Allison Given is a P2 student at the University of Charleston School of Pharmacy. In October 2022, she won our American Pharmacy Month contest asking for essay submissions on what the APhM theme of "Improving Health, Increasing Access", meant in their own words. We sat down many months later to discuss her essay, her experiences so far in pharmacy, and how as pharmacists we wrestle with access issues more than many other healthcare professionals because we see it in the billing and have face-to-face encounter with people at the point of sale. In rural West Virginia, the issue of access is even more concerning with transportation concerns in pharmacy deserts.