Page 69 - Binder2
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According to a 2023 Gallup poll, only 18% of Americans
               held a positive view of the pharmaceutical industry, while
               60% viewed it negatively. This marked a significant
               decline from previous years, highlighting growing public
               skepticism. Patients begin to see these therapies not as
               breakthroughs, but as cycles of disappointment. Payers
               begin to scrutinize costs more skepticism. Patients become
               more cautious. And the industry—whether it admits it or
               not—pays the price.

               Because the actions of the dominant few don’t just shape
               their own profit margins.
               They shape public perception, payer skepticism, and
               prescriber fatigue across the entire field.
               When one blockbuster drug overpromises and
               underdelivers, it casts a shadow that the rest of the industry
               has to live under.

               That’s the risk of tolerization staying in the shadows.
               It’s not just a clinical problem.
               It’s a reputational time bomb.

               And if the biologics industry wants to preserve the trust it’s
               built—if it wants patients to believe in the next generation
               of therapies—it can’t afford another generation of silent
               failures.
               It needs to lead with clarity, build with durability, and
               finally design for the immune system, not around it.

               Because without trust, even the most brilliant molecule is
               just another broken promise.








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