're cheaper than hiring more doctors, and they qualify for fee add-ons too
But don't hospital pharmacists earn less?
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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