The heat is coming down which I completely get. Since July 2017 when we went to 3 per pod (the furthest thing from specialty sales ever) we have seen the following:
1. Recycled RSDs from respiratory who popped into ViiV, bury us in metrics, and then head to RTP. Plenty of examples where their districts were bottom 10% and they ran off talent and micromanaged the rest—and got promoted after 2 yrs.
2. Senior leaders who built the positive culture retired (Bill Collier, Marlon Pittman, etc.). Instead we got Pickett and the GSK crew.
3. Bailed on Triumeq while we had decent share for 2DR (Juluca, Dovato, Cabenuva, and the entire future pipeline combined don’t equal the amount that Triumeq/Tivicay LOST and are still losing. I doubt the entire 2DR sales—all drug sales combined will EVER reach over $200m total (net) while the several billion dollar Triumeq and Tivicay, 1-2 punch keeps bleeding a fortune. Of course TAF hurt Tivicay (remember when Tivicay+Descovy was what IDs said was the gold standard). Well—GILEAD listened and Biktarvy faced no competition (we were doomed).
4. Metrics hell with number of programs, calls, bathroom breaks literally micromanaged. And the never break your 3-4 week routing ever.
5. Going from 3 up to 4 up. What next, can we go 5 up? That should fix things, lol.
At the end of the day, we lost all respect with IDs and in the HIV advocacy community for pushing the 2DR regimen (with 48wk data initially, then 96wk, etc.) when the standard of care was and is 3DR.
Why are we surprised? I am not. In hindsight I wish my RSD had pushed me out or let me take early retirement.