Teeny Tiny Pills

So I now have to take several heart medications. I don’t really notice much difference (I’ve already lived with low blood pressure for years so I know about standing up too quickly or sudden exertion); but one thing I’ve noticed is the size of all the pills. They’re very very small!
I am about ten years younger than your average heart patient and these things, even at my age, are not easy to see or manage because of the small size. If I were older, with poorer eyesight and less manual dexterity, it seems like the size of the pills could represent a genuine health risk. I wonder why they can’t make them bigger?