73% of U.S. counties now lack adequate pharmacy access, forcing retirees to spend $106 monthly COLA increases on fuel for prescriptions.
Retirees on fixed Social Security incomes face rising costs as pharmacy closures create deserts in 73% of U.S. counties. The 2026 cost-of-living adjustment adds $106 monthly, but two weekly pharmacy trips can consume the entire raise in fuel expenses.
Over 800 pharmacies closed in Illinois alone over 12 years, leaving rural areas with limited access. Retirees who relocated for affordability now drive hours for prescriptions, offsetting savings from lower living costs.
Switching to 90-day mail-order fills under Medicare Part D reduces trips and copays, mitigating the impact of pharmacy deserts on fixed incomes.