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Medical Guesswork
INNOVATION
L ESS
REDEDICATED ITSELF TO
A MERICAN
INNOVATION .
A ND
A REWIRED BRAIN
MANY NOW SEE ADDICTION AS A CHRONIC BRAIN DISEASE
THAT REQUIRES NEW APPROACHES TO TREATMENT.
Thats why the experts increasingly
view addiction as a chronic disease much
like diabetes, heart disease or even cancer.
Explored in an article published in the
Journal of the American Medical Association
in 2000, the idea of addiction as a
chronic disease prompted an outpouring
of criticism from those who saw the article
as an excuse for addicts. Over the past
few years, however, there has been growing support for this approach.
Addicts clearly play a part in their
own illness, says article author A. Thomas
McClellan, executive director of the
Treatment Research Institute in Philadelphia. But then again, so do those
whose unhealthy behaviors like smoking,
poor diet and lack of exercise have
contributed to their lung cancer, diabetes
and heart disease.
Embrace the idea of addiction as a
chronic disease, and new treatment
approaches become possible.Just imagine
treating diabetes for 28 days, says
McLellan, noting that the standard treatment for addiction is still a 28-day stint in
a rehab facility, often with no follow-up
therapy. Instead, McClellan talks about
the need for continuing care, behavioral
Medical School, noting that the percentage is about the same as for depression.
But we dont yet know which genes
contribute to that risk.
There are some intriguing parallels
with depression. Long viewed as a psychological weakness, depression is now
also recognized as a disease caused by
complex chemical reactions in the brain.
What changed things in depression
was the introduction of effective antidepressants, says Mark Bear, a professor at
MITs Picower Institute for Learning and
Memory. People stopped assessing blame
once the condition could be improved
with a pill, he says. With addiction, the
treatment options are more limited.
Addiction treatment draws on a much
smaller and less effective medicine chest.
Pharmaceuticals now in use include
naltrexone, which reduces the reward
produced by alcohol use, disulfiram,
which changes the metabolism of alcohol
so that drinking produces nausea and
vomiting, and buprenorphine, which
mimics heroin but is less likely to be
abused. Some of these drugs are restricted,
others can have nasty side effects and all
need to be used with care.
Help.
Some employees are more productive than others. But for those abusing
substances, its as though theyre not even there at all. In fact, according
to the Center for Substance Abuse and Prevention, drug abuse costs
corporate America $85 billion annually. Thats why CIGNA and the
Picower Institute for Learning and Memory at MIT have joined forces to
investigate the connection between the brain and addictive behavior. In
addition, CIGNA is working with pharmacy plans to help members who
may show signs of developing narcotic abuse. For those already battling
addiction, CIGNAs Online Coaching Program offers accessible behavioral
support. For your employees, and for your company, CIGNA is here to help.
For more information, visit us at www.cigna.com/addiction
804996 05/06
CIGNA is a registered service mark, licensed for use by operating subsidiaries of CIGNA Corporation.
Products and services are provided exclusively by operating subsidiaries, including CIGNA Behavioral Health, Inc.,
and not by CIGNA Corporation.
No bottlenecks
Cover Story
72 Medical Guesswork
Americas high-tech
health-care system costs
$2 trillion a year. Yet even
doctors concede that the
effectiveness of most of the
treatments they offer
cannot be demonstrated.
That leaves patients at the
mercy of often wildly
variable clinical judgments
concerning heart disease,
prostate and breast cancer,
diabetes.... Enter surgeoneconomist Dr. David Eddy,
leader of a reform
movement called
evidence-based medicine
72
50
CBS EYE
32
ARMY OF MOMS
P&Gs stealth
sales force stirs
controversy
6 | BusinessWeek | May 29, 2006
News: Analysis
& Commentary
32 I Sold It Through the Grapevine
p&g has 600,000 moms informally
81
Global Business
44 Chinas Science Friction
As scientists trade charges and
countercharges, the controversy over
fraud may be spiraling out of control
45 Commentary: China
The nations antiquated capital markets
hobble innovation by focusing on creaky
state-owned companies
Media
50 The Prime (Time) of Nancy Tellem
The cbs executive has come out of Les
Moonves shadow and become a
powerful player in her own right
The Corporation
So Much Risk
Freeport-McMoRan has
been getting nearly all
its prots from a mine
in Indonesia. But unrest
makes the investment
look shortsighted
50
THE
BUSINESSWEEK
FIFTY
Columnists
22 Wildstrom: Technology & You
Lenovo, Dell, and Hewlett-Packard have
come out with similar executive laptops
and theyre all good
Investigations
People
64 At Miller, Its Norman Time
How the ceo turned the faltering brewer
into a feisty rival for Anheuser-Busch
Finance
52 So Much Gold,
Information
Technology
Entrepreneurs
70 Maybe They Should Call It Fun-iture
Blu Dots spirited approach to design
Golf &
The Business Life
82 Securing a Share of Paradise
Fractional ownership resorts are more
upscale than time shares, and sometimes
they come with an equity stake
Personal Finance
97 Stocks: Wheres the Top?
Equities are riding high. And our
analysis shows they may stay that way
Ideas
106 Books
Bodaken and Fritz: The Managerial
Moment of Truth
Voices of Innovation
20 Health as a Birthright
Dr. Paul Farmer improves treatment
among the poor in blighted regions
Features
11 UpFront
16 Readers Report
18 Corrections & Clarications
102 Figures of the Week
103 Index of Companies
May 29, 2006 | BusinessWeek | 7
BusinessWeek.com
Updated every business day. BusinessWeek magazine is available online free to
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Possibilities by design.
G35.toshiba.com
1.800.TOSHIBA
1. Because HD DVD is a new format that makes use of new technologies, certain disc, digital connection and other compatibility and/or performance issues are possible. Advanced interactive and navigation features of the HD DVD Video format are not
supported by this product. See HD DVD Technology Legal Footnote at www.info.toshiba.com. HD DVD-ROM drive is only available on the Qosmio G35-AV650 model. 2. TV tuner will function only in the country where the computer was purchased. Qosmio
is a trademark of Toshiba America Information Systems, Inc. and/or Toshiba Corporation. Centrino, Centrino logo, Intel, and Intel logo are trademarks or registered trademarks of Intel Corporation or its subsidiaries in the United States and other countries.
Microsoft and Windows are registered trademarks of Microsoft Corporation in the United States and/or other countries. All other trademarks are the property of their respective owners. Screen images are simulated. While Toshiba has made every effort at
the time of publication to ensure the accuracy of the information provided herein, product specifications, configurations, prices, system/component/options availability are all subject to change without notice. For the most up-to-date product information
about your computer, or to stay current with the various computer software or hardware options, visit Toshibas website at pcsupport.toshiba.com. Reseller/Retailer pricing may vary. 2006 Toshiba America Information Systems, Inc. All rights reserved.
Grow Faster.
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Confident Growth.
Thats D&B Sure.
WORK LIFE
WHAT DO
MEN WANT? A
THERMOSTAT
Employees who
do a better job get paid more
AGREE
AGREE
MANAGERS
NON-MANAGERS
MANAGERS
NON-MANAGERS
48%
31%
46%
29%
Data: Transforming Pay Plans, a Hudson survey of 10,000 employees, Mar. 20-26, 2006
C-SUITE
REALITY TV
(UN)SURVIVOR
max schumacher
(network executive): We
could make a series of it.
Suicide of the Week. Aw, hell,
why limit ourselves?
Execution of the Week.
howard beale
(anchorman): Terrorist of
the Week.
schumacher:
I love it.
Suicides,
assassinations,
mad bombers,
Maa hit men,
automobile
smash-ups: The
Death Hour. A
great Sunday night show
for the whole family.
BLOGSPOTTING
LOCATION,
LOCATION
curbed.com
2006
From a press release
announcing A&Es pilot
episodes of two reality shows
about the most feared topic
of all: the end of a human life:
a&e is in development
with two distinct programs
that deal with the overarching themes of death
and dying: Last Requests
(working title) and Six
Months.
a&e spokesman daniel
silberman:
These shows
are still just
pilots, but both
of them are
celebrations [of
life]. Neither of
them are exploitive. They
are very serious programs.
BURNING CORN
1976
From the movie Network:
Places to go.
People to see.
Rewards to enjoy.
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for cash advances: 22.74%.) However, if you are in default under any Card Agreement that you have with us, we may automatically increase the rate on all balances (including any promotional balances) to a
variable default rate of up to 31.74%. We may also increase the promotional rate if you fail to make payments to another creditor when due. Minimum finance charge is $0.50. Foreign purchase transaction fee is
3.0% of purchase amount after its conversion into U.S. dollars. The transaction fee for cash advances is 3.0% of the amount of each cash advance, $5 minimum. The transaction fee for balance transfers is 3.0% of
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2006 Citibank (South Dakota), N.A. Citi, Citibank, Citi with Arc Design, Citi PremierPass, ThankYou Network and ThankYou Design are registered service marks of Citigroup Inc. ThankYou is a service mark of Citigroup Inc.
MasterCard is a registered trademark of MasterCard International Incorporated.
E-PPZ56-DBI-G6
FASHION
WEB WORLD
DEARTH
OF THE
SALESMEN
MAMMAS, LET YOUR babies
DOWN THE
POSTPARTUM
RUNWAY
Once, new mothers unable to
squeeze into their prepregnancy clothes wore
sweatpants and oversize
shirts. Now, some maternitywear designers are offering
clothes for the just-had-ababy body. Babystyle.com
has launched a Transition
Collection. Japanese
Weekend Maternity, based in
San Francisco, has introduced
a small in-between line. And
the niche has attracted a real
heavyweight: celebrity
maternity-wear designer Liz
Lange, who dressed Sarah
Jessica Parker and Gwyneth
Paltrow during their
pregnancies. Langes line,
called 4th Trimester, features
stretchy, slimming fabrics.
The collection has already
received a boost from highprole customers like Tracey
Stewart, Jon Stewarts wife,
who wore a custom-made 4th
Trimester gown to the Oscar
ceremonies in March. The
postpartum lines, says Wendy
Liebmann, a New York retail
consultant, address the
sense of desperation some
new mothers feel about their
bodiesthe need to feel
pretty again. Louise Lee
MANAGEMENT
Q. Is there a Freudian
component to todays
management theories?
In leadership consulting, yes,
since theres a
recognition of the
unconscious
process. We try to
uncover unspoken
assumptions about
leadership to make
the unconscious
conscious. We say
to make the invisible
visible, because you cant
sound like a therapist.
HI, MOM
Langes
line for
mothers
1-877-893-7766 | www.HealthMarkets.com
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Mid-West is licensed in all states except ME, NH, NY, VT; Chesapeake is licensed in all states except NJ, NY, VT. The companies market and plan availability varies by state.
ReadersReport
EDITOR-IN-CHIEF: Stephen J. Adler
EXECUTIVE EDITORS: Joyce Barnathan, John A. Byrne, Kathy Rebello
ASSISTANT MANAGING EDITORS: Paul M. Barrett, Frank J. Comes, Robert
Jane A. Sasseen
SENIOR WRITERS: Catherine Arnst, Stephen Baker, Aaron Bernstein,
Diane Brady, Nanette Byrnes, Steve Hamm, David Henry, Tom Lowry,
Gene G. Marcial, Michael Orey
ECONOMICS: Peter Coy (Economics ed.), James Mehring, Christopher
B-SCHOOL REALITIES,
UNDERGRAD AND MBA
BusinessWeek
MAY 29, 2006 (ISSN 0007-7135)
******
3986
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SEQUOIA
Rediscover Your Family
Vehicle shown with available equipment. 2006 Toyota Motor Sales, U.S.A., Inc.
The 273-hp,
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ReadersReport
top mba schools are now dropping all
the unpleasant-to-teach skills courses for
seminars. The undergraduate programs all
have a healthy dose of skills.
Stephen Wells
Greenwich, Conn.
i suggest that you give more attention to process and outcomes in future
rankings. The Monfort College of Business
(University of Northern Colorado) students perform at the top of the heap of seniors taking an Educational Testing Service
exam. It does this without admitting the
highest sat/gpa high-school students. I
visited Monfort last year as my son was deciding where he would attend. (He chose
Hawker 400XP
203,750
Citation X
Hawker 800XP
412,500
443,750
Legacy $765,625
Do we...have a
shortage [of
engineers] or
are executives trying to
flood the labor market?
Ron Johnson
Chandler, Ariz.
weekly from sites like TopCoder Inc. Students have much less incentive now to
practice all day, when prizes have shrunk
considerably. Nonetheless, engineering
majors can easily learn to write software,
as they require it in their research.
David Chen
Pasadena, Calif.
you point out the catch-22 for U.S. computer science majors: Programmers with
business and leadership skills will do ne.
However, the majority of programmers are
not allowed in business to display their
leadership skills, especially junior-college
hires. Look at the divide between computer science and management information
science (mis), the latter taught in business
schools: In their rst jobs, mis grads are
hardly ever asked to program, while computer science graduates are given only that
task. Frequently, programmers need to
take mba programs or other leadershipcertication courses before their skills are
recognizedmore often, it comes when
they switch jobs. It is no wonder many
bright students are turning away from
computer science careers.
Abel Sussman
Falls Church, Va.
877.703.2348 | www.flightoptions.com
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on the World Wide Web at: www.businessweek.com and on
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Flight Options, LLC is a Raytheon Company.
On a Higher Plane
VoicesofInnovation
Health as a Birthright
Farmer
trains local
Haitians
to treat
their
neighbors
you,inc.
poweredbycisco.
Technology&You
BY STEPHEN H. WILDSTROM
Greg Pitzer
Managing Principal
Business Advisory Services
MediaCentric
BY JON FINE
The bizarre rituals of the television upfronts are upon us. Each May the
broadcast and cable networks trot out their stars and upcoming schedules in
lavish presentations at landmark Manhattan theaters. Advertisers are feted
until their eyes bulge. Somewhere in all this, commitments are made for
billions of dollars of ads. (The tally for last years upfronts was $9.1 billion.)
For 125 years, weve put ourselves in dire situations because thats where
were needed. In the face of often impossible conditions weve pressed
tirelessly on. We are the American Red Cross, an organization of volunteers
who give our time, talent and strength to relieve the suffering of our
neighbors in over 70,000 disasters each year.
Serve at our side. Contact your local American Red Cross
in this, our 125th anniversary of hope.
A Ray of Hope
For the Trade Gap
Exports are surging, powered by overseas demand and a weaker dollar
In recent years the U.S. trade decit has been the
No.1 blight on an otherwise robust economy. Its persistent widening
has fueled trade tensions around the world, outsourcing worries
among workers, and protectionist sentiment in Washington. Is there a
chance for improvement in the trade gap anytime soon?
U.S. ECONOMY
Business Outlook
BY JAMES C. COOPER
Business Outlook
LABOR MARKET
ASSET MANAGEMENT
Bank
of the
Year
2005
For more information: www.db.com Deutsche Bank Securities Inc., a subsidiary of Deutsche Bank AG, conducts investment banking and securities activities in the United States.
Deutsche Bank Securities Inc., is a member of NYSE, NASD and SIPC.
The Business
Week
News you need to know
EDITED BY HARRY MAURER
Metals Mania
Adis, Occidental?
Todd Meredith
VP of Operations
Joe Gibbs Racing
sprint.com/business
Sprint Power Vision Network reaches over 150 million people. Coverage is not available
everywhere see in-store maps for details. #1 wireless provider to business claim
based on independent survey of corporate-liable users. Joe Gibbs Racing. 2006
Sprint Nextel. All rights reserved. Sprint, the Going Forward logo and the NEXTEL
name are trademarks of Sprint Nextel. The NASCAR NEXTEL Cup Series marks are used
under license by NASCAR, Inc., and Nextel Communications, Inc.
I SOLD IT THROUGH
THE GRAPEVINE
Not even small talk is sacred anymore.
P&G has enlisted a stealth army of
600,000 moms who chat up its products
TEEN TEAM
in january, the Federal Trade Commission discussed the disclosure issue with
p&g. While Knox says the agency is ne
with p&gs stance, another person knowledgeable about the situation says the matter isnt resolved. There are a lot of wordof-mouth programs in play now, many of
which are unsavory, observes Pete Blackshaw, a womma founding board member.
As the leader in the industry, p&g has a
higher obligation to set the right standard.
Indeed, no major corporation has embraced word-of-mouth marketing as aggressively. p&g is the only such company to
otto hyde
BY ROBERT BERNER
underfunded
Sam: Way
A French frenzy over
36| Exxons
pension plan
38| Uncle
beyond phone records 42| The Da Vinci Code
over inuencing product sales. The solution to this problem: nding a strong reason why a connector would want to share
product information with a friend. We
do tremendous research behind it to nd
the reason to care, Knox says.
scott goldsmith/aurora
BUZZ SOLDIERS
Harrington and
her daughter, Nia,
talk the talk
IMMIGRATION
HIRING ILLEGALS:
INSIDE THE DEAL AHEAD
Business is getting behind a new system
of vericationand steep nes
BY AARON BERNSTEIN
f president bushs may 15 call
to send 6,000 National Guard
troops to border states was aimed at
winning over conservatives opposed to his immigration plan, it
hasnt worked. But even as policy
gridlock continues, Washington is
quietly closing in on a compromise in one
critical area. BusinessWeek has learned
that a bipartisan working group of ve
senators has reached a consensus on a
massive new government system to verify the status of anyone who applies for a
job in the U.S.
A legislative amendment agreed upon
by Republicans Charles E. Grassley of
Iowa and Jon Kyl of Arizona and Democrats Edward M. Kennedy of Massachusetts, Max S. Baucus of Montana, and
Barack H. Obama of Illinois would require
all U.S. employers to submit job applicants
Social Security numbers or other id to a
new federal verication system and face
stiff nes for violations (table). The deal
was worked out with input from interest
groups from across the spectrum, including the American Civil Liberties Union and
ON THE JOB
Homebuilding
in Murietta,
Calif.
axel koester
Is a Crackdown Coming?
EMPLOYEES
EMPLOYERS
A bipartisan
Must show prospective
Face stiff nes of up to
group of ve
employers a passport or a so$20,000 per illegal hired or for
senators has
called Real ID drivers license.
not adequately keeping records.
reached a
Their work status will be
Repeat offenders could face
checked with a new database
a loss of government contracts
tentative
linked to Social Security numbers for ve years.
compromise on and immigration documents.
Those engaging in a
a new employee If rejected, they cant be hired pattern
of knowing violations
verication
face nes of $20,000 per illegal,
unless they appeal. If the new
plus three years in prison.
system cant determine status,
system. The
they would be free to work.
outlines:
and those of civil libertarians and companies worried about a new, untested government system causing major employment and privacy hassles. Of course, the
plan may yet change when it reaches the
full Senate as part of the larger immigration bill. (As of May 17, Kyl was holding
out for a tamper-proof Social Security
card as the price of his support.) It would
also have to clear the more conservative
House of Representatives, which wants a
new card as well as checks run on the entire U.S. workforce.
The plan
calls for
50 times
as many
workplace
inspectors
STEADY FLOW
One quarters free
cash would almost
cover the gap
OIL SHOCKS
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10
12
INCREASED PRESSURE
Why
Washington
Watches
Top six reasons federal agencies say
that they perform data mining
using private-sector information,
such as credit-card records:
1
2
3
Improving
service or
performance
Detecting fraud
and waste
Identifying
terrorist activity
4
5
6
Analyzing
scientic
information
Discerning
criminal patterns
Improving
safety
obeys the Privacy Act and protects information that might personally identify an
individual, a spokesman says. Despite
the gaos ndings, a Homeland Security
spokesman denies that his agency purchases consumer records from private
companies. The State Dept. didnt respond to requests for comment.
A number of lawmakers from both parties are calling for investigations of the role
robert neubecker
BY LORRAINE WOELLERT
AND DAWN KOPECKI
uror and confusion
over allegations that major
phone companies have surrendered customer calling records
to the National Security Agency
continue to roil Washington.
But if at&t Inc. and possibly
others have turned over records to the nsa,
the phone giants represent only one of many
commercial sources of personal data that the
government seeks to mine for evidence of
terrorist plots and other threats.
The Departments of Justice, State, and
Homeland Security spend millions annually to buy commercial databases that
track Americans nances, phone numbers, and biographical information, according to a report last month by the U.S.
Government Accountability Office, the investigative arm of Congress. Often, the
agencies and their contractors dont ensure the datas accuracy, the gao found.
Buying commercially collected data allows the government to dodge certain
privacy rules. The Privacy Act of 1974 restricts how federal agencies may use such
information and requires disclosure of
what the government is doing with it. But
the law applies only when the government is doing the data collecting.
Grabbing data wholesale from the
private sector is the way agencies are getting around the requirements of the Privacy Act and the Fourth Amendment,
says Jim Harper, director of information
policy studies at the libertarian Cato Institute in Washington and a member of
the Homeland Security Dept.s Data Privacy & Integrity Advisory Committee.
The Justice Dept. alone, which includes
the fbi, spent $19 million in scal 2005 to
obtain commercially gathered names, addresses, phone numbers, and other data,
according to the gao. The Justice Dept.
of phone companies and the nsa in domestic surveillance. BellSouth Corp. and
Verizon Communications have denied
turning over bulk call records to the agency,
although their carefully worded statements
contained some ambiguities. at&t said
that when it helps the government, it does
so strictly within the law. On May 11, USA
Today reported that the three telecom titans
cooperated with nsa surveillance efforts.
But in the face of the uproar over the issue, others on Capitol Hill are pushing for
more government data collection. House
Judiciary Committee Chairman F. James
Sensenbrenner (R-Wis.) is drafting legislation to require isps to amass information
about users Web-surng habits to assist
government investigations. Executives at
companies that fail to comply could be
subject to up to a year in prison.
Other players in the information world
that could get more attention in coming
days are little-known rms that help telecom industry clients comply with government investigations. Thats a small part of
what a company called NeuStar Inc. does.
2
9
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The 350 is taxing
Airbus already
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PLANEMAKERS
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Air Race
Number of planes
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350 100
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Data: JC Latts
Custody rulings. Foster care. Adoptions. Our founding vision was to give every abused
and neglected child in Florida a strong advocate in court. Two years later, were well on
our way. Today, program staff, attorneys and over 5,000 volunteers represent more
than 27,000 children. Instead of information in file drawers scattered all over the state,
Citrix software gives advocates secure access to our case management system from
anywhere. Resources are precious, so we must apply them wisely, not waste time
chasing data. These kids depend on us. Thats why were depending on Citrix to take
us the rest of the way to advocate every Florida child in need.
JOHNNY C. WHITE
CIO
Florida Guardian ad Litem Program
CHINA
SCIENCE
FRICTION
Is the controversy over research fraud in China
spiraling out of control?
crowd of academics accused of everything ethical behavior. Misconduct is so widefrom falsifying or plagiarizing results to spread among Chinese academics that
embellishing rsums. While some have they have almost become used to it,
lost their jobs, there are many, many Fang said in an e-mail exchange. They
known cases where the academics are still dont think its a big deal at all.
The turmoil comes at a particularly
in senior positions, says Yuen Ying
Chan, a University of Hong Kong profes- embarrassing time for President Hu Jintao. He and other leaders
sor and dean of the jourhave been ogging their vinalism program at ShanTHE STAT
sion of China as an econotou
University
in
my that relies on high-end
Guangdong province.
innovation more than lowOne of the leading Chicost manufacturing. To realnese whistle-blowers is
ize this brains-based future,
biochemist Shi-min Fang.
Communist Party leaders
He runs a highly inuenurge scientists to seize the
tial Chinese-language Web
Chinas spending
leading edge of nanotechsite (www.xys.org) that deon scientic R&D nology, stem cell research,
tails charges of fraud and
and other emerging elds.
abuse among Chinas sciin 2004, up 28%
Such ambitious goals
entists. Since his site
over 2003
may be inspiring the unethlaunched in 2000, he
Data: Chinas National Bureau of
Statistics (as reported by the official
ical behavior. Everybody is
claims to have exposed
Xinhua News Agency)
under pressure, says Xin500 cases of illegal or un-
$24.6
billion
richard freeda/aurora
BY BRUCE EINHORN
ust when u.s. universities are pushing to form alliances with their counterparts in China, accusations
of scientic fraud are zinging
across the Middle Kingdom.
Beijings determination to
make China a scientic superpower
seems to have created a Wild West climate where top researchers, under intense pressure to produce, are tempted to
fake results or copy the works of others.
Amidst charges and countercharges
some of them spuriousscientists worry
that a witch hunt is starting up that could
besmirch the credible research along
with the suspect.
The outcry reached a crescendo on
May 12, when Shanghai Jiaotong University announced the ring of star professor
Chen Jin for allegedly faking research on
computer chips. Chen is just one in a
roman degoul/rea/redux
MESSY DISPUTES
qiu, 51, teamed up with ntc in 2002 to
develop his discovery regarding the ability of E. coli bacteria to kill harmful microbes in the body. The two sides had a
falling out over what Qiu calls a disagreement about the percentage of shares he
should get in the company. After that,
some members of Qius research group
accused him of faking his lab results. The
charge, says Qiu, is ridiculous...its a
huge joke. Sichuan University announced in April that it had cleared Qiu
of wrongdoing. But ntc, unpersuaded,
has asked the university to make the details of its investigation public.
Such messy academic disputes could
give pause to U.S. universities seeking
to increase their collaborations with the
Chinese. Dr. George Wu, a professor at
the University of Connecticut who collaborated with Dr. Qiu, has rsthand
knowledge of the dangers. Early this
year, Wu was anonymously accused of
contributing to Qius alleged fraud. I
have never heard of anything this
nasty, he says. While Wu was cleared
by UConn, he has been replaced as
head of his division, a move that the
university says was in the works before
the fraud allegations. Wu isnt so sure:
Theres a stigma attached to somebody who is investigated.
The level of acrimony isnt likely to
die down soon. Indiana Universitys
Xin-Yuan Fu, a cancer expert, wants
Beijing to create clear guidelines on
how to handle accusations of wrongdoing, but whistle-blower Fang doubts
that anyone would trust a government
investigation.
With Catherine Arnst in New York
C O M M E N TA RY
BY MICHAEL MANDEL
Finance Investing
Charter:Cables
Sucker Stock
Getting in early at the company seemed
like a safe bet. It has been anything but
BY ROBEN FARZAD
hen i went to
work on Wall Street
after college, I immersed myself in
the equity culture. I
ate breakfast watching Maria Bartiromo and scarfed down lunch in front of a
Bloomberg terminal. I took home stacks
of research reports, valuation models, and
prospectuses. Blinking Excel spreadsheets appeared in my dreams. Id say I
was a fairly avid student. And yet it was
during that period of my life when I managed to buy perhaps the worst stock in
America: Charter Communications Inc.,
the countrys No. 4 cable-tv provider.
In early 2000, Charter seemed a nobrainer of an investmentthat rare intersection of vast potential and minimal risk.
I was buying alongside majority owner
and Chairman Paul G. Allen, a cofounder of Microsoft Corp. and one of the
worlds richest men. Allen had put up $8
billion of his own money to make Charter
the keystone of his wired world strategy that also included big stakes in Priceline.com, rcn Corp., and Oxygen Media.
Much ink has been spilled about Allens
troubles as an investor in such companies. But at Charter he also ranand continues to runthe show. Wall street loved
how he rolled up small cable outlets
across the map, culminating in a $3.2 billion initial public offering in 1999.
And so, in my prelapsarian naivete, I
bought some shares a few months after
ing nasty quarterly losses, including, earlier this month, red ink of $459 million,
or $1.45 a share, for the rst quarter, vs.
$353 million a year ago. Charters quarterly losses per share now exceed its share
price, which, at $1.20, has collapsed from
a 2001 high of $25. Its perverse, the realization that each of my $1.20 shares generates a $1.45 loss. Its a wonder I dont
owe Charter money.
A company spokesman says Charter
has ample liquidity and nancial resources. But because so much of its cash
ow is eaten up by servicing the debt, say
analysts, its unable to invest in the
things necessary to keep customers from
ocking to satellite tv and the regional
CRUSHING DEBT
sporting the scal soundness of a
banana republic, Charter has every rea-
son to erase its debt by declaring bankruptcy, nally wiping out long-suffering
holders like yours truly. But it wont, because Allen, who has billions of his own
money plowed into the equity side of the
ledger, refuses to cede control to creditors, who would pick through the choicest assets the way they did in the
Adelphia Communications Corp. bankruptcy. While Allen declined to comment
for this story, a source close to his holding company notes that the incentives
are a hundred percent aligned. And if the
michael witte
Finance Investing
CHARTERING MY MISERY
25
DOLLARS
CHARTER
SHARE PRICE
20
15
10
5
0
NOV. 19, '99
MAY 1, '06
has a $200 million yacht, a private spaceship venture, ownership of the nbas
Portland Trail Blazers and the Super Bowl
runner-up Seattle Seahawks, and a plan
to commit $1.6 billion to power and agriculture projects in Bangladesh. Its a full
plate, to be sure. What does he care
about more: Charter or the Seahawks?
asks Jake Newman of CreditSights. New-
fraud and conspiracy and inating Charters subscriber count. (They were each
sentenced to a year in jail.) It took more
than a year for the company to hire a permanent cfo, who would last only seven
months on the job. Its ceo at the time
ended up resigning, too.
As if all of that werent embarrassing
enough, word got out a year ago that Charters board of directors was on the
BWS FARZAD I
think about how
brink of suing
badly my naivete
Allen himself to
got me burned
force him to exchange preferred
shares that he bought for $700 million in a
cable transaction for the equivalent in
common stock, something he promised to
do in a 2002 agreement. Apparently, Allen
thought common shares were only good
enough for suckers like me. The two sides
ultimately came to an agreement outside
of court. But the absurdity of a board suing
its own chairman says all there is to say
about the state of affairs at Charter.
Now, Charter is working on its fourth
ceo in four years: Neil Smit, a former
My name
childhood ambition
fondest memory
indulgence
last purchase
favorite movie
inspiration
My life
My card
SM
My life. My card.
mylifemycard.com
Media TV
BIO
POWER DUO
Arn and
Nancy Tellem
A TOUGH JOB
but for every exciting new push
into New Media, theres a headache from
the traditional side of the house. Both abc
and Fox this year have chipped away at
cbss massive lead among tv households,
which is down this season by 2%. In a direct assault, abc said May 16 it would put
its hot show Greys Anatomy up against
cbss hit csi on Thursday nights this fall.
Delivering on cbs ceo Leslie Moonves
vow to make cw (which launches in September) protable in its rst year will be
Tellems task as well. Nancy has a tough
job this year, says Moonves. But shes
talented, extremely organized, and is better than anyone I know at making a team
work as efficiently as it can.
If theres anyone who knows just how
aggressively Tellem tackles problems, its
Moonves. The two have been nearly inseparable professionally since 1987, creating hits such as Friends and er at
Warner Bros. tv studio. At the Tiffany
network, they developed megahits like
Survivor and csi: Crime Scene Investigation, which rejuvenated cbs after years as
the geezer network and made it the
most-watched in ve of the last seven
years. The formula was simple. Moonves,
the former actor with the golden gut for
programming, schmoozes the stars, picks
the hot shows, and often takes the limelight. Tellem stays in the background, she
says by design, to make sure the shows
work, negotiating hard with studios,
keeping producers on budget, and occasionally taking a hard line with actors.
So Much Gold,
So
Much
Risk
Unrest makes Freeports dependence on
50
Go on. Be a Tiger.
Information Technology
ty Inc., says the audit and a second one
meant to target the many companies
that support and service Freeports operations at Grasberg will be delayed for
at least several months. We wont send
our people in until were sure that stability is restored, he says.
But its the Indonesian government
thats potentially more unsettling to investors than Papuan rebels. Several
politicians and grassroots organizations
are pushing President Susilo Bambang
Yudhoyono to emulate Venezuelas
Hugo Chavez and seize a bigger chunk
of the bounty from his countrys natural
resources. At this point, though, most
local businesspeople think Freeports
long-term contract will be respected.
They say that Yudhoyono is progrowth, and to win over new investors,
he needs to continue setting a good ex-
WILD RIDE
Freeport-McMoRan relies on its huge mine
in Papua, Indonesia, for some 90% of its
revenues and, as a result, is exposed to
the countrys shifting political winds.
Freeports market cap has yo-yoed
dramatically in the past 10 years:
wizard of Wal-Mart,
is getting the data
glut under control
BILLIONS OF DOLLARS
MARKET VALUE
10
8
6
4
2
0
'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06
Data: Bloomberg Financial Markets
BY PETER BURROWS
hen randy mott
joined Wal-Mart
fresh out of college in 1978, its inhouse tech staff
had only 30 members and company
founder Sam Walton had not yet become
a believer in the power of computing to
revolutionize retailing. But Mott and his
cohorts developed a network of computerized distribution centers that made it
simple to open and run new stores with
cookie-cutter efficiency. Then in the early
1990s, Mott, by this time chief information officer, persuaded higher-ups to invest in a so-called data warehouse. That
let the company collect and sift customer
data to analyze buying trends as no company ever hadright down to which avor of Pop-Tarts sells best at a given store.
Information technology wasnt Mr.
Sams favorite topic. He viewed it as a necessary evil, recalls fellow Wal-Mart
Stores Inc. alumnus Charlie McMurtry,
who has worked with Mott for years. But
later, Randy got [Waltons] ultimate compliment. He said, Man, youd make a
great store manager.
By the time Mott took his latest job
last summer, as cio of Hewlett-Packard
Co., he had become a rock star of sorts
among the corporate techie setan executive who not only understood technology and how it could be used to improve a business but how to deliver
those benets. Besides his 22-year stint
at Wal-Mart, Mott helped Dell Inc.
hone its already huge it advantage. By
melding nearly 100 separate systems
into a single data warehouse, Motts
team enabled Dell to quickly spot rising
inventory for a particular chip, for instance, so the company could offer online promotions for devices containing
12
Stopping
The
Sprawl
At
HP
How Randy Mott,
Hotshots
cus on a few corporate-wide initiatives
including scrapping 784 isolated databases for one companywide data warehouse. Says Mott: We want to make hp
the envy of the technology world.
If it works, Motts
makeover
could have
THE STAT
more impact than any
new hp advertising
campaign, printer, or
pcand could turbocharge the companys
already impressive
turnaround. hp posted
The number of new prots
of $1.5 billion in
data centers HP is its second quarter, up
building, replacing 51% from the year before, on a 5% increase
85 now.
in sales. hp shares had
Data: Hewlett-Packard Co.
been slipping, but
they jumped on May
17, the day of the earnings call. All told, the
stock is up 65% since new ceo Mark Hurd
took over in April, 2005. If Mott is successful, hps annual spending on tech
should be cut in half in the years ahead,
from $3.5 billion in 2005, say insiders.
More important, a Wal-Mart-style data
warehouse could help hp make headway
on its most vexing problem in recent
years: how to capitalize on its vast
breadth. While hp sells everything from
$10 ink cartridges to multimillion-dollar
supercomputers, the company has operated more like a conglomerate of separate
companies than a one-stop tech superstore. We shipped 55 million printers, 30
million pcs, and 2 million servers last
year, says ceo Hurd. If we can integrate all that information, it would enable
us to know exactly how were doing in
Chicago on a given day, or whether the
cio of a big customer also happens to
own any of our products at home.
THE FRENCH
MAY BE
EXPERTS ON
FOOD AND
WINE, BUT
WHAT CAN
THEY TEACH
US ABOUT
RUNNING
A COMPANY ?
Armando Zagalo
de Lima of Xerox
appreciates the
French taste
for innovative
management as
much as he enjoys
their taste for the
good life.
NO DREAMER
since then, mott has been methodically building his team. He has quietly
added nearly a dozen respected executives from his days at Wal-Mart and Dell,
including McMurtry and Ron Griffin, the
former cio of Home Depot Inc. who is
now hps senior vice-president in charge
of application development and support.
A key turning point came in September,
when Mott won the hp boards commitment to buy or build the new data centers
and the servers, storage banks, and networking gear to ll them. Randy is the
right leader at the right time for hp,
says Michele Goins, a long-time hp executive who now reports to Mott, running
the it systems for the huge printer division. If hed come here three years ago,
he would have left. Carly [former ceo
Motts
Greatest
Hits
HURD Backing
the move to
centralize the
companys
info systems
Motts
makeover
of the data
centers is
stirring up a
hornets nest
WAL-MART (1978-2000)
Starting as a programmer out of college, Mott helped design
and deploy some of the retailers signature tech innovations.
That included systems to automatically replenish store shelves
and a data warehouse to analyze purchasing trends.
Mott came to
DELL (2000-05)
Hewlett-Packard Mott combined more than 80 corporate databases into
a single version of the truth. If one product was falling out
last year with a
favor, Dell could quickly spot the trend and offer online
sterling rsum ofdiscounts.
and a tough task
ahead:
HEWLETT-PACKARD (2005-present)
Mott plans to cut HPs IT costs in half by consolidating 85
data centers into six facilities in the South, and to improve
sales by building HPs rst real data warehouse.
56 | BusinessWeek | May 29, 2006
European President
Armando Zagalo de Lima
says Xerox can rely on
the French for innovative
business practices.
Youre in charge of Xerox across Europe.
How does France fit into the picture?
Xerox France has consistently been one of our best
performance units. Its been that way for a very long time.
Strong leadership. Theres always a link between
senior leadership and success. Over the past 15 years,
at least four of Xeroxs heads of Europe have been
French. Theyve instituted some highly innovative
management practices and theyve been extremely
successful with them.
Xerox in France
Over 4,000 employees
Over 140 concessionaires
How would
you sum up
the French?
Creative, very
open to doing
and more than 300 distributors things differently,
to going after
a big idea and
Grenoble research facility
thinking out of
is one of the four main Xerox
the box. France
innovation centers around
is a place where
the world
wild ideas can
actually become
reality. The French have that capacity to dream up a
vision, build a plan to achieve it, then execute it.
France is a place
where wild ideas
can actually become
reality. The French
have that capacity to
dream up a vision,
build a plan to achieve
it, then execute it.
A French customer will stay committed to his supplier. Ive
always had the feeling I could rely on the French.
IFA 2005
Meet
The Hackers
BY SPENCER E. ANTE AND
BRIAN GROW
imitry ivanovich golubov doesnt look like an
arch criminal. A babyfaced 22-year-old Ukrainian, he is described by his
lawyer as an unassuming
part-time student at
Mechnikov University in Odessa.
But when the Ukrainian police arrested
him last July for his involvement in credit-card fraud, U.S. law enforcement officials hailed it as a big break in their ght
against cybercrime. Subsequently, in January, 2006, the U.S. Attorneys office for
the Central District of California charged
Golubov with a number of cybercrimes,
including credit-card fraud. An affidavit
by a special agent with the Federal Bureau of Investigation states that Golubov
held the title of Godfather for an international ring of computer hackers and
Internet fraudsters that has trafficked in
millions of stolen credit card numbers
and nancial information. U.S. Postal Inspection Service senior investigator Gregory S. Crabb, who worked with Ukrainian authorities on their case, says
Golubov and others controlled the numbers, names, and security codes attached
to credit cards. Low-level criminals
would use that to load up fake cards and
withdraw cash from automated teller machines or buy merchandise. Golubov
was known as the go-to guy, says Crabb.
But last December, Golubovs story
took a bizarre twist. Two Ukrainian politicians, including Vladimir Demekhin,
deputy chairman of the Energy Committee
of the Ukrainian Parliament, vouched for
Golubovs character in court. The judge
hearing the case released Golubov on a
randy pollack
>>
FALLEN ANGEL
he technical
tools to steal
credit-card numbers and online bank
account log-in data are
often just as valuable as
the stolen goods themselves. Smash is being
SHIPPING AND RECEIVING
investigated by the
Postal Inspection Sermong the most pernicious
vice on suspicion that
scams to emerge over the past few
he helps hackers hack.
years are so-called re-shipping
The picture, or avatar,
rings. And U.S. officials believe the king
that
accompanies
of these is a Russian-born hacker who
Smashs posts in online
goes by the name Shtirlitza sly referchat rooms shows a
ence to a ctional Soviet secret agent who
fallen angel. From 25 to
spied on the Nazis. In real life, Shtirlitz is
30 years old and based
being investigated by the U.S. Postal Inin Moscow, he is bespection Service in connection with tens
lieved to be an expert in
of millions of dollars worth of fraud in
GOLUBOV Photo
building spyware prowhich Americans are signed up to serve
found on a seized
grams, malicious code
as unwitting collaborators in converting
hard drive
which can track Web
stolen credit-card data into tangible
surfers keystrokes and
goods that can be sold for cash. We think
he is involved in the recruitment of hun- exec, who is helping with the Postal In- are often hidden in corrupted Web sites
and spam e-mail. U.S. enforcement offidreds of people, says William A. Scham- spection Service investigations.
Officials do not know Shtirlitz real cials say Smashs Russia-based company,
bura, an analyst with the U.S. Postal Inspection Service. Shtirlitz did not name but believe he is 25 to 27 years old rat Systems, openly hawks spyware on
respond to e-mail requests for comment. and lived in the San Francisco area at one the Web at www.ratsystems.org. E-mails
Investigators believe that people like time after his parents emigrated. They do requesting comment were not returned.
On its home page, rat Systems denies
Shtirlitz use stolen credit cards to pur- not know where he is now but believe he is
chase goods they send to Americans active. In one forum of CardingWorld.cc, a any malicious intent: In general, were
whose homes serve as dropoff points. The person with the alias infernis posted this against destructive payloads and the
spreading of viruses. Coding spyware is
Americans send the goods overseas, be- request on Dec. 23, 2005:
Hi, I need eBay logins with mail ac- not a crime. But the terms of service
fore either the credit card owner or the onguarantee that its spyware products will be
line merchant catches on. Then the goods cess, please icq 271-365-234.
A few hours later, Shtirlitz replied:
undetectable by the antivirus software
are fenced on the black market. BusinessI know good vendor. icq me: 80-911. made by security companies such as
Week found that re-shipping groups take
Once equipped, someone could log McAfee Inc. and Symantec Corp. One
out advertisements in newspapers and
spoof ads from online job sites. We have into those eBay accounts and use them to product, called the tan Systems Security
a promotional job offer for you!! beckons buy goods with the owners money, while Leak, created for attacking German comone e-mail for a shipping-receiving posi- emptying the money out of their PayPal panies, sells for $834. Its like [saying]:
tion from uhm Cargo that appeared to account. The Web sites are more like a Yes, I sell guns to someone who sells
come from Monster.com. It states that dating service, says Yohai Einav, an ana- crack, but Im not responsible for them,
starting salary is $70-$80 per processed lyst at rsa Security Inc. Then you can says the Postal Services Crabb.
Postal Inspection Service officials are
shipment. Health and Life benets after conduct transactions in private chat
rooms. I can click on someones name also investigating Smashs activity as a
90 days.
senior member of the International AssoIn truth, these scams come and go so and start doing business with them.
ciation for the Advancement of
fast that the shippers-reCriminal Activity, which they
ceivers dont know what hit
THE RISING TOLL OF CYBERCRIME
describe as a loose-knit network
them. One retired business exof hackers, identity thieves, and
ecutive from Florida was furious
MILLIONS OF DOLLARS
MILLIONS OF DOLLARS
MILLIONS OF DOLLARS
400
1,000
nancial fraudsters. Smash and
after learning that he had be- 400
another sought-after hacker
come entangled in a company
NEW
CHECKING
CHECK
300 FORGERY
750 ACCOUNT
named Zo0mer jointly operate
that U.S. officials believe was 300 ACCOUNT
FRAUD*
TRANSFERS
iaacas Web site, www.theftrun by Shtirlitz. The man sent
200
500
services.com, one of the most
about 40 packages, mostly com- 200
popular and virulent data tradputers and expensive cameras,
100
250
ing sites, according to U.S.
to Finland before a department 100
officials. Hosted by a Web servstore notied him of the
0
0
0
ice in Malaysia, the theftserscheme. At that point I wanted
'04
'05
'04
'05
'04
'05
*MONEY OBTAINED THROUGH BANK, CREDIT-CARD, AND OTHER ACCOUNTS OPENED IN THE VICTIM'S NAME
vices.com home page boasts
to do everything I could to deData: Gartner Research
cartoon ads of fraudsters using
stroy them, says the former
Customer satisfaction.
J.D. Power and Associates ranked Kyocera
#1 Copier/Multifunction Product in Overall Customer
Satisfaction among Business Users
Business and technical decision makers ranked Kyocera copiers and MFPs number one in
overall customer satisfaction. Kyoceras advanced technology makes document imaging
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Our workday never ends. Im not saying our people dont go home or have lives. But ending
the workday here doesnt stop our best thinking from moving forward somewhere else.
Dynamic Networking from AT&T enables collaboration around the world. And around the clock.
So Alans company is always ahead of market demands, schedules and the competition.
att.com/yourworld
KING OF SPAM
n may 11, 2005, Massachusetts Attorney General Tom Reilly led a
lawsuit against Leo Kuvayev and
six accomplices, accusing them of sending millions of spam e-mails to peddle
counterfeit drugs, pirated software, fake
watches, and pornography. Kuvayev, a 34year-old native of Russia who uses the
nickname BadCow, is one of the worlds
top three spammers, according to antispam group Spamhaus. State officials allege that Kuvayev and his associates used
a number of Web-hosting services from
the U.S. and around the world to launch
attacks. Kuvayev was charged with violating the federal can-spam Act of 2003,
which requires that unsolicited commercial e-mail be accurate and honest.
Massachusetts was able to go after
Kuvayev because he listed a Massachusetts address on his drivers license and
conducted business using a Boston Post
Office box. On Oct. 11, 2005, after none of
the defendants appeared to answer the
charges, a Superior Court judge issued a
default judgment against them. The
judge found the spammers in violation of
state and federal consumer protection
laws and ordered a permanent shutdown
of dozens of illegal Web sites. Kuvayev
and his co-defendants were ordered to
pay $37 million in civil penalties for sending nearly 150,000 illegal e-mails.
Federal law enforcement officials believe Kuvayevs operation was pulling in
more than $30 million a year. State officials suspect Kuvayev ed to Russia before he was sued. The problem is, Russia
does not have any antispamming laws at
the moment, says Crabb. Its hard to
catch someone who isnt breaking the
law. Kuvayev did not respond to requests
for comment e-mailed to Web sites affiliated with him, and phone numbers listed
under his address were not working.
>>
Federal officials
say Kuvayevs
operation pulled
in more than
$30 million a year
Grow everywhere
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international growth and
the critical role of IT in
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This issues topics include:
Competing Globally: The
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Foreign Investment
Scorecard: Ratings for
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An Acquisition Comes
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PEOPLE
BOTTOMS UP
CEO Norman
Adami brought
persuasive
people skills
Its
Time
64 | BusinessWeek | May 29, 2006
ITS 5 P.M. ON A FRIDAY, AND NORMAN J. ADAMI with an hourly worker in bottling, or a brand
is headed for the pub. Like most bars during manager could have a casual team meeting. Of
happy hour, the wood-paneled lounge is packed. course, when youre breaking down hierarchies,
Its nearly impossible to nd a spot on the over- it doesnt hurt to serve beer (alongside soft
size leather chairs and couches, and two bar- drinks). It makes people brave, jokes Adami.
tenders scurry to serve patrons, who are three
deep. With a pilsner glass in hand, the 5-ft.9-in., mustachioed Adami makes his way over to
three years later, the scene at Freds Pub is
a group of women. Taking a drag from a Peter
emblematic of a seismic cultural shift. Whereas
Stuyvesant cigarette, he taps a young blonde on
the old Miller sought to manage the decline of a
the shoulder to get her attention.
If this were any other bar, some might think brand and avoid the wrath of long-dominant Anthe middle-aged, slightly pudgy man in a less- heuser-Busch Cos. (ab), Adamis Miller gets in
the face of the self-proclaimed
than-stylish blazer was out of
King of Beers. The new attitude
his league. But this is the bar
is most visible in brassy marketNorman built, a 2,700-sq.-ft.
ing that takes on Anheuserpub in the Milwaukee headBusch in a rivalry reminiscent of
quarters of Miller Brewing Co.
the Cola Wars. But Millers turnAnd Norman, a regular here, is
around is really a story about its
president and chief executive.
people. Its a tale of how a
The four smiling co-workcharismatic leader has motivaters welcome Adami into their
ed a long-complacent workforce
group and he jumps right into
and reinvigorated its independthe conversation, peppering
ent distributors. With a style
them with questions. He cant
that is part teddy bear, part grizhelp himself. This is, after all, a
zly bear, Adami has transformed
man who lugs a laptop to a faMiller from a besieged No.2 to a
vorite Milwaukee restaurant,
scrappy underdog nipping at
Calderone Club, to get the ownBY
ADRIENNE
the heels of ab.
ers opinions on new ads. Here
CARTER
Adamis results have been
in the pub, Adami cant pass up
remarkable. In three years he
the chance to take an informal
has managed to bring an end to
poll, looking for feedback on
a 15-year decline that threatened to relegate
the Miller Lite marketing campaign, comments
on the new Leinenkugels Sunset Wheat beer, or Miller to the dreary fate of once-mighty Milwaukee brewers Pabst and Schlitz. In 2004
odds on an upcoming pga tournament.
Amid declining sales, management up- sales of Miller Lite, accounting for 40% of the
brewers roughly $5 billion in sales, rose 12.5%
heaval, and an uncertain outlook, Adami got
by volume, according to Beer Marketers Inplenty of criticism from staffers when he decidsights. And despite aggressive price cuts by ab
ed to turn some half-empty offices and storein 2005, Miller Lite managed to grow 3.2%,
rooms into a bar for Millers 900 headquarters
compared with no growth for Bud Light and a
employees in one of his rst moves as ceo in
slight drop for the industry at large.
2003. But Adami considered opening Freds
Perhaps more impressive, Adami has helped
Pub, named after company founder Frederick J.
knock Anheuser off its game. In 2005, AnMiller, an essential step in overhauling a moriheusers operating income fell 22%, to $2.6 bilbund culture. He envisioned the pub as a place
lion, its rst such decline in a decade. Domestic
where the chief marketing officer could chat
In Their Face
Miller Brewings
turnaround
is a tale of how
a charismatic
leader has
motivated
a complacent
workforce
PEOPLE
Beyond
Miller Lite
With Miller Lite hitting
its stride, Adami is
stepping up efforts
to carve out niches
for more of Millers
18 brands. Targets for
some of the biggest:
Mainstream
Sophisticates
Hardworking
Men
Beer
Acionados
Drinking
Buddies
Miller Genuine
Draft is going
after males 25 to
35 who have
traded red plastic
cups for a pilsner
glass. Its tag line
(Beer. Grown Up.) and
sponsorship of a reality
TV show on Sundance
mirror that message.
Miller positions
Pilsner Urquell
for discerning
drinkers. Select
salespeople
beer merchants
educate bar
staff and retailers on the
special character of the
Czech brew, the original
golden pilsner.
Miller wants
Icehouse to be
the beer for those
times when
youre hanging
out with the guys,
playing Xbox, or
gearing up to go out. The
redesigned logo reects
the modern young male
that Miller is targeting.
waukee in February, 2003, the only real time he had spent in the
U.S. was as a high school exchange student in Dallas in the early 1970s. Back home in South Africa, where rhinos and zebras
roam on his 4,000-acre game farm, it was 70F and summer.
The bitterly cold Midwestern winter was a major shock, almost
as alarming as the situation at Miller.
At rst, Adami thought Miller, which South African Breweries plc bought from Philip Morris in 2002 for $5.6 billion to
form sabMiller plc, would require only basic changes, such as
tighter nancial controls and a rigorous performance-management system. But we were [stuck] in a downward cycle, a vicious cycle, he says, taking a long sip from a Miller Lite in the
smokers lounge at a company sales meeting. We needed to
fundamentally change the direction of the company.
So Adami got to work. His charm offensive, which includes
touches like having owers sent to his male executives wives on
birthdays, is paired with a demanding, no-bs management
style. Normanisms are now part of the vernacular at Miller. A
favorite: If youre going to ght a crocodile, you dont do it in
the water, a South African bush saying.
Adami has restocked much of the executive suite with consumer product heavyweights like chief marketing officer Tom
Long from Coca-Cola Co. and sab recruits like Maurice Egan,
AFTER WORK At
Freds, on the
premises, Adami
nds out what
folks really think
Millers new head of operations. Adami spent months recruiting Tom Cardella, now senior vice-president for international
brands and market development, from competitor InBev. Adamis calls to Cardella at home became so frequent that Cardella started avoiding them. He recalls with a grin: I told my three
daughters that if a man named Norman with a funny accent
calls, tell him Im not at home.
Adami has also instilled his sense of urgency into Miller. Hell
often pick up the phone in a
meeting to get the latest statistic. And after seeing an ab
commercial, he hustled to
get a response ad launched
within a week. Everythings going to be slightly
too slow for Norman, says Denise Smith, Millers senior vicepresident for human resources and another sab import.
For all his intensity, though, Adami knows how to have fun.
At Millers 150th anniversary celebration, the events emcee and
mtv reality star Jamie Kennedy challenged Adami to a chugging contest. Adami won, putting the bottle upside down on his
head to declare victory. His sense of humor can be mischievous.
At a 2005 March Madness party at a dive bar in Kansas City,
Mo., he got up on a rickety stool to rip down a Bud sign.
That kind of aggressiveness used to be part of Millers dna.
The company pioneered the light-beer category, now the largest
segment of beer drinks, with Miller Lite in 1975. The Tastes
Great, Less Filling campaign, featuring athletes like Dick
Butkus and John Madden, is still a Madison Avenue legend.
Miller wasnt afraid to ruffle feathers. Then-President John
Murphy, a hulking Irishman, had a hook rug with abs iconic
eagle under his desk so hed constantly step on his rival.
But over the years, Miller lost its edge.
Failed product launches like its 1993
Miller Clear (a colorless beer) and
marketing ops took a toll. Distributor Don Faust Jr. recalls that
when Miller unveiled the Its It and Thats That advertisement at the 1991 sales convention, Bill Cosby, one of the special
guests at the event, later joked to the crowd: Which one of you
idiots came up with that commercial?
Back then, Miller simply wasnt a priority for its owner,
Philip Morris (now Altria Inc.). Miller accounted for just 4% of
the cigarette makers revenues. In the 15 years prior to Adamis
Share of Throat
Norman Adami
PEOPLE
member once again what were all about: beer, says Miller director Virgis W. Colbert, former head of brewery operations.
Adami has made staff far more accountable with a performance system imported from sab that rewards people for stepping up their game. The old system didnt challenge employees,
says Adami, who once referred to the company as the Socialist Republic of Miller. For example, in 2002, a year the business was in free-fall, 60% of managers got a four or ve rating,
the highest possible. Last year 50% of employees got a three on
a six-point scale, meaning they met their goals.
Thinking Local
www.businessweek.com/extras
adami has also worked tirelessly to improve Millers relationship with its distributors, which are independent. As the
Miller brand faded, the distributors began to add import beers,
microbrews, and nonbeer drinks to their trucks. Many felt Miller
executives didnt listen to them. Rey Perez, a sales manager at
Chicago Beverage Systems, recalls an attempt by Miller to reach
Hispanic consumers. Management pushed a Tejano musicbased marketing strategy, similar to one that had succeeded in
Texas. We told them it wouldnt work, says Perez. Tejano isnt as big among Mexicans in Chicago. It failed miserably.
Adami learned quickly how damaged distributor relationships were. He recalls being summoned to a Chicago hotel in
his rst weeks to meet informally with a dozen or so distributors. Since then, Millers spent millions to support distributors
local marketing efforts, such as taste-test challenges in bars.
A hallmark of the Adami era is aggressive local market planning. Miller and its distributors now take a deep dive into 61
territories, tracking sales by channel and by package. Adami
has dozens of distributors on speed-dial in his BlackBerry and
calls frequently to see whats going on, run an idea past them,
or just say hi. Some joke (sort of ) that he can call too early, like
7 a.m. on a Saturday. But they love his quick response to problems. Normans been a godsend for wholesalers, says Bruce
Watkins, owner of Gusto Distributing Co. in Great Falls, Mont.
Millers cultural revolution is clearly getting abs attention.
In May, 2004, Anheusers vice-president for sales at the time
sent a memo to abs distributors announcing a full-scale assault
on Miller Lite. Im sure you have seen some of the desperate
tactics Miller Lite is using, he wrote. Its time to show the
power of the ab team. Help us unleash the dawgs!
ab took the ght to a higher plane last summer with an allout price war in light and economy brands. Despite the continued growth of Miller Lite, Miller took a beating in the economy
segment, which accounts for 40% of volumes. As a result,
Millers sales to retailers fell by 1% in the last scal year.
Adami knows that he has awoken a sleeping giant in ab. But
Millers ceo remains unfazed. As he is fond of saying: If you
want to play with the big dogs, you cant piss like a puppy.
One Size
Doesnt Fit All
Always Play
To Win
Seek Knowhow
Over Expertise
Never
Declare Victory
john s. abbott
Ram Charans strategic insights have made him a trusted adviser to big-name
CEOs such as former Honeywell Chairman Larry Bossidy, with whom Charan has
co-authored two business best-sellers. Charan spoke with BusinessWeek
Ideas & Opinions Editor James E. Ellis about managing an underdog.
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Entrepreneurs Design
COMFY Christakos, Lazor,
and Blanks stress
creativity right down to
the paying of bills
TheyCould
Call
It
Fun-iture
Blu Dots belief in solving design problems
BY REENA JANA
lu Dots furniture has won
awards from the Smithsonians Cooper-Hewitt
National Design Museum
and
the
Chicago
Athenaeum Museum of
Architecture & Design. So
you might be surprised to learn that Blu
Dot furniture usually ships at in a box, and
that customers assemble it themselves. But
for Maurice Blanks, John Christakos, and
Charlie Lazor, college buddies and Blu Dot
co-founders, good design isnt only about
being recognized by critics dressed in
black. Its about being creative on the
cheap, with a dash of fun thrown in.
That ethos has served them well, helping the Minneapolis company double revenues last year, to $7.5 million, and staff, to
16. They take a lighthearted approach but
are still serious about solving design problems. Their furniture has spirit and ingenuity, a down-to-earth appeal, says Andrew Blauvelt, design director and curator
at the Walker Art Center in Minneapolis
and owner of several Blu Dot pieces. I love
thomas strand
2005 FedEx.
COVER STORY
Medical
Guesswork
From heart surgery to prostate care, the
health industry knows little about which
common treatments really work.
BY JOHN CAREY
john kuczala
THE SIGNS AT THE MEETING WERE NOT PROPITIOUS. Half the board members of Kaiser Permanentes Care Management Institute left before Dr. David Eddy nally got the 10 minutes he
had pleaded for. But the message Eddy delivered was riveting. With a groundbreaking computer simulation, Eddy showed that the conventional approach to treating diabetes did little to
prevent the heart attacks and strokes that are complications of the disease. In contrast, a simple regimen of aspirin and generic drugs to lower blood pressure and cholesterol sent the rate
of such incidents plunging. The payoff: healthier lives and hundreds of millions in savings. I
told them: This is as good as it gets to improve care and lower
costs, which doesnt happen often in medicine, Eddy recalls.
If you dont implement this, I said, you might as well close
up shop.
The message got through. Three years later, Kaiser is in the
midst of a major initiative to change the treatment of the diabetics in its care. Were trying to put nearly a million people on
these drugs, says Dr. Paul Wallace, senior adviser to the Care
Management Institute. The early results: The strategy is indeed
improving care and cutting costs, just as Eddys model predicted.
For Eddy, this is one small step toward solving the thorniest
riddle in medicinea dark secret he has spent his career exposing. The problem is that we dont know what we are doing, he says. Even today, with a high-tech health-care system
that costs the nation $2 trillion a year, there is little or no evidence that many widely used treatments and procedures actually work better than various cheaper alternatives.
This judgment pertains to a shocking number of conditions
or diseases, from cardiovascular woes to back pain to prostate
cancer. During his long and controversial career proving that
the practice of medicine is more guesswork than science, Eddy
has repeatedly punctured cherished physician myths. He
showed, for instance, that the annual chest X-ray was worthless,
over the objections of doctors who made money off the regular
visit. He proved that doctors had little clue about the success
rate of procedures such as surgery for enlarged prostates. He
traced one common practicepreventing women from giving
birth vaginally if they had previously had a cesareanto the
recommendation of one lone doctor. Indeed, when he began
taking on medicines sacred cows, Eddy liked to cite a gure
that only 15% of what doctors did was backed by hard evidence.
A great many doctors and health-care quality experts have
come to endorse Eddys critique. And while there has been
progress in recent years, most of these physicians say the portion
of medicine that has been proven effective is still outrageously
lowin the range of 20% to 25%. We dont have the evidence
[that treatments work], and we are not investing very much in
getting the evidence, says Dr. Stephen C. Schoenbaum, executive vice-president of the Commonwealth Fund and former president of Harvard Pilgrim Health Care Inc. Clearly, there is a lot
in medicine we dont have denitive answers to, adds Dr. I.
Steven Udvarhelyi, senior vice-president and chief medical officer at Pennsylvanias Independence Blue Cross.
Whats required is a revolution called evidence-based medicine, says Eddy, a heart surgeon turned mathematician and
health-care economist. Tall, lean, and t at 64, Eddy has the athMay 29, 2006 | BusinessWeek | 73
COVER STORY
letic stride and catlike reexes of the ace rock climber he still is.
He also exhibits the competitive drive of someone who once obsessively recorded his time on every training run, and who still
likes to be rst on a brisk walk up a hill near his home in Aspen,
Colo. In his career, he has never been afraid to take a difficult
path or an unpopular stand. Evidence-based is a term he
coined in the early 1980s, and it has since become a rallying cry
among medical reformers. The goal of this movement is to
pierce the fog that envelops the practice of medicinea state of
ignorance for which doctors cannot really be blamed. The limitation is the human mind, Eddy says. Without extensive information on the outcomes of treatments, its endishly difficult
to know the best approach for care.
The human brain, Eddy explains, needs help to make sense
of patients who have combinations of diseases, and of the
complex probabilities involved in each. To provide that
assistance, Eddy has spent the past 10 years leading a
team to develop the computer model that helped him
crack the diabetes puzzle. Dubbed Archimedes, this
program seeks to mimic in equations the actual biology of the body, and make treatment recommendations as well as gure out what each approach costs.
It is at least 10 times better than the model we use
now, which is called thinking, says Dr. Richard
Kahn, chief scientic officer at the American Diabetes Assn.
Treatments are
based largely
on rules and
traditions,
not scientic
evidence
john kuczala
Wasted Resources
ter prize. Based on his results, the American Cancer Society changed its guidelines. Hes smart as hell, with a towering
clarity of thought, says Stanford health
economist Allan Enthoven.
an you trust your doctors
SPINAL SURGERY
Dr. William H. Herman, director of the
recommendation to have
Michigan Diabetes Research & Training
surgery for an aching
Center, has a competing computer model
back? Make sure you have
SPINAL FUSION
that clashes with Eddys. Nonetheless, he
all the facts. Evidence says
OPERATIONS
EACH YEAR
says, Dr. Eddy is one of my heroes. Hes
surgery does not x the problem over
sort of the father of health economics
the long term any better than time,
and he might be right.
physical therapy, and exercise. Indeed,
AVERAGE COST OF
Appointed a full professor at Stanford,
says University of North Carolinas Dr.
HOSPITALIZATION
then recruited as chairman of the Center
Nortin M. Hadler, pain clinics are full of
for Health Policy Research & Education
people who have had back surgery and
Data: American
at Duke University, Eddy proved again
now are worse off. Geographic data
Academy of
Orthopedic
and again that the emperor had no
suggest that such procedures may be a
Surgeons
clothes. In one study, he ferreted out
fad. In people with identical symptoms,
decades of research evaluating treatment
operations like spinal fusion are performed 20 times as often in some parts of the U.S. as in
of high pressure in the eyeball, a condiothers. Spinal fusion is the most variable condition in all of medicine, says Dr. James N.
tion that can lead to glaucoma and
Weinstein, editor of Spine magazine and chair of orthopedic surgery at Dartmouth.
blindness. He found about a dozen studies that looked at outcomes with pressure-lowering medications used on millions of people. The
up his prestigious post. He moved to Jackson, Wyo., so he could
studies actually suggested that the 100-year-old treatment was
climb in his spare time. He and a friend even made a rst ascent
harmful, causing more cases of blindness, not fewer.
of a new route on the Grand Teton, now named after them.
Eddy submitted a paper to the Journal of the American MedMeanwhile, he carved out a niche showing doctors at specialty
ical Assn. (JAMA), whose editors sent it out to specialists for resociety meetings that their cherished beliefs were dubious. At
each meeting I would do the same exercise, he says. He would
view. It was amazing, Eddy recalls. The tom-toms sounded
ask doctors to think of a typical patient and typical treatment,
among all the ophthalmologists, who marshaled a counterthen write down the results of that treatment. For urologists, for
attack. I felt like Salman Rushdie. Stanford ophthalmologist
instance, what were the chances that a man with an enlarged
Kuldev Singh says: Dr. Eddy challenged the community to
prostate could urinate normally after having corrective surgery?
prove that we actually had evidence. He did a service by stimuEddy then asked the societys president to read the predictions.
lating clinical trials, which showed that the treatment does
The results were startling. The predictions of success invarislow the disease in a minority of patients.
ably ranged from 0% to 100%, with no clear pattern. All the
By 1985, Eddy was burned out by the administrative side
doctors were trying to estimate the same thingand they all
of academia, he says. Lured by a poster of the Tetons, he gave
gave different numbers, he says. Ive
spent 25 years proving that what we lovingly call clinical judgment is woefully
outmatched by the complexities of medicine. Think about the implications for
helping patients make decisions, Eddy
n the 1950s, kids routinely got
EAR TUBES
adds. Go to one doctor, and get one antheir tonsils taken out. Then
swer. Go to another, and get a different
physicians such as Dr. Jack L.
one. Or think about expert testimony.
Paradise of the University of
NUMBER OF
You dont have to hire an expert to lie.
Pittsburgh School of Medicine
OPERATIONS
PER YEAR
You can just nd one who truly believes
showed that the procedure brought no
the number you want.
benets to most children. In a study
More important, the lack of evidence
published last August, Paradise took on
creates a costly clash. Americans and
another common treatment:
their doctors want access to any new
implanting tubes to drain the uid in
COST PER
PROCEDURE
treatment, and many doctors fervently
childrens earsthought to hamper
believe such care is warranted. On the
hearing and slow language
Data: American
Academy of
other hand, those beliefs can be at
development. Children with uid do
Otolaryngology
wrong. As a consultant on Blue Crosss
tend to have more speech problems.
insurance coverage decisions, Eddy
But Paradise believes the two conditions have a common cause: poor living conditions.
testied on the insurers behalf in highMedicine is fraught with error when people assume correlation is causality, he says. So
prole court cases, such as bone marParadise did a study of 6,000 babies. By age three, 429 had persistent uid in their ears.
row transplants for breast cancer.
Half got ear tubes, the other half didntand there was no difference in outcomes between
Women and doctors demanded the
the two groups. Paradises advice to parents of such kids: Dont just do something. Sit
treatment, even though there was no
there. Many doctors still perform the surgery, however. People are reluctant to believe our
evidence it saved lives. Insurers who reresults, Paradise says. Why? You get paid for operating and not paid for not operating.
fused coverage usually lost in court. I
325,000
$50,000
300,000
$2,000$4,000
COVER STORY
Go to one
doctor, and
get one answer. Go
to another, and get
a different one.
ray ng
Vested Interests
By the time the results come in, science and medicine may have
heart surgery are prot centers for hospitals, for instance. Once
moved on, making the ndings less relevant. Moreover, patients
a hospital installs a shiny new catheter lab, it has a powerful inin a clinical trial usually arent representative of real people,
centive to refer more patients for the procedure. Its a classic
who tend to have complex combinations of diseases and medcase of increased supply driving demand, instead of the other
ical problems. And patients often dont stick with the program.
way around. Combine that with Americans demand to be
Such difficulties are highlighted by an eight-year study of
treated immediately, and it is a cauldron for overuse and inaplow-fat diets that cost upward of $400 million. Most subjects
propriate use, says Thompson.
failed to stick to the low-fat regimen, making it tough to draw
The consequences for the U.S. are disturbing. This nation
conclusions. In addition, the study failed to take stock of difspends 212 times as much as any other country per person on
ferent kinds of fats, some of which are now known to have benhealth care. Yet middle-aged Americans are in far worse health
than their British counterparts, who
spend less than half as much and practice less intensive medicine, according to
a new study. The investment in health
care in the U.S. is just not paying off,
argues Gerard Anderson, director of the
ach year doctors perform
THE HEART
Center for Hospital Finance & Manage400,000 bypass surgeries
ment at Johns Hopkins Bloomberg
and 1 million angioplasties,
School of Public Health. Speaking not
where mesh tubes are
BYPASS
for attribution, the head of health care at
placed in diseased arteries
SURGERIES
PERFORMED
one of Americas largest corporations
to hold them open. While most people
EACH YEAR
puts it more bluntly: There is a massive
believe that such surgery is life-saving,
amount of spending on things that realthe available data say otherwise.
ly dont help patients, and even put them
Except for about 3% of people with
AVERAGE
COST
at greater risk. Everyone thats informed
severe heart disease, treatment with
on the topic knows it, but it is such a
drugs alone works just as well to extend
scary thing to discuss that people are not
life and prevent heart attacks as
willing to talk about it openly.
surgery does. Cardiologists like to
Of course, there are plenty of areas of
open up arteries, says Dr. David D.
medicine, from antibiotics and vacWaters, chief of cardiology at San Francisco General Hospital. But there is no evidence that
cines to early detection of certain tuopening up chronically narrowed arteries reduces the risk of heart attack. Harvard Medical
mors, where the benets are huge and
Schools Dr. Roger J. Laham gures that at least 400,000 angioplasties a year are
incontrovertible (page 79). But if these
unnecessary. Im sure we are way overtreating our patients, he says. Surgery carries big
effective treatments are black and
risks, such as mental declines after bypass operations. The overuse is exacting a big toll on
white, much of the rest of medicine is a
individual patients and the health-care system, argue such experts as Dr. Nortin M. Hadler,
dark shade of gray. A lot of things we
professor of medicine at the University of North Carolina at Chapel Hill.
absolutely believe at the moment based
on our intuition are ultimately abecial effects. Many trials fall into similar traps. So its no sursolutely wrong, says Dr. Paul Wallace, of the Care Manageprise that up to one-third of clinical studies lead to conclusions
ment Institute.
that are later overturned, according to a recent paper in JAMA.
The best way to go from intuition to evidence is the randomized clinical trial. Patients with a particular condition are
Even when common treatments are proved to be dubious,
randomly assigned to competing treatments or, if appropriate,
physicians dont rush to change their practice. They may still
to a placebo. By monitoring the patients for months or years,
rmly believe in the treatmentor in the dollars it brings in.
doctors learn the relative risks and benets of the treatment beAnd doctors whose oxen get gored sometimes ght back. In
ing studied.
1993, the federal governments Agency for Health Care Policy &
But such trials take years and cost many millions of dollars.
Research convened a panel to develop guidelines for back sur-
400,000
$20,000
COVER STORY
while other patients simply receive their
doctors instructions, a key difference
emerges. The well-informed patients opt
for more invasive, aggressive approaches
23% less often, on average, than the othor Jeanine Whitney, the
BREAST CANCER
er group. In some cases, the drop is
diagnosis of breast cancer
much bigger50% to 60%. Patients
last June was bad enough.
typically dont understand that they have
But when her doctor told her
MASTECTOMIES
options, and even if they do, they often
that her best chance was an
PERFORMED
EACH YEAR
wildly exaggerate the benets of surgery
immediate mastectomy, I cried for 24
IN THE U.S.
and wildly minimize the chances of
hours. I felt that part of my womanhood
harm, says Ottawas OConnor, a leader
would have been taken, says Whitney,
in this eld of so-called decision aids.
who works at an air conditioner factory
Eddys computer simulation could
in Rushville, Ind. Her employer,
AVERAGE
help more patients attain appropriate
American Standard Cos., had a
COST PER
care. His approach is to create a SimCityprogram to provide workers with
PROCEDURE
like world in silicon, where virtual doctors
unbiased information about the risks
conduct trials of virtual patients and gand benets of potential treatments.
ure out what treatments work. After getThanks to the program, Whitney learned that there was no evidence that a mastectomy
ting funding from Kaiser Permanente in
would have a better outcome than a lumpectomy, provided the tissue around the lump was
1991, Eddy hired a particle physicist, Len
clear of cancer. Twenty years after treatment, the outcomes were the same, according to
Schlessinger, who knew how to write
studies. It was a total surprise, she recalls. She requested a lumpectomy, which was
equations describing the complex intercarried out in July, followed by seven weeks of radiation and six of recovery. Now, Whitney is
actions in biology. The pair selected diagrateful that she was able to get the information she needed to buck her doctors
betes as a test case. In their virtual world,
recommendation. If Whitney had had to make a decision without that, she says she would
each simulated person has a heart, liver,
have ended up in the psychiatric ward.
kidneys, blood, and other organs. As in
real people, cells in the pancreas make insulin, which regulates the uptake of glucose in other cells. And as
gery. Fearing that the recommendations would cast doubt on
in the real disease, key cells can fail to respond to the insulin,
what the doctors were doing, a prominent back surgeon
causing high blood-sugar levels and a cascade of biological efprotested to Congress, and lawmakers slashed funding for the
fects. The virtual patients come down with high blood pressure,
agency. Congress forced out the research, says Floyd J. Fowler
heart disease, and poor circulation, which can lead to foot ulcers
Jr., president of the Foundation for Informed Medical Decision
and amputations, blindness, and other ills. The model also asMaking. It was a national tragedy, he saysand not an isosesses the costs of treating the complications.
lated incident. The agencys budget is often targeted by special
Eddy dubbed the model Archimedes and tested it by cominterest groups who had their specialty threatened, says
paring it with two dozen real trials. One clinical study comArkansas Dr. Thompson.
pared cholesterol-lowering statin drugs to a placebo in diabetWith proof about medical outcomes lacking, one possible soics. After 412 years, the drugs reduced heart attacks by 35%. The
lution is educating patients about the uncertainties. The popular version of evidence-based medicine is about proving
exact same thing happened in Eddys simulated patients. The
things, says Kaisers Wallace, but it is really about transArchimedes model is just fabulous in the validation studies,
parencybeing clear about what we know and dont know.
says the University of Michigans Herman.
The Foundation for Informed Medical Decision Making produces booklets, videotapes, and other material to put the full
picture in the hands of patients. Health Dialog markets the information to providers and companies, addressing back pain,
breast cancer, uterine broids and bleeding, coronary heart disthe team then put Archimedes to work on a tough, real
ease, depression, osteoarthritis, and other conditions.
problem: how best to treat diabetes in people who have addiIn studies where one group of patients hears the full story
tional aliments. One thing not yet adequately embraced by evidence-based medicine is what to do for someone with diabetes, hypertension, heart disease, and depression, explains
Dubious Medicine
Kaisers Wallace. Doctors now typically try to treat the most
pressing problems. But we fail to pick the right ones consisFor a closer look at some of health cares hidden contradictions,
visit our Web site. The features include:
tently, so we have misdirected utilization and a great deal of
More treatment may be less Hospitals that provide the most
waste, he says. Kaiser Permanentes Dr. Jim Dudl had a
care dont necessarily cure more patients. And doctors
counterintuitive suggestion. With diabetics, doctors assume
opinions may be swayed by nancial considerations.
that keeping blood sugar levels low and consistent is the best
Planning on surgery? Take this quiz Americans have
way to ward off problems such as heart disease. But Dudl wonmore operations than anyone else. Are we any better off?
dered what would happen if he ipped it around, aiming treatA podcast that could spare you some pain Executive Editor
ment at the downstream problems. The idea is to give patients
John A. Byrne interviews Senior Correspondent John Carey.
a trio of generic medicines: aspirin, a cholesterol-lowering
statin, and drugs called ace inhibitors.
Using Archimedes and thousands of virtual patients, Eddy
www.businessweek.com/extras
and Schlessinger compared the traditional approach with the
A Lumpectomy May Do It
50,000
Standard of Care
$12,000$14,000
drug combination. The model took about a half-hour to simulate a 30-year trial, and showed that the three-drug combination was cost- and life-saving, says Kaisers Wallace. The benets far surpassed what can be achieved with aggressive
glucose control. Kaiser Permanente docs switched their standard of care for diabetes, adding these drugs to other interventions. It is too early to declare a victory, but the experience with
patients seems to be mimicking Eddys computer model. It
goes against our mental picture of the disease, says Wallace.
But it also makes sense, he adds. Cardiovascular disease is the
worst complication of diabetesand what people die of.
Eddy readily concedes that this example is a small beginning. In its current state of development, Archimedes is like
the Wright brothers plane. Were off the sand and ying to
Medicines
Industrial Revolution
BY HOWARD GLECKMAN
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A Growth Spurt
That Wont Quit
A STRONG RUN by the U.S. economy is
helping to push equities back near record
levels. While some economists, including
Federal Reserve Chairman Ben
Bernanke, expect growth will begin to
decelerate over the course of the year, indicators both in the U.S and abroad remain bullish for stocks.
The U.S. economy is expected to grow
by 3.4% this year, according to Blue Chip
May 29, 2006 | BusinessWeek | 97
Valuation
Headroom
STOCKS HAVE RALLIED this year, but valuations, especially for the biggest companies,
remain modest. The Standard & Poors
500-stock index is trading at a price-earnings ratio of 14.4, based on analysts estimates of earnings over the next 12 months,
says Edward Yardeni, chief investment
strategist at Oak Associates. Thats near the
average of 15 over the past 58 years. Valuations for small-cap stocks, which have outpaced blue chips for six years, are slightly
above their historic averages.
Higher stock prices are not a given, but
the potential is there. For starters, corporate earnings have a lot of momentum.
For 2006s rst quarter, companies in the
s&p 500 posted a prot gain of 14%, even
in the face of higher interest rates and energy costs. That marked the 11th straight
quarter of double-digit prot gains, and it
handily beat analysts expectations. For
the rest of the year, forecasts call for more
double-digit prot gains for big caps.
Even though interest rates have been
climbing, stocks remain a better buy than
bonds. How so? Go back to the 14.4 p-e on
stocks. Then, take the yield on the 10-year
Treasury, 5.14%, and divide that into 1. That
gives you 19.5, a p-e equivalent for bonds.
The upshot: Stocks are 26% undervalued
relative to bonds. Of course, a quick runup
in interest rates or a collapse in corporate
prots will close that gap, too, but neither is
expected. Theres much more potential
upside to investing in U.S. equities than in
Treasuries, says David Dropsey, research
analyst at Thomson Financial.
Should stocks dip, theres cash to support them. Private-equity rms,
CHEAPER
which raised a
THAN BONDS
record $100 billion in 2005, 30
stand ready to 25
scoop up barP-E EQUIVALENT FOR
gains. Many com- 20 10-YEAR
TREASURY BOND
panies have the 15
P-E RATIO FOR
wherewithal
to 10
S&P 500
support their
0
stocks, too. DiviMAY 6, '05
MAY 12, '06
dend increases are
Data: Edward Yardeni
up and payouts
are expected to grow 12% in 2006, says
Standard & Poors. Some $90 billion in
stock buybacks were completed in the rst
quarter, about 10% ahead of last years
pace and more than twice as much as during the same period in 2004. During the
last bull market, buybacks were often
Will Medtronics
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Cerus: A Biotech
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U.S. MARKETS
S&P 500
1360
MAY
NOV.
1350
1300
1325
1240
1300
1180
1270.3
1250
1120
COMMENTARY
It was just a week ago that the
Dow Jones industrials were
hitting new highs. But the whiff of
ination, coupled with the fear of
a vigilant Fed, slammed stocks.
Tech shares, in particular, got
pounded: The NASDAQ
Composite fell ve days straight,
while the Dow and S&P 500stock index were only marginally
stronger. There were few safe
havens for investors.
Data: Bloomberg Financial Markets, Reuters
WEEK
1270.3
11,205.6
2195.8
768.8
379.6
12,816.8
4.0
3.8
5.4
5.6
5.9
4.3
1.8
4.6
0.4
4.2
8.3
2.6
8.2
8.5
9.6
18.3
21.7
10.9
730.2
379.6
588.9
679.5
405.0
438.5
161.4
272.9
155.4
174.6
822.4
5.8
5.3
3.5
4.4
7.9
4.0
4.6
5.9
3.6
9.0
4.9
1.6
0.2
1.3
4.9
8.6
2.8
5.5
9.2
2.7
14.9
1.7
6.6
9.5
3.6
13.1
31.7
13.1
13.6
25.9
3.6
11.1
12.3
SECTORS
BusinessWeek 50*
BW Info Tech 100**
S&P/Citigroup Growth
S&P/Citigroup Value
S&P Energy
S&P Financials
S&P REIT
S&P Transportation
S&P Utilities
GSTI Internet
PSE Technology
BEST-PERFORMING
GROUPS
LAST
MONTH %
Agricultural Products
Power & Energy Traders
Broadcasting
Brewers
Auto Parts & Equip.
16.4
11.9
9.4
9.1
8.9
LEADERS
LAST 12
MONTHS %
Agricultural Products
Steel
Divsfd. Metals & Mining
Employment Services
Oil & Gas Equip.
116.0
114.6
104.2
88.7
85.7
ALL EQUITY
Europe
Foreign
Latin America
Utilities
Technology
Small-cap Growth
Mid-cap Growth
Natural Resources
LEADERS
2.8
1.7
1.0
0.8
LAGGARDS
**Feb. 7, 2000=1000
MUTUAL FUNDS
WEEK ENDED MAY 16
S&P 500
U.S. DIVERSIFIED
S&P 500
Dow Jones Industrials
NASDAQ Composite
S&P MidCap 400
S&P SmallCap 600
DJ Wilshire 5000
% CHANGE
YEAR TO LAST 12
DATE MONTHS
MAY 17
Precious Metals
Latin America
Diversied Emerg. Mkts.
Natural Resources
103.1
87.2
56.7
56.3
LAGGARDS
6.1
3.8
3.8
3.3
Health
Domestic Hybrid
Large-cap Growth
Large-cap Blend
8.1
10.1
12.4
13.3
GLOBAL MARKETS
S&P Euro Plus (U.S. Dollar)
London (FT-SE 100)
Paris (CAC 40)
Frankfurt (DAX)
Tokyo (NIKKEI 225)
Hong Kong (Hang Seng)
Toronto (S&P/TSX Composite)
Mexico City (IPC)
MAY 17
WEEK
1667.8
5675.5
4920.3
5652.7
16,307.7
16,615.6
11,640.6
20,261.9
7.2
6.7
6.8
7.6
3.8
2.7
5.5
7.0
FUNDAMENTALS
S&P 500 Dividend Yield
MAY 16
TECHNICAL INDICATORS
MAY 16
1.81%
S&P 500 P/E Ratio (Trailing 12 mos.) 17.5
S&P 500 P/E Ratio (Next 12 mos.)*
14.7
First Call Earnings Revision*
0.18%
% CHANGE
YEAR TO LAST 12
DATE
MONTHS
10.3
1.0
4.3
4.5
1.2
11.7
3.3
13.8
WEEK AGO
1.75%
17.9
15.0
0.03%
25.8
15.9
22.8
32.9
50.6
21.6
24.2
62.9
YEAR AGO
2.06%
19.2
15.4
0.43%
READING
WORST-PERFORMING LAST
GROUPS
MONTH %
Home Entrtnmt. Software 22.5 Educational Services
Consumer Electronics
21.6 Automobiles
Homebuilding
16.5 Home Furnishings
Specialized Finance
12.5 Internet Software
Constr. Materials
12.0 Health-Care Facilities
LAST 12
MONTHS %
27.4
23.3
22.1
19.9
17.0
INTEREST RATES
KEY RATES
MAY 17
4.46%
4.39%
2.52%
4.82
4.87
2.88
4.95
4.99
3.60
5.15
5.13
4.12
5.27
5.19
4.47
6.54
6.49
5.75
BanxQuote, Inc.
EQUITY FUNDS
10
15
ALL EQUITY
20
25
30
LEADERS
LEADERS
Midas
U.S. Global Invrs. Gold
U.S. Glbl. Invs. Prc. Mnls.
ProFunds Precs. Mtls. Inv.
LAGGARDS
LAGGARDS
Ameritor Investment
20.0
American Heritage Grth. 20.0
ProFunds Ultra Japan Inv. 13.6
ProFunds UltraOTC Inv. 12.1
Ameritor Investment
DireXion Sm. Cap Br. 2.5X Inv.
ProFds. USh. Sm. Cap Inv.
American Heritage Grth.
152.1
151.9
138.6
132.0
69.2
35.1
34.7
33.3
30-YR. BOND
General Obligations
4.14%
4.51%
Taxable Equivalent
5.91
6.44
4.24
4.61
Taxable Equivalent
6.06
6.59
Company Index
This index gives the starting page for a story or feature with a
signicant reference to a company. Most subsidiaries are indexed under
their own names. Companies listed only in tables are not included.
A
Davenport 100
Dell (DELL) 22, 54
Design Within Reach
(DWRI) 70
Destination Club Partners
82
Digitas (DTAS) 14
Japanese Weekend
Maternity 14
JC Latts 42
JPMorgan Chase (JPM)
58
Ragatz Associates 82
RAND 79
RAT Systems 58
RCN 46
Ritz-Carlton 82
Robert W. Baird 100
RSA Security (RSAS) 58
Russell Reynolds 11
B
Babystyle.com 14
Bain 70
Baxter (BAX) 100
Bear Stearns (BSC) 64,
100
BellSouth (BLS) 30, 38,
46
Blu Dot 70
Blue Shield of California
106
Blue Star Jets 90
BMO InvestorLine (BMO)
106
Boeing (BA) 30, 40
C
Carat North America 24
CBS (CBS) 24, 30, 50
Cendant Travel (CD) 14
Cerus (CERS) 100
Charter (CHTR) 46
Chicago Beverage
Systems 64
CitationShares 90
Citibank (C) 58
ClubCorp 82
Coca-Cola (KO) 64
Comcast (CMCSA) 46
Cox 46
Creative Technology
(CREAF) 16
CreditSights 46
E
EADS 40
eBay (EBAY) 30, 58
EnCana (ECA) 30
Enron 11
Ernst & Young 45
Exclusive Resorts 82
ExxonMobil (XOM) 36
F
Falconbridge (FAL) 30
FedEx (FDX) 54
Flexjet 90
Flight Options 90
Ford (F) 27, 36
Fox (NWS) 50
Freeport-McMoRan (FCX)
52
G
Gateway (GTW) 22
GE (GE) 106
GM (GM) 24 , 27, 36
Google (GOOG) 8, 108
Gusto Distributing 64
H
Hamlin Transportation
Consulting 40
Harrahs (HET) 100
Harris Nesbitt 100
Harvard Pilgrim Health 72
HD Buttercup 70
Health Dialog Analytic 72,
79
Hewlett-Packard (HPQ)
22, 54
Highmark 79
Home Depot (HD) 54
I
Inco (N) 30
Independence Blue Cross
72, 79
Intel (INTC) 22
K
Kleiner Perkins Caueld &
Byers 108
Knoll (KNL) 11
L
Lenovo (IBM) 22
Liz Lange 14
Loomis Sayles 100
Lorimar Productions 50
Louise Yamada 97
M
Marquis Jet 90
McAfee (MFE) 58
McKinsey 45
Medtronic (MDT) 100
Merrill Lynch (MER) 24
Microsoft (MSFT) 30, 46,
58, 108
Miller Brewing 64
Milliman 36
mono 70
Monster Worldwide
(MNST) 58
N
NCR (NCR) 54
NetJets 90
NeuStar (NSR) 38
News Corp. (NWS) 30
S
SABMiller 64
Seattle Seahawks 46
Sentient Jet 90
Sichuan NTC 44
Skyjet 90
Sony (SNE) 22, 42, 50
Steven Hall 11
St. Jude Medical (STJ) 100
Sun (SUNW) 108
Symantec (SYMC) 58
T
Teck Cominco 30
Televisa 30
Tenet Healthcare (THC) 16
Texas Pacic 30
Thomas H. Lee 30
Thomson Financial (TOC)
97
TiVo (TIVO) 24
TNS Media Intelligence 24
TopCoder 16
Toshiba (TOSBF) 22
T. Rowe Price (TROW) 100
T-3 14
Turner Investment 97
U
Univision (UVN) 30
Oak Associates 97
Occidental (OXY) 30
Ogilvy & Mather 24
Oracle (ORCL) 8
Oxygen Media 46
P
PayPal (EBAY) 58
Pzer (PFE) 16
Piper Jaffray (PJC) 14
Portland Trail Blazers 46
Priceline.com 46
Procter & Gamble (PG) 32
X
Xerox (XRX) 72
Xstrata 30
Franchise Showcase
Franchise Showcase
IdeasBooks
How to
boost the
productivity
of individuals,
teams, and
top brass, too
BW Video
IdeasFaceTime
WITH MARIA BARTIROMO
JOY Turning
the energy
crisis into
opportunity
Some say it feels like the bubble of 2000 all over again with so
many Internet companies trading at high prices.
Im very optimistic about the Internet: Its transforming entertainment, education. But in all aspects of the Internet, there is
a lot of opportunity.... Just look at smart phones. Im talking to
you right now on a Treo.... The services that will be available on
these devices are [whats] important: People will just give the
phones away because the revenues of the services [will be] so
substantial.
IdeasTheWelchWay
BY JACK AND SUZY WELCH
protest. Take the hit and wish them well. They will soon nd
out the grass is not greener on the other side, and you will
discover how much better your company operates when your
main concern is not whining, but winning.
2006 Hewlett-Packard Development Company, L.P. 2006 Intel Corporation. All rights reserved.
Intel, the Intel logo and Itanium are trademarks or registered trademarks of Intel Corporation or
its subsidiaries in the United States and other countries.