The real leadership issue here is that the company has been taken over by colleagues from ex-US markets or from outside the indutry. This occured during the Kindler epoch under the misguided thinking that the largely US-sourced executives that took Pfizer from obscurity in the 1980's to the pinnacle of success lacked loyalty to JK. Brandt, Katen, Evans, Shedlarz and many others were shown the door, despite their exceptional talent (I am excluding Hank McKinnell here). The foreigners and industry neophytes don't really understand the US or Pfizer and its history. Thus you get what we've had for the past 5 years. They now have nothing left but clever phrases. The funny thing is that a lot of Pfizer colleagues actually now think Pfizer is doing better now and that $22 is a good stock price.