@dansfera: Clinical research is going through its own version of the 90s Walmart effect. Just like big-box retailers once swooped into communities and squeezed out the small shops, large clinical research organizations are shifting the landscape in a similar, brutal fashion. It’s a nuanced game of key man provisions and aggressive scaling that makes it incredibly tough for smaller sites to compete. Yet, there’s a silver lining: for the right players, this shift is actually making independent sites more valuable than ever. It’s a ruthless side of business, but those who understand the mechanics are finding ways to thrive. #clinicalresearch #businessstrategy #pharmaceuticals #walmarteffect #researchsites