Fifty years ago, with the FDA pressing ever harder on efficacy, the most important thing in a pharma chief was probably knowing what went into making an effective drug. Twenty years ago, you needed to know how to market it to get the most money out of a very narrow patent window. These days, you need to be able to negotiate a fearsome political and regulatory environment.
I'm thinking about skyrocketing malpractice insurance premiums for some doctors, and believe that sick people may not be being optimally served.
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