At the end of the day it's not about the Indians or Americans. There are talented and awful on both sides. The main issue is how they are going about it, the speed, the lack of caring (Bhadri slips in a meeting-how is that a leader of a corp of this size), the lack of knowledge it takes to run the trials and the actual day to day business, not having the workforce or replacements that are at the present, trained and capabale. It's not that it can't happen it's just it can't happen like this wo proper training oversight and having the checks and balances in place. This is setting up the company and studies for failure and in turn the patients and finally the bottom line.
They based all of the decisions on numbers and fake profits and they have to deliver and unfortunately this is how it's happening. Setting both sides up for failure.