|  |  | December
		        10,
		        2010 -- 3:45pm EST Emails and Ethos: the Senate Stent Report, a
		      Corporate Culture Wake-up Call?(The following is a guest commentary
              from Deborah Shaw, Director of Education at Angioplasty.Org.)
 These
                leaked Abbott emails (in the Senate
                Finance Committee Report on Cardiac Stents regarding Dr.
                Midei in Maryland) reveal that healthcare marketing professionals,
                especially those that
                aren't
                involved directly in patient care, sometimes
                  forget that this is serious stuff. It's about life and death:
                the work they do profoundly affects sick, vulnerable people who
                are
                afraid they might die, and who could be your dad or your
                daughter.  The media response occurs in a climate where there
                  is, in fact, evidence and concern that American healthcare
		      is overly interventional and procedure-oriented. Everyone in the
                  field knows there are some physicians who probably jump into
                  stenting too quickly in borderline cases. It's a question
		      of professional opinion and probably not a question of negligence,
		      but overly aggressive treatment is real. The outcry from the media, and the Senate's investigation,
		      is simplistic, inaccurate and misleading, but it demonstrates
		    a decline in the public
		    trust. I'd urge industry folks to think of this as a warning sign,
		      a wake-up call, kind of like finding out your cholesterol is climbing
		      (and I'm sure
		    their blood pressure is). It might be time to do some diagnostics
		      on your company's climate, ethos, tone. Communicating the science
		    behind medical products that offer genuine improvement in efficacy
		    and patient outcomes is what ought to be the focus of sales efforts,
		    not fashioning
		    the flashiest trade show event, lavishly courting physician-suitors,
		    or taking a gung-ho "How do we do it? Volume!!" marketing approach. Doing good things and making money are not oppositional
		    goals: well-managed companies with good products do make profits.
		    But the first responsibility,
		    the mission, for healthcare organizations, is to improve the quality
		    of patients' lives; after that, and only after that, is the objective
		    to maximize
		    sales. That sounds naive and idealistic to some industry professionals
		    (and it's very hard to get those individuals to invest in substantive
		    public education because it's not quantifiable, doesn't contribute
		    to quarterly results). But this might be a good moment for industry
		    leaders to
		    check
		    in on the mission, and make sure your company's focus is on the long-term
		    business of science in the interest of patients, over the more short-sighted
		    science of business in the interest of market penetration. In the
		    long run it's the more profitable approach -- and less likely to
		    lead to hysterical
	    Senate investigations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Staying on, and communicating, that mission
		      requires visionary corporate leadership, objective analysis of
		    data, difficult choices
		      that put prudence, patients and science in the forefront, and vigilance
	      in keeping the corporate culture on track.       |  |   |