A bit wordy but GREAT POINT chap!
Here is the problem in PhRMA sales management,
For years the skills and real leadership acumen (both intellectual and emotional) as significantly declined.
This "gap" has not been closed with millions spent trying to educate these average/ below average managers.
Therefore, of course, the things good to great managers "actual leaders" do are few and far between. Rare.
So the gap grows wider and deeper. The organization knows this but can't figure out how to change it.
You said, it, whether it is at MRK, BMY (a classic case of political insect inbred deterioration); AZN (ugh); PFE (unimpressed); AMGN (in love with themselves); JNJ (picture of mediocrity). Why does it really persist? An artificial means, essentially unconstrained ability to boost profitability year in, year out. If that was NOT there; many would be gone, YESTERDAY. That's how much a joke it is.
The only way to really change this is to dump the huge amount of dead weight in management. Here's the problem "junior": Who do you replace them with? You? Her on the outside? A protected status, pushed forward too far too fast, overmatched candidate? Who with all do respect?
But they should take that risk as these managers are killing this company and several others.