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Consolidation: How's it Working (or not) for Big Pharma?

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After the business challenges of 2009 and what remains a describe the imageprecarious economy this year, we at JFK Communications feel fortunate to be growing again in 2010. And it's starting to look like while the national unemployment numbers remain unacceptably high, the US economy is at last beginning to show signs of improvement.

To me, the US healthcare industry in general and the pharmaceutical, biotechnology and medical technology industries in particular have always been bright spots on the economic landscape, whether times were good or bad for the country overall. The past few years, however, have been a very different story as we all know.

On the jobs front, I was both surprised and disappointed to learn recently that for the first half of 2010, the US pharmaceutical industry has eliminated approximately 35,000 positions. This is on top of the nearly 60,000 pharma jobs that were eliminated during 2009.

Industry pundits will offer up many reasons for why these job cuts had to be made, not the least of which is the dire economic conditions. But the pharma bloodletting started well before the US economy tanked, and job eliminations in the pharmaceutical industry look set to continue in spite of improving economic conditions.

I think many of the industry's current woes are the direct result of the seemingly endless drive toward consolidation, attempts to create "economies of scale" and getting bigger because it seems that well, that's all big pharma can think to do right now to try to fix its problems.

Consider the following questions:

  1. Has the US pharmaceutical industry become a more dynamic, enjoyable and opportunity-rich place for people to work, or has it become less so as the result of increased consolidation?
  2. Is the world really better off without such great companies (and places to work) as Pharmacia, Lederle, Parke Davis, Warner Lambert, and Searle, to name just a few?
  3. Are more innovative drugs being brought to market in the US as the result of pharma industry consolidation and the existence of fewer, but larger pharmaceutical companies?
  4. Has industry consolidation improved the overall financial health of big pharma companies over the past 20 years?
  5. What about healthcare costs? Are patients paying any less for their drugs these days?

The culture of consolidation permeating the pharmaceutical industry has impacted every operational area, including how these companies purchase creative services such as advertising, public relations, market research, digital communications and graphic design. In many cases, smaller to mid-sized independent healthcare communications agencies have lost out to mega-sized communications conglomerates such as WPP Group, Omnicom, Publicis and Interpublic Group. These groups have all benefited by entering into "preferred provider" agreements with big pharma companies. I like to think of this trend as the "Walmart-ization" of healthcare communications.

Do marketing directors and brand managers at pharmaceutical companies with preferred agency networks enjoy being told which agencies they have to work with?

And last but not least, it makes me wonder: when has removing competition from the equation ever been good for business?

--David Avitabile

Healthcare PR in a Cost-contained World

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With healthcare reform legislation signed by President Obama on March 23 2010, there's no doubt that along with changes to the US health insurance system, there will be a much greater focus on healthcare cost-containment in the years to come. Predictions on whether the impact of this legislation on the US pharmaceutical industry will be positive or negative are mixed.

What does this mean for healthcare public relations? Actually, on this issue, I'm bullish. I think there are a number of reasons why public relations has a major role to play in the changing healthcare environment, and I discuss them in a recent article I published in Communique Volume 16.

Most importantly, challenges such as communicating the very real differences between cost effectiveness as opposed to price when talking about a drug, biologic, device or procedure require the development of multifaceted, nuanced arguments. And public relations, more than any other marketing discipline, is best at framing complex issues, creating and mobilizing advocates and engaging in conversations with multiple stakeholders.

For these reasons, healthcare PR is alive and well in countries where healthcare cost containment has been in place for decades. As an American who lived and worked for eight years in the United Kingdom, you need only look at the vibrant, continuously evolving and highly creative UK healthcare communications agency business to see proof of that. 

There is no doubt that changes in the US healthcare system will place new pressures on the life sciences industry to communicate in different ways. I believe that as a result, healthcare public relations will become a tool that these companies will rely on more than ever before.

For a PDF of the article I published recently in Communique 16, click here.

--David Avitabile

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