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Top Reference - The Lemon Dance: Why Government Doesn't Work
Former Senator, Daniel Moynihan, accurately summed up the
situation when
he posited that,”[t]he single most exciting thing you encounter in
government is competence, because! it's so rare.” In the case of
politi
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
cians the public is protected from ineptitude and apathy
through term limits. Unfortunately for John Q. Citizen, the vast
majority of government bureaucrats exist in an environment devoid
of responsibility
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
or accountability.
The endless transfer of incompetent workers rather than their outright dismissal represents a choreographed farce known as the “Lemon Dance.” The negligent, unqualified and
The endless transfer of incompetent workers rather than their outright dismissal represents a choreographed farce known as the “Lemon Dance.” The negligent, unqualified and
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
indifferent
workers that fill millions of government positions do so with the
assurance that they will never be fired for their transgressions. For
example, your average sanitation worker wakes up in the mornin
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
confident that regardless of missed routes, spilled garbage or traffic
collisions while on duty, he will continue to have a job the next day.
A recent study by the Los Angeles Daily News concluded that
A recent study by the Los Angeles Daily News concluded that
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
only six out of thirty-seven thousand Los Angeles City government
employees had been fired for poor performance. On the national
level, the Federal Times reported in 2003 that none of the approximate
hal
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
a million workers of the eight Cabinet-level departments were
fired for poor performance from June 1993 to June 1998. The public
must ask themselves whether local and federal governments have
collected the finest
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
group of individuals capable of error-free work,
or if there are inadequate systems in place that are unable to
address the rampant poor performance of government workers.
The outrageous misappropriation and waste of
The outrageous misappropriation and waste of
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
taxpayer dollars
provides another contributing step in the offbeat “Lemon
Dance.” Consider a recent example where two Los Angeles sanitation
workers made over $8,000 of unauthorized calls on
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
ity-issued cell
phones. After several warnings, and continued misuse of their cell
phones, the city workers were not terminated while management
lamented that they “did not have an adequate policy explaining to
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
heir employees that it is wrong to use city cell phones for personal
business.”
The inability of government superiors to adequately discipline government employees makes the “Lemon Dance” the modern-day Achille
The inability of government superiors to adequately discipline government employees makes the “Lemon Dance” the modern-day Achille
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
s Heel of government. Entrusted with running society’s most
important institutions, government finds itself in a position where it
can neither terminate its least qualified employee, nor reward
exemplary standouts
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
Instead, government bosses tend to look the
other way when faced with the poor performance of their
subordinates. The complete lack of accountability present in
government has, in turn, created a
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
ulture of apathy where workers
have no motivation to perform at even adequate levels. Richard
Riordan, former Mayor of Los Angeles and present Secretary of
Education for the State of California, cites a lack of ac
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
ountability as
the leading cause of poor performance plaguing government
institutions. Riordan admits that government run bureaucracies
“do[es] not hold anyone accountable, because [it] might hurt
somebody’s sel
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
esteem by firing them.”
Former General Electric Chairman Jack Welch’s strategy for improving employee performance deserves consideration. Concluding that it was better to release an ineffective
Former General Electric Chairman Jack Welch’s strategy for improving employee performance deserves consideration. Concluding that it was better to release an ineffective
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
employee
immediately rather than allowing them twenty-five years of wages
and retirement benefits, Welch regularly fired the bottom ten percent
of his employees based on performance evaluations. This type of
app
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
oach could do wonders for local, state and national government.
The termination of deserving employees sends a clear message
throughout the organization that incompetence will not be tolerated.
Albert Einstein sugg
Albert Einstein sugg
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
sted, “bureaucracy is the death of all sound
work.” The current state of government employment certainly
supports his assertion. However, government must begin to clean
house. Until it becomes possible for governm
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
nt to dismiss
incompetent workers, the public will continue to be held hostage by
unions and ineffectual procedures that would prefer the “Lemon
Dance,” to even modest accountability.
Copyright 2005 Michael Levin
Copyright 2005 Michael Levin
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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