Oncology launches often fail because management repeatedly hires the same people across companies. They create a safe bubble with no accountability or responsibility. Kite is a prime example: Gilead spent $13 billion on the acquisition, yet Kite faced no pressure to meet sales targets or achieve specific goals—unsurprisingly, it failed. This reflects poor leadership. When billions are spent acquiring oncology assets that hinge on successful launches, leadership should closely monitor performance. Leadership squandered the profits generated by hardworking sales teams, overpaying at the expense of shareholders. Meanwhile, Galapagos is still laughing, with billions in the bank