As a Novartis employee I can say that Novartis does not think. It does what it is told by the people they pay loads of money. If they are given good advice for decisions, it is all good otherwise s***. You know someone at Novartis from a previous association and you are a pig and don’t want that person to do well, all you do is bad mouth this person and guarantee that no matter how good he/she is they are gone. Big companies don’t think. The people and their lives mean nothing to them. They have loads of money to show what they do for people and conveniently and slowly get rid of anything and anyone who has a brain. The medical directors do not have American degrees and those with and without American degrees have no patient or US experience at all, forget in the area that they are assigned. Anyone with the right experience is a threat as knowledge is power and they don’t want to share power. Stay long hours, act useless, do exactly what they want to do to show and you will be fine. If they want Avexis, they will keep it. There is no sense to this decision. It is based on the recommendation of highly paid Deloitte and mainly McKinsey consultants who talk big but are hollow inside.