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Ethics · Regulation · Technology — Pharma Practice Notes

The Justice Disease III ── From the Seat of Governance

Having passed through and recovered from the justice disease in Part 1, the reviewer took the executive seat in Part 2. Now, in Part 3, that person oversees the whole of the organization’s governance. Far from the single function of material review, looking down from the summit at the organization as one living creature, a stratum appears that neither the reviewer nor the manager could see: the culture downstream of norms, the wiring of incentives that moves people, the boardroom’s blind spot, the valley between the stated and the real, the whistle as a mirror, the organization’s metacognition. And the former self who once judged in black and white becomes visible within the whole system. A sequel in ten parts.

01

Taking the Seat ── The View from Governance

The morning I received the appointment, I sat in a windowless room.
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02

Rules Are an Effect ── The Culture Downstream of Norms

Once I believed a rule was where the world began.
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03

The Wiring Diagram ── Incentives Decide Behavior

No one reads the framed sentences of the rules on the wall.
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04

The Boardroom's Blind Spot

From a high place, you can see well.
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05

The Valley Between the Stated and the Real

In the lobby of our headquarters stands a stone tablet engraved with our principles.
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06

Beyond Hunting for Violations ── Designing the Conditions in Which Judgment Grows

The audit numbers were improving.
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07

The Whistle as a Mirror

Each quarter a single figure lands on my desk: the count of internal reports received.
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08

Organizational Metacognition ── When a Company Sees Itself

When the sickness went into remission, I thought I had recovered a single faculty: the power to watch my own thinking from a slight distance.
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09

My Former Self, Now Visible

I laid that document on my desk one more time — a copy of a single promotional piece I had marked up and sent back more than a decade ago.
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10

The Governor's Every Day a Good Day

In the morning, in the meeting room I reach before anyone else, I leave the lights off a while.
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