Why Big Pharma Feels Like A Financial Institution & Don't Pee on Medical Gloves with Anish Shindore

Send us Fan MailA medicine can be proven safe and effective, approved by regulators, and still fail the one test that matters: actually reaching patients in the real world. We sit down with Anish, a deep commercial thinker, to unpack what pharmaceutical commercialisation really is when you strip away the slogans and look at incentives, bottlenecks, and human behaviour. We start with our five value streams model of the pharmaceutical industry and use it to explore a provocative idea: modern big pharma often functions like a financial institution with extraordinary risk tolerance and time horizons. That framing changes how you think about R&D outsourcing, late stage development, pricing negotiations, market access, and the “programme management” required to bring a drug from molecule to monitored use. From there we move into the last mile of healthcare delivery: patient experience, physician capacity, restrictions on direct to consumer communication, and why “patient centricity” is hard in practice. We discuss remote care and digital health, including internet hospitals, plus the safety risks of self medication and the very real problem of adherence, from finishing a course to staying on track with GLP-1 medicines. If you care about pharma strategy, drug launch, market access, and what makes innovation stick, this one is for you. Subscribe for more, share this with a colleague who works on commercial or patient support, and leave a review. What is the biggest barrier you have seen between approval and real patient access?Try the quiz from the show yourself: https://forms.gle/uepGynopoLpguYKw8 Visit Labtolives.com Do you want to try the quiz from this episode? Find the link on our LinkedIn profile: https://www.linkedin.com/company/labtolives/ Would you like to join the show as a guest or collaborator? Find out how on our website: https://www.labtolives.com/ Support the show________Reach out to Ivanna RosendalJoin the conversation on our LinkedIn pageVisit www.labtolives.com HostsAlexander Booth aka the MedTech GuyDimitri Borisevich aka the start-up GuyIvanna Rosendal aka the R&D pharma Gal