Typos on marketing pieces, wrong phone numbers for pharmacy support, IC and Sales Ops issues, etc, etc.
They just had their Sales Ops director quit again. The IC manager quit. IT is outsourced, so I don't know what expectations Otsuka is willing to except.
Seems as though the standards for excellence or even just "pretty good" are lowered. For some people here, they have just one job, and they screw that up. Lots of meetings, no accountability, and no consequences. As long as the sales machine keeps making the numbers look good, Japan doesn't care.
To continue the nautical analogy, it is a rudderless ship but the oarsman merely need to keep track of the number of strokes. They track it on a spread sheet and send it in after each day. The captain reviews the spread sheet, ignores the wind, tides, and direction of the ship heading but puts the slower oarsman on plans.
His admiral over the fleet applauds his bold actions and promotes him to another boat going nowhere.