Many of the strongest leaders in Sales and Market Access have either left or been forced out, leading to the rise of weaker leaders. We have assigned some of our best leaders to lesser roles while retaining more tenured but ineffective leaders throughout the organization. This situation is contributing to DSO's failures. The departure of top talent in Sales and Market Access has resulted in a decline in leadership quality, exacerbating these issues. The best leader I ever had was moved out of their role leading our regional account management team to a lesser sales role and replaced with someone who, while nice, was and is ineffective. This situation contributed to my decision to leave, as well as the departures of several of my peers.