The true ugliness almost perfectly aligns with the launch of Leqvio.
Everything associated with it (senior management, leqvio locater, national meeting, 2 for 1 debacle, no data to the field) has been a circus, and they think they can metric their way out if it.
Everyone is panicked, they aren't smart enough to come up with modern, innovative solutions and they reflexively resort to call averages and reductions in headcount.
It is the senior management security blanket, even though it hasn't worked since the days of Vioxx and Celebrex.
The depressing part, other than people losing their jobs/benefits, is knowing they'll fuck up the Lp-A just as badly. There is no reason to believe any of these vapid idiots are learning anything from their mistakes.
The only way to rebuild trust with the field is to fire Duane, Vicky, Jeff and Sandeep, but they inexplicably refuse to do it.
The people who get let go will all be in a better place in six months, watching this brutal shit-show unfold from a safe distance.