She found Canadian pharmacies offering the same little maroon tablets for a fraction of the price [10]. She saw advertisements for telemedicine services where she could talk to a doctor through her screen and have the medication shipped directly to her door [5, 13].

The soft hum of the laptop fan was the only sound in Martha’s living room as she stared at the search bar. She typed the words slowly: "buy Premarin."

: Potential increase in the risk of blood clots, stroke, heart disease, and breast cancer [1, 2, 3].