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How do you feel about outsourcing jobs? Whether for it or against it, most people I speak to have fairly strong feelings about its use.

Some hope that regulations or changes to the tax codes will stop businesses from using it. They

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

hope to see fewer local jobs lost as a a result. Others see it as the only way to compete in a global economy and save their enterprise. I believe it is going to become increasingly more prevalent. Further, it's going to take the jo

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

s from many people who have so far escaped its impact.

Beyond the traditional roles and job grade levels, outsourcing - and in particular off shoring - is about to impact North America's businesses and our economy as dramatically a

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

anything in the past.

If you think that because of your education, management level or profession you are untouchable - you're naive.

It's the Future All Over Again

In the the late 1970s, I started traveling to Asia to meet with

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ompanies and local government agencies willing to set up factories in those countries. My goal was to have them make various products (shoes, accessories, glassware, clothing, microwave ovens) for sale in North America. I went there

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

ecause I thought they could manufacture my goods for far less money than on this side of the ocean. It worked very well. Throughout the decade, Asian factories and economies grew as many other companies followed this approach.

Late

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

, in the early 1990's I applied the same financial logic to increase margins in other industries. I became involved with customer service work which was done over the phone and realized good profit improvements and improved levels o

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

f customer satisfaction by outsourcing jobs to smaller communities across the US and Canada where local wages were low, and unemployment high. As the years passed, we started sending telephone delivered service work to many of the s

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

me areas I'd used earlier to manufacture women's pumps and apparel. Outsourcing was now offshoring. As we all know, many top North American companies no longer have many employees involved in service departments. They've found that

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

those roles can be done better/faster/cheaper by expert companies in Asia or elsewhere.

Now it's becoming clear that many other jobs requiring no physical interaction can be done in Third World countries, where the pay scales are ab

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

ut 1/10th of what people in North America would get for those jobs.

Does Your Job Use Decision Tree Logic? Oh Oh....

Some executives still haven't figured out that the same technology which allows an Indian Customer Service Rep to

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

erve a MasterCard customer in Michigan has been re-purposed and expanded to allow an accountant living in India to do the taxes for an elderly taxpayer in Ontario.

Some people know that this is going to impact many accountants in t

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

e same manner it did to employees in manufacturing and the service industries over the recent years.

But the real big deal still hasn't been considered by most executives, in most industries, yet.

Any management job or professional

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

activity which is dependent upon so called 'decision tree management' is in jeaprody of being outsourced by someone in a country where a computer can do the same thinking in less time and with less human distraction. It is my opinio

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

n, based upon what I see and hear from those in the know that by the year 2015, most routine work done in most businesses in North America will be done by people living in Asia or South America who will be trained and equipped as wel

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 those they are replacing in the western countries. Additionally, they will perform those tasks with greater proficiency because they are grateful to have the job.

Consider how much of your job is done by using straight forward l

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

gic ie: "if this happens, then we'll do this, which will result in X, and our earnings will be $Y." Now take it a bit further and think about your doctor's role - (s)he does pretty well the same thing by reasoning that if you have t

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

ese certain symptoms then you have this particular illness and need to take a specific medication to deal with it. This is precisely the kind of logic that can be done by someone at a computer in any location.

What to Do?

- No gov

.

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

rnment is going to stop this sea change of doing business, so you may as well ride the crest earlier than later.

- If your company can benefit from moving more quickly to offshoring - do it.

- Computers may never figure out how

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

o use intuition or creativity at all - let alone as well as humans.

- Whatever industry you work in, ensure that the career or profession you develop over the coming years is going to be more conceptual and less logical in nature

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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Making Money Building A Business to Business Online Marketplace. An online marketplace is a place where businesses in one specific industry gather to explore common interest, goals and profitable income streams. Information about the business to business marketplace. The opportunities are so large that Forrester Research estimates that business-to-business Internet commerce will skyrocket from approximately $43 billion in 1998 to more than $800 billion by 2002.

Just about anyone can explain what they know, or demonstrate how to do a skill that they've learned. And both of these can be, at times, effective ways of teaching. But these are not the only ways to teach. And for many students, these are not the most effective ways to learn.

Vending machines in schools are a convenient alternative for students to get snacks, chocolate bars, and water all through the school day. Just like adults, children are required to drink six to eight glasses of water to maintain water balance. Vending machines in school premises are very helpful for students as they provide a wide choice of snacks and healthier drinks. They are also helpful when the main counter service is crowded. Vending machines in schools offering drinks, fresh juices, water, and flavored milk can also improve the bank balance of the school, if properly managed.

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