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Sales folks don't know much about the R&D side, nor do R&D and Med Affairs understand nor respect sales and marketing. Result? Folks in the ivory tower just talk to each other in that elitist kind of way and look down on marketing and sales. MSLs who feel "special" too cause they are sooooo PhD. Then sales folks think that the scientific folks are clueless about real business, see zero benefit from MSLs, and have an attitutde of "what else do you expect" when debacles like eritoran and aciphex 50 happen.