 Artwork by Vladimir Chaika provided by Boehringer Ingelheim.
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Gennady Shirshov, executive director of the Society of Professional Pharmaceutical Organizations (SPFO), was recently a guest
on a national television program. "You might know," he starts, "that many such programs are strictly controlled by the government."
Shirshov continues: "All of a sudden, in the middle of the session—and it was live!—they started asking these ugly questions
about integrity; about why a government official would promote a specific drug, and things of that nature. I could not believe
it. And the fact that it was being spoken about, live, on a government-controlled program, is a great sign of where we are
heading."
Russia is a country of insistent vicissitudes—in fits and starts, through monetary crises, oil surpluses, shifts in geopolitical
trade policies, corruption scandals, seasons of animated economic development, and over and again. When asked how much has
changed since 2007—when Focus Reports produced its first overview of the Russian pharmaceutical market—managers, coy, simper
widely. Where, really, to begin?
For investors, the central indicator should perhaps be attitudinal. The general manager of Pierre Fabre in Russia, Pavel Chistyakov,
offers simple words: "Do not be afraid of the Russian market." It is an invitation, a reassurance, a solicitation, and—even
this—a warning. No aspirational multinational, nor hitherto self-effacing domestic player, can afford to be bearish about
Russia. Not anymore.
 Andrew Somers, AmCham President & CEO
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And is there anyone now afraid of the Russian market? International industries are veritably jostling for position here. Russians
themselves are upending their image problem; the country is "on the verge of breaking away from its past and entering the
global economy with full sail," maintains the president of the American Chamber of Commerce in Russia, Andrew Somers.
There are caveats; Somers goes on: "Russia is the largest market not yet in the WTO, which can intensify certain trends towards
'over-nationalism' and isolation. And moving forward, the country needs to diversify its economy and one of the priorities
needs to be the pharmaceutical and healthcare sector."
 Gennady Shirshov, SPFO Executive Director
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Pharmaceuticals and healthcare, indeed, are starting to enjoy the very highest of priority. Both President Medvedev and Prime
Minister Putin are regularly seen, across all forums and media, speaking with impassioned gravel about improving the state
of the healthcare system, and boosting the productivity of the domestic pharmaceutical industry.
As Frank Schauff, CEO of the Association of European Businesses (AEB), notes, there is no other choice. "This industry is
a political priority here, and rightly so. When you consider the demographic situation in Russia, the statistics with regard
to healthcare, and the pharmaceutical environment, the circumstances are quite disconcerting. In a country where life expectancy
is very low in comparison to European neighbors, and where we are still battling communicable disease on a wide scale, things
have to be done."