@vijaypande delivers an ominous message at Stanford Drug Discovery Symposium 2025 to all C-level execs in big Pharma and biotech: “50% cut to Medicare/Medicaid is doable VIA PREVENTION AT SCALE, enabled by Al.” And challenges all “drug hunters” in the audience to ponder this question: “What (commercial) world will YOUR DRUG will enter in over next 10 years?” My personal disenchantment with biotech is perfectly encapsulated by this stark reminder. Big Pharma and biotech industry at large must embrace what AI for prevention and new MAHA government incentive realignment really offer, otherwise, their pipelines in 10 year time will no longer be economically viable.