It’s the end of the world and all of western civilization

I got my breakfast (black coffee and a blueberry muffin) at a truck-stop Dunkin Donuts on the way to my office. As I was walking out, I passed a woman. She was in her early 40s, not quite haggardly thin, with dark hair and a face pockmarked like Sadie Burke. She carried a canvas purse and a pack of cigarettes.

She stepped past me to a man sitting at a table and asked in a thin voice, “Are you going west?”

“No,” he said. “Where you headed?”

“California.”

The Challenge of Forgetting

George Will’s mother died at 98, after a long period of dementia. He wrote a very touching tribute to her, while exploring the ravages of the long process (alliteration notwithstanding):

Dementia, that stealthy thief of identity, had bleached her vibrant self almost to indistinctness, like a photograph long exposed to sunlight.

It is said that God gave us memory so we could have roses in winter. Dementia is an ever-deepening advance of wintry whiteness, a protracted paring away of personality. It inflicts on victims the terror of attenuated personhood, challenging philosophic and theological attempts to make death a clean, intelligible and bearable demarcation.

(I know, I know: two Will links in two days? Sue me.)

The Hit Factory

Since I’ve been writing about the drug industry (our magazine bowed in October 1999) I’ve been hearing that we’re heading toward The Era of Personalized Medicine. This means that, as we develop more knowledge of the genome, proteome, and metabolome (you think I’m making this stuff up?), drugs will be tailored to generate greater efficacy or fewer side effects in smaller population groups.

The drug that gets touted as the advance guard in this wave is Herceptin, which can be very effective in treating breast cancer, but only in tumors that over-express the HER2 protein. Around 20% of breast cancer cases fall into this category; Herceptin isn’t effective against other tumors.

Some pharmacoeconomists contend that personalized medicine will lead to The End of the Blockbusters, as smaller patient groups translate to a cap on your “customer” base. On the other side of the spectrum is a “mass appeal” drug like Lipitor, the cholesterol treatment that sells more than twice the dollar amount of any other drug in the world and is now being tested for benefits in treating Alzheimer’s disease.

I bring this up not because I just finished that Top Companies report, but because of N’Sync.

This morning, I read a funny article adapted from the book The Long Tail by Chris Anderson (not this guy). It examines how the entertainment industry faces The Death of the Blockbuster, citing diminishing CD and movie sales figures and TV and radio ratings as indicators that the niche is where it’s at.

It’s altogether possible that NSync’s first-week record [2.4 million CDs sold] may never be broken. The band could go down in history [. . .] for marking the peak of the hit bubble — the last bit of manufactured pop to use the 20th century’s fine-tuned marketing machine to its fullest before the gears were stripped and the wheels fell off.

Music itself hasn’t gone out of favor — just the opposite. There has never been a better time to be an artist or a fan, and there has never been more music made or listened to. But the traditional model of marketing and selling music no longer works. The big players in the distribution system — major record labels, retail giants — depend on huge, platinum hits. These days, though, there are not nearly enough of those to support the industry in the style to which it has become accustomed. We are witnessing the end of an era.

His long-term economic arguments and his moralizing (near the end) are bizarrely off-kilter. For one thing, News Corp. owns MySpace. The site may offer massive “niche” opportunities, but it’s going to make cash hand over first for Murdoch & Co., both little (user fees) and big (as a promotional tool for its properties).

For another, in this era where every entertainment option is allegedly losing its hit-making power, Anderson manages to avoid any mention of the Harry Potter books and The Da Vinci Code. Both of these are such impossibly massive hits — despite the fact that more individual titles get published now than ever — that they blow a sizeable hole in the concept that we’re all moving to the margins.

It’s my contention that, while there a whole lot of factors at play in the decline of hits in the last five years, I think the biggest is that almost every blockbuster movie is crap, contemporary pop and dance music is so dull that radio stations needed to be bribed into playing it, and the current generation of TV executives were raised on the awful television of the late 1970s and 1980s.

Hits might not be as big as they once were, but they’re even more important to the entertainment industry now, given the high price of failure. I’m not saying it’s right, as it tends to lead to “safe” committee-designed projects, but in the pharmaceutical business, as in Hollywood, the big hits help defray the costs of a bazillion failures.

(The Agitator has some reflections on Anderson’s book.)

AQ Targets Muncie

When the 9/11 attacks happened, two of my coworkers were at a conference in Chicago. They wanted to get back to their families here in NJ, but the airlines were shut down. So they rented a car and started driving.

Rather than go the whole length in one trip (everyone was pretty burned out over the course of the day), they elected to stop at a motel when they reached Akron, OH. The next morning, they read the local paper (the ABJ) while having their breakfast and checking out. One of the guys told me that the newspaper included emergency evacuation plans in the event that Akron was struck by a terrorist attack.

“Not to sound mean,” he said, “but I really don’t think the terrorists were planning to hit New York, Washington, and then–the coup de grace–Akron!”

It’s in that spirit that I offer you an NYTimes article about the national database of potential terrorist targets. Which state, according to the DHS, has the most targets? Indiana!

The National Asset Database, as it is known, is so flawed, the inspector general found, that as of January, Indiana, with 8,591 potential terrorist targets, had 50 percent more listed sites than New York (5,687) and more than twice as many as California (3,212), ranking the state the most target-rich place in the nation.

Highways, Byways, etc.

On Sunday, George Will offered a tribute to the Interstate Highway System, which celebrates its 50th anniversary this summer:

Eisenhower’s message to Congress advocating the interstate system began, “Our unity as a nation is sustained by free communication of thought and by easy transportation of people and goods.”

No legislator more ardently supported the IHS than the Tennessee Democrat who was chairman of the Senate Public Works subcommittee on roads. His state had benefited handsomely from the greatest federal public works project of the prewar period, the Tennessee Valley Authority, which, by bringing electrification to a large swath of the South, accelerated the closing of the regional development gap that had stubbornly persisted since the Civil War. This senator who did so much to put postwar America on roads suitable to bigger, more powerful cars was Al Gore Sr. His son may consider this marriage of concrete and the internal combustion engine sinful, but Tennessee’s per capita income, which was just 70 percent of the national average in 1956, today is 90 percent.

Meanwhile, a 3-ton slab of concrete fell inside Boston’s Big Dig tunnel, killing a passenger in a car. Evidently, this is not connected to the Big Dig concrete fraud case. But after going $12 billion over budget, you can imagine that corners had to be cut somewhere, right?

Mile Low?

Witold Rybczynski has a new slideshow up at Slate, examining the architecture of Denver’s art museum, on the occasion of Liebeskind’s new addition, to be completed in September.

Whether you like this sort of mannered architecture is a matter of taste. Frank Gehry’s swirlings and churnings have always seemed lighthearted and whimsical, buoyed by an endearing take-it-or-leave-it quality. Libeskind’s forms strike me as aggressive. Standing in front of his building is like being buttonholed by someone shouting insistently in your face: And this! And this! And this!

I hope my “Denver correspondent” (that means you, Craig) will provide some comments on this.

(I really need to get around to reading his City Life sometime this summer, but it’s The Chinatown Death Cloud Peril for me right now, followed by Gilead.)

Pf***ed

Sorry for the lack of posts, readers! I’m really busy on the home-stretch of that Top Companies special issue. Gotta finish the final profile today, so’s I can head to the shore tomorrow without worrying about it.

I decided to save the biggest one for last: Pfizer. As you may not care from last year, Pfizer is the biggest of the Big Pharmas, but it’s also got a ton of vulnerabilities, as many of its big sellers are getting hit with patent expirations and generic competitors. Here’s a little bit of this year’s report, just so you know I’m not slacking off from VM for no reason:

In his 2005 letter to shareholders, Pfizer chairman and chief executive officer Hank A. McKinnell, Jr. wrote, “The Pfizer built in the 1990s is fading away as some of our prominent, current medicines lose patent protection. This transformation process—this cycle of renewal—is not unexpected. We have been planning for it for years, understanding that while renewal brings challenges, it also creates numerous opportunities.”

That’s quite an understatement. Last year, we pointed out that many of Pfizer’s top sellers are going to lose patent protection in the next five years. The company got a feel for what’s on the way when epilepsy treatment Neurontin went generic during 2005; the drug’s sales dropped from $2.7 billion to $640 million. Antifungal treatment Diflucan did the same, shedding $445 million in sales.

With $1.3 billion of Bextra sales vaporized in 2005, and Celebrex shedding another $1.6 billion, Pfizer needed to add $6.1 billion in sales last year just to keep pace. That’s more revenue than any of the bottom three companies on our list generated in 2005.

And with Zithromax facing its first full year without U.S. patent protection ($2.0 billion in 2005 sales, after its patent expired in 4Q2005), Zoloft ($3.3 billion) going generic in June 2006, and Norvasc ($4.7 billion, the company’s #2 seller) and Zyrtec ($1.3 billion) set to lose protection in 2007, Pfizer needs to generate huge amounts of new revenues.

It fell short in that mission in 2005, with drug sales falling $2.0 billion in 2005. They’re down $394 million in 1Q2006 (-4%).

Tune in next year to find out if Pfizer manages to recoup sales with Lyrica, Sutent, Chantix, and a million other new drugs!

Till then, back to work. Then play!