What decision-makers actually do when they can't evaluate reasoning directly

Medical Strategy, Medical Leadership, Medical Affairs

There is a scene most advisory professionals will recognise. A recommendation that took weeks to produce — drawing on regulatory environment, market dynamics, scientific evidence, competitor positioning — gets four minutes in a senior forum. A question or two. A decision. The people in that roo…

Apr 12^th • 5 mins read

The advice was good. It didn't matter.

Medical Strategy, Medical Leadership, Medical Affairs

There is a particular kind of professional frustration that doesn't have a clean name. It isn't failure — the work was sound. It isn't incompetence. The reasoning was careful, the constraints were weighed, the recommendation was defensible. It is something more specific: the experience of having d…

Apr 12^th • 5 mins read

Medical Affairs value isn't what you think it is

Medical Strategy, Medical Leadership, Medical Affairs

Medical Affairs functions have spent years building the case for their value. Frameworks, metrics, dashboards, impact stories, insight delivery. The work is real, the effort is genuine, and most of it misses the point entirely.

Apr 1^st • 5 mins read