Sep 2, 2026 · 47 min · 11 segments
Send us Fan Mail Pharma doesn’t usually fail because the science is too hard. It stalls because humans are trying to do hard work inside a system…
Isabelle WidmerGuest
Ivanna RosendalHost
Alexander BoothHost
I mean, maybe this immediately gets to the root of some of the challenges, right? Because someone who sits in a company and identify gaps that needs to be filled and then goes and does it might normally be called quite a good employee.

So what do you think is going on there? Why in pharma does that equal being a bad employee, perhaps?

Well, it depends on who's looking at it, right? So I think for me, I was hired, when I started working in pharma initially, I was hired to analyze market access.

You give them presents, right? So back then, this was 2006, I said, and this is very manipulative and biased, but I am a physician and I'm allowed.

And I assumed that most of them have a bad conscience because they work all the time.

Give us your name when you fill in the survey, which was useful because that way I knew who was answering.

And I also asked the company, the people in the company, what they think the doctors experience.

I said, okay, you think you know what your customers want, but actually your customers want something different and you don't actually have that match.

If you're constantly looking for ways to make things better, and let's say I was young and dynamic then, so you don't have the political lingo.

And there's the awareness of how do I communicate that to people and how do I not step on toes? I think that that is the bad piece, but also you challenge people, right? You're saying, isn't there a better way? And maybe a better way means you have to work differently.

And that's not that people don't want to do it, but they don't like somebody else who doesn't know anything about their area coming and going, I think I see a gap here.

I mean, maybe this immediately gets to the root of some of the challenges, right? Because someone who sits in a company and identify gaps that needs to be filled and then goes and does it might normally be called quite a good employee.

So what do you think is going on there? Why in pharma does that equal being a bad employee, perhaps?

Well, it depends on who's looking at it, right? So I think for me, I was hired, when I started working in pharma initially, I was hired to analyze market access.

You give them presents, right? So back then, this was 2006, I said, and this is very manipulative and biased, but I am a physician and I'm allowed.

And I assumed that most of them have a bad conscience because they work all the time.

Give us your name when you fill in the survey, which was useful because that way I knew who was answering.

And I also asked the company, the people in the company, what they think the doctors experience.

I said, okay, you think you know what your customers want, but actually your customers want something different and you don't actually have that match.

If you're constantly looking for ways to make things better, and let's say I was young and dynamic then, so you don't have the political lingo.

And there's the awareness of how do I communicate that to people and how do I not step on toes? I think that that is the bad piece, but also you challenge people, right? You're saying, isn't there a better way? And maybe a better way means you have to work differently.

And that's not that people don't want to do it, but they don't like somebody else who doesn't know anything about their area coming and going, I think I see a gap here.
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