罗氏CEO Thomas Schinecker访谈:创新、全球战略与医疗未来 Norges Bank Investment Management 2024-11-20

罗氏:创新与全球医疗的领导者

大家好,我是挪威主权财富基金的首席执行官Nicola Tangan。今天我们邀请到了罗氏(Roche: 全球领先的医疗保健公司)的首席执行官Thomas Schinecker。

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Hi everyone, I'm Nicola Tangan, the CEO of the Norwegian sovereign wealth fund, and today we have Thomas Schinecker, the CEO of Roche, which is one of the leading healthcare companies in the world.

罗氏成立于1896年,历史悠久,传统深厚。

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Roche was founded in 1896, so it's really old with lots of tradition.

他们在医疗保健领域进行了大量创新,拯救了数百万人的生命。

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They have really innovated in healthcare, saving millions and millions of people.

我们很自豪拥有该公司2.3%的股份,价值超过60亿美元。

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We are proud that we own 2.3% of the company, worth more than $6 billion.

非常感谢Thomas今天加入我们。

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A big thanks, Thomas, for joining us today.

非常感谢您的邀请。

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Thank you very much for the invitation.

Thomas,当你驾车进入巴塞尔(Basel: 瑞士西北部城市,以其生物制药产业闻名)时,河的一边是罗氏,另一边是诺华(Novartis: 全球领先的制药公司),它们都是世界上顶尖的制药公司。

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So Thomas, when you drive into Basel, right, you have Roche on one side of the river, Novartis on the other side of the river, two of the leading pharma companies in the world.

这个小小的瑞士小镇是如何发展成为生物制药超级中心的呢?

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So how come that this little Swiss town has grown to become one of the super centers for biopharma?

我认为这都源于该地区的历史,从化学工业开始,然后逐渐转向制药业。

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I think it's all in the history of that region, starting with the chemical industry and then later moving into the pharma part of the industry.

所以,我认为这基本上都与该地区的历史有关。

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So I think it's all basically in the history of that region.

它位于欧洲中部,地理位置非常理想。

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And located in the center of Europe, it's actually quite ideally located.

此外,它还拥有一个良好的生态系统,包括优秀的大学、整体良好的教育体系。

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In addition, it also has an ecosystem in terms of good universities, good educational system in general.

我认为这确实吸引了来自世界各地的许多人才,这些才华横溢的人才能够推动创新。

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And I think this really attracts a lot of people around the world, really talented people that then can drive the innovation.

我们很高兴看到这些不同行业的中心。

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Well, we love it when we see these kind of hubs of different types of industries.

癌症治疗的里程碑与罗氏的领导地位

现在,罗氏是癌症治疗领域的领导者。

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Now, one of the things with you are, you know, the leader in cancer.

我读过一本书,名为《众病之王》(The Emperor of All Maladies),讲述了过去50年癌症存活率的惊人进展。

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And I read this book called "The Emperor of All Maladies" about the incredible progress that's happened in cancer survival rates over the last 50 years.

您能否简要介绍一下这一发展过程中的主要里程碑?

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Could you just briefly take us through the main milestones in that development?

肿瘤学(Oncology: 研究癌症的医学分支)方面,我认为其中一个主要突破显然是对基因组(Genome: 生物体全部遗传物质的总和)的理解。

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So on the oncology side, I think one of the major breakthroughs was clearly the understanding of a genome.

回顾2003年,测序一个基因组需要花费数十亿美元,耗时超过10年。

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If you look back in 2003, it cost billions to sequence one genome and took more than 10 years to sequence a single genome.

现在,你可以在几天内完成,只需花费数百瑞士法郎或美元,无论你使用哪种货币。

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Now you can do that within just days and it cost you hundreds of Swiss Francs or dollars, whatever currency you're looking into.

所以,真正理解基因组是一个真正的突破。

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So really understanding the genome was a real breakthrough.

通过它,你可以更好地理解癌症的驱动因素,某些致癌基因等。

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And with that, you could understand better the drivers of what actually drives cancer, certain oncogenes, etc.

有了这些,你就能更精确地靶向癌症的根本原因。

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And with that, you can target much more precisely the root cause of cancer.

然后,我认为另一个突破是当我们找到如何使用抗体(Antibodies: 免疫系统产生的蛋白质,用于识别和中和病原体)的方法时,抗体是我们体内自然产生的物质。

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Then I think the other breakthrough was when we found a way on how to use antibodies, something that naturally occurs in our body.

但我们可以利用这些抗体,更精确地靶向包括癌症在内的各种疾病。

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But to take these antibodies and target them much more precisely at different diseases, including cancer.

我认为癌症免疫疗法(Immunotherapies: 利用人体自身免疫系统对抗疾病的治疗方法)就是一个很好的例子,你可以激活自身的免疫系统来对抗癌症。

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And I think cancer immunotherapies are a great example of that, where you can actually activate the own immune system to fight the cancer.

我认为我们也会更多地朝这个方向发展。

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And I think we'll go more in that direction as well.

我们正在研究的一个课题是个性化癌症疫苗(Personalized cancer vaccine: 根据患者肿瘤特征定制的疫苗),它能进一步增强你自身的免疫系统来对抗癌症。

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One topic we're working on is the personalized cancer vaccine, so really in how you can even more enhance your own immune system to fight off the cancer.

所以,已经发生了一系列的进展,另一方面,我认为还有很多创新可以继续发生,要真正根除癌症还有很长的路要走。

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So there are a number of steps that have been happening, and on the other hand, I think there's a lot of innovation that can still happen and a long way to go to really eradicate cancer.

罗氏在癌症治疗领域的领导地位有多强?

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How strong is your leadership in cancer treatment now?

是的,在过去的至少二十年里,我们一直是肿瘤学领域的领先公司之一。

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Yeah, we've been one of the leading companies in oncology for I would say the last two decades at least.

首先是通过收购基因泰克(Genentech: 罗氏旗下的生物技术公司),我们获得了大量关于如何设计抗体以更好地靶向不同癌症靶点的专业知识。

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First with the acquisition of Genentech, where we actually got a lot of access to this know-how on how to engineer antibodies to better target different cancer targets.

同时,我们还需要继续投资于肿瘤学领域的研发(R&D: 研究与开发)。

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And at the same time, you know, we need to continue to invest in research and development oncology.

目前,我们全球研发预算的约50%(即130亿美元中的50%)都投入到肿瘤学领域,因为我们希望继续推动创新,并制定下一个护理标准。

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Right now we're investing about 50% of our Global R&D budget, so 50% of 13 billion into the oncology space, because, you know, we want to continue to drive innovation and set the next standards of care.

罗氏在其他医疗领域的市场地位

您如何定义罗氏在其他领域的市场地位?

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And how would you define your market positions in in the other areas?

是的,我们是整体医疗保健领域的领导者。

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Yeah, so we are a leader in healthcare overall.

如果仅从收入来看,罗氏是全球第二大医疗保健公司,同时拥有制药和诊断(Diagnostics: 疾病检测和识别)业务。

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If you look at just by revenue, Raj is the second biggest Healthcare company in the world with both having Pharma and Diagnostics Under One Roof.

在诊断方面,我们显然是市场领导者。

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On the diagnostic side, we're clearly the market leader.

在制药方面,我们在多个不同领域处于领先地位。

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And in Pharma, we're the leader in a number of different spaces.

我认为神经科学(Neuroscience: 研究神经系统的科学)是我们明确的市场领导者领域之一,血友病(Hemophilia: 一种遗传性凝血功能障碍疾病)也是我们市场领导者领域。

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I think Neuroscience is one area where we're clearly the market leader, hemophilia, we're the market leader.

眼科学(Ophthalmology: 研究眼睛及其疾病的医学分支)方面,我们正在成为市场领导者。

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In ophthalmology, we're in the process of becoming the market leader.

在肿瘤学方面,我们现在是全球前三大癌症药物公司之一。

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In oncology, we're now one of the top three companies in the world in terms of cancer medicines.

您在上一次电话会议中提到,你们有20个新产品正在研发中,其中9个已经上市。

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So you have on the last call, you said you have 20 new products in the pipeline, of which nine has been launched.

与历史相比,您对目前的研发管线有多兴奋?

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So when you look at that pipeline, how excited are you compared to what you have been historically?

是的,如果你看过去10年甚至15年,我们每年大约推出两种新药。

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Yeah, if you look at the last 10 years, or 15 years even, we've launched about two new medicines every year.

考虑到开发一种新药平均需要大约13年,并且从开发开始到药物上市,只有大约十分之一的药物能够成功,这相当了不起。

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And this is quite a feat if you look at the fact that to develop a new medicine, it takes on average around 13 years, and from the beginning of development all the way to the launch of medicine, only about one out of 10 makes it.

这并非罗氏特有的数字,而是行业平均水平。

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Now, this is not a rough specific number, this is just an industry number.

所以,每年推出两种药物是一项相当大的成就。

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So launching two every year is quite a feat.

我们希望保持这个速度,如果能持续下去,我们将在本十年内推出20种药物。

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And that's the rate we want to continue, and if you continue that rate, we'll launch 20 medicines also in this decade.

现在,我们的研发管线中有更多潜在药物,但总会有淘汰,所以你必须在许多项目上努力,才能最终推出两款药物。

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Now, in our pipeline, we have many, many more potential medicines, but there's always attrition, and so you have to work on many things to get just two out of the out of the door at the end.

肥胖症治疗的挑战与机遇

当然,过去几年最大的热点是肥胖症领域,你们曾有机会进入。

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Now, the big, the big thing of course of the last couple years have been the the obesity space where you did have the opportunity to enter.

现在你们进入得比较晚,当时发生了什么?为什么你们起步有点晚?

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Now you have entered at a later stage, just what what happened there, why were you a bit late out of the book?

是的,实际上罗氏过去在心血管代谢疾病领域也曾是领导者。

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Yeah, actually, Roche was also a leader in cardiovascular metabolic diseases in the past.

早在2010年、2011年,我们的研发管线中就有一种肠促胰素(Incretin: 肠道分泌的激素,参与血糖调节)药物,我们的一家子公司中外制药(Chugai)也开发了一种口服肠促胰素。

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And back in 2010, 2011, we actually had one of these incretin in our pipeline, and also Chugai, one of our daughter companies, has developed an oral incretin.

你知道,人生中有些时候你会做出正确的决定,有些时候则不会。

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Now, as everything in life, sometimes you make right decisions, sometimes you don't make the right decision.

我认为我们做出了许多非常好的决定,这就是为什么我们能在多发性硬化症或血友病等领域成为领导者。

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I think we've made a lot of very good decisions, and that's why we are leader, you know, in areas like multiple sclerosis or hemophilia.

但我想说,在这里,我们显然应该在过去十年中一直留在肥胖症领域。

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But I would say here clearly, you know, we should have stayed in this space throughout this phase of the last decade.

因为肥胖症不仅仅是肥胖症(Adipositas: 体内脂肪过度堆积的状态)本身,它还与其他疾病相关。

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Because, you know, the topic about obesity is also a topic beyond just, you know, adipositas, it's a topic of other diseases.

如果你看看肥胖症引起的疾病,例如癌症,肥胖患者的癌症发病率高于非肥胖患者。

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If you look at what diseases are caused by obesity, cancer, you know, there's a higher rate of cancer in obese patients than non-obese patients.

如果你看看肾脏疾病、各种眼部疾病,以及潜在的神经系统疾病,如阿尔茨海默病(Alzheimer's: 一种进行性神经退行性疾病)和帕金森病(Parkinson's: 一种进行性神经系统疾病),肥胖症的影响确实非常广泛。

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If you look at kidney diseases, if you look at different eye diseases, if you look at potentially neurological diseases like Alzheimer's and Parkinson's, so obesity really has influence much broader.

因此,通过解决这个问题,我们实际上是在进行疾病预防,而这正是医疗保健系统希望我们做到的。

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And so by tackling this, we actually go into prevention of diseases, and this is what Healthcare System want from us.

医疗保健系统希望我们更多地转向预防领域。

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Healthcare System want us to move more towards the area of prevention.

您是否对肥胖症相关的这么多问题感到惊讶?

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Are you surprised by how many how many problems are linked to obesity?

不,我一点也不惊讶。

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No, I'm not surprised at all.

如果你看看全球人口,目前大约50%的世界人口患有肥胖症。

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It's if you look at the global population, about 50% of the world's population is obese at this stage.

因此,为了解决其中一些共病问题,我们必须解决肥胖症问题。

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And so in order to tackle some of these co-morbidities, we will have to tackle the topic of obesity.

脑部穿梭技术与神经系统疾病治疗

你们还在研究脑部穿梭技术(Brain shuttle technology: 一种允许大分子穿过血脑屏障的技术),它能让更大的分子进入血脑屏障(Blood-brain barrier: 保护大脑免受血液中有害物质侵害的生理屏垒)。

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Now you're also working on brain shuttle technology, which allows larger molecules to enter the blood-brain barrier.

这能带来什么?

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What can this do?

这将是变革性的,特别是对于发生在脑部的疾病,如神经系统疾病、多发性硬化症、阿尔茨海默病和帕金森病,仅举几例。

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So this will be transformative, especially for diseases that happen in the brain, like neurological diseases, multiple sclerosis, Alzheimer and Parkinson's, just to name a few.

这项技术的作用是,它能帮助抗体(一种大分子)更容易地进入大脑。

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And what this technology does, it actually helps the antibody, which is a big molecule, to get much more easily into the brain.

如果你使用普通药物,注射到体内的药物只有不到0.5%能到达大脑。

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If you take a normal medicine, only or even less than half percent of this medicine that you inject into the body actually makes it to the brain.

所以,治疗发生在脑部的疾病非常困难。

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So it's very hard to treat diseases that happen in the brain.

为什么会这样呢?

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And why is that?

我们有血脑屏障,它在那里保护我们的大脑免受病毒、细菌和其他可能进入大脑并损害我们大脑的物质的侵害。

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Well, we have this Blood-brain barrier, and this blood-brain barrier is there to protect our brain from viruses, from bacteria, from other things that could go into the brain and could damage our brain.

通过这种脑部穿梭技术,它是一种附着在抗体上的蛋白质,我们可以更容易地将抗体输送到大脑中。

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And with this brain shuttle, which is a protein attached the antibody, we can actually transport the antibody much more easily into the brain.

通过这种方式,我们可以治疗那些否则无法有效治疗的疾病。

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And with that, we can treat diseases that otherwise could not be treated as effectively.

事实上,我们的研发管线中有一种非常有前景的阿尔茨海默病药物,这种抗体正是使用了这项技术。

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In fact, we have an very promising Alzheimer medicine in our pipeline, and this antibody actually uses exactly this technology.

我们希望能在2028-2029年左右推出,因为那时我们才能真正解决当今医疗保健领域最大的问题之一。

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And we hope to launch that by 28, 29 time frame, because then we can really tackle one of the big biggest problems in healthcare today.

成功的行业合作与研发投资

你们与许多不同的合作伙伴在许多不同领域长期合作。

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Now you work with a lot of different partners in many different areas, have you done for a long period of time?

您认为在制药行业建立成功合作的关键是什么?为什么有些合作成功而有些不成功?

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What do you think is the key to forming successful collaborations in the pharma industry, why are some of them successful and some of them are not?

是的,我们每年在研发上投资约130亿瑞士法郎。

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Yeah, so we invest about 13 billion Swiss Franks every year in our research and development.

因此,我们实际上是行业中研发投入最高的公司。

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And with that, we're actually the highest spender in terms of R&D in the industry.

尽管这听起来很多,也确实很多,但这只是医疗保健研发总投入的一小部分。

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Now, even though that sounds a lot, and it is a lot, it's only a fraction of the total money spent in Healthcare in R&D.

所以很明显,如果你想走在创新前沿,不能只依赖内部项目,你还需要处理和理解公司外部正在发生的一些项目。

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So it's clear that if you want to be at the frontier of innovation, you cannot only rely on projects that run in-house, but you also actually have to tackle and understand some of these projects that are happening outside of our company.

因此,我们和其他制药公司一直在寻找非常有前景的项目和化合物,以便引入公司内部。

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So Us and other pharma companies are constantly at the lookout to find very promising projects, compounds that we could bring in house.

如果我们看看过去10到15年我们的研发管线和我们推出的产品,大约50%的新药来自罗氏内部,另外50%来自外部。

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Now, if we look at our pipeline and what we've delivered over the last 10, 15 years, about 50% of the molecules that we've launched, the new medicines, came from Raj, and the other 50% came from the outside.

另一方面,我一开始提到,如果你看整个开发过程,这是一个漫长的过程,行业平均需要13年。

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On the other hand, what I mentioned in the beginning is that if you look at the whole development process, it's a long process, it's it's 13 years on average for the industry.

只有十分之一的药物能够成功。

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Only one out of 10 medicines make it.

这当然适用于我们自己的研发管线,也适用于所有从外部引入的项目。

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This is of course true for our own pipeline, but it's also true for everything that you bring in from the outside.

所以,这基本上是我们为了给患者带来巨大创新所必须承担的风险。

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So this is basically, you know, the risk that we have to take in order to bring great innovation to patients.

合作关系也可能在这个过程中失败。

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That also Partnerships May Fail during this process.

但如果你想带来真正的创新,就不能不承担任何风险。

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But if you want to bring true Innovation, this will not happen without taking any risks.

研发投资组合与风险管理

制药研发管线与投资组合之间存在一些相似之处,对吗?

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Now there are some similarities between between a Pharma pipeline and an Investment Portfolio, right?

你们投资于产品,着眼于长期,以产生回报。

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You invest in products for the long term to generate returns.

罗氏是否有特定的投资理念来确保成功?

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Now, have you got a particular kind of investment philosophy at Raj to make this successful?

是的,当我们审视我们的投资组合和潜在新药时,我们当然会将每种药物视为个体。

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Yeah, so when we look at our portfolio and our potential new medicines, we of course look at each medicine as an individual.

但我们也会整体审视整个投资组合。

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But we also look at the portfolio overall.

与你可能做的其他投资类似,你确实会进行净现值计算(NPV calculation: 评估投资项目盈利能力的财务方法)。

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And similar to other investments that you would do, you do actually NPV calculation.

你会计算需要投资多少,以及潜在的回报是多少。

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You calculate, you know, what would you have to invest and what's the potential return.

同时,我们还会关注我们称之为成功概率(Probability of success: 衡量项目成功的可能性)的指标。

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At the same time, we look at something we call probability of success.

因此,我们必须了解我们在技术和科学方面承担的风险,以及财务风险。

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And so we have to understand, you know, what's the risk that we're taking in terms of technical scientific risk, but what's also the Financial Risk.

然后,当你审视整个投资组合时,它必须是合理的。

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And then when you look at the overall portfolio, it has to make sense.

所以,你可以做一些高风险但高回报的项目。

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So, you know, you can do a number of projects that are high risk, but also High Rewards.

但你也必须将其与那些确定性更高的项目结合起来。

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But you also have to kind of combine it with projects where the certainty is higher.

再次强调,高风险高回报的项目之所以高风险高回报,是因为例如在帕金森病领域,人们已经努力了几十年寻找新药。

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Again, the high-risk High reward projects, there's a reason why they're high risk and high rewards, it's because for example, in Parkinson's, people have worked for decades, for decades to find a new medicine.

这非常非常困难,但如果你成功了,当然会对社会带来巨大的益处,对我们公司也是巨大的益处。

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It's very, very difficult, but if you make it, of course, it's a huge benefit to society, but it's also a big benefit to our company if you make it.

所以你可以进行这样的个体押注,但不能只进行这样的押注,因为我们还需要赚回资金,以便继续投资研发。

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So you can make individual such beds, but you can't only make such beds, because we also have to earn back the money in order to keep investing in R&D.

如果我们无法赚回研发资金,就无法为患者做任何好事。

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We can't do any good for patients if we don't are not able to earn back our R&D money.

诊断与制药结合的优势

您一开始提到了罗氏在诊断领域的强大地位。

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You mentioned at the beginning your strong position in Diagnostics.

同时拥有诊断和制药业务的优势是什么?

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What are what are the advantages of having both Diagnostics and farma inhouse?

我认为这至关重要,如果你看看医疗保健的发展方向,医疗保健系统期望我们改善治疗效果,同时降低护理成本。

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I think it's critical if you look at where Healthcare is going, Healthcare is is going to expect from us that we improve outcomes but also reduce cost of care.

因为我们知道医疗保健预算是有限的,我认为诊断和制药的结合可以在这里发挥巨大作用。

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Because we know that the healthcare budgets are limited, and I think here the combination of Diagnostics and Pharma can play a big role.

所以我们相信,未来会有更多趋势走向预防、阻止疾病进展以及治愈。

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So we believe that there is much more of a trend to go towards prevention, stopping disease from progressing, but also curing.

如果你想预防疾病,你实际上需要找到高风险患者,并对他们进行预防性治疗,以阻止他们患病。

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Now if you want to prevent the disease, you actually want to find the high-risk patients and these high-risk patients you want to treat preventively in order for them not to develop the disease.

因此,你需要良好的诊断来找到这些患者,然后才能给他们合适的药物。

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So you need a good Diagnostics to find those patients to then be able to give them the right medicine.

如果你想阻止疾病进展,你必须真正了解疾病的原因,并找到非常有针对性的治疗方法,以确保阻止疾病的进展。

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If you want to stop disease progression, you really have to understand the cause of that disease and find a very targeted treatment to make sure that you stop the progression of this disease.

治愈也是如此。

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And the same for cure.

对于治愈,你知道,通常有遗传或其他原因导致疾病发生,你再次需要诊断来了解这些,以便给予正确的治疗。

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For cure, you know, oftentimes there is genetic reasons or other reasons that cause a disease to happen, again, you need a Diagnostics to understand that in order to give the right kind of treatment.

所以我们看到这种趋势在未来几十年里会变得更加强烈。

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So we see this trend really happening over the next decades, this will be even stronger.

同时拥有诊断和制药业务,我们比任何其他公司都更有能力满足全球医疗保健系统和患者最终的需求。

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And having both Diagnostics and Pharma, we are better position than any other company to actually manage to serve the needs of what the Healthcare System and What patients at the end need across the world.

医疗保健数据的重要性

医疗保健数据在这里扮演什么角色?

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And where does Healthcare data come in here?

因为你们很早就通过收购Foundation MedicineFlatiron Health等公司进入了这个领域。

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Because you were you were early in here by acquiring Foundation medicine and flaton among other things.

为什么这是一个重要的领域?

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Why why is this an important space to be?

医疗保健数据在价值链的不同部分都发挥着作用。

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Well, Healthcare data plays a role clearly across the different parts of the value chain.

它在研发中扮演着重要角色。

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And it plays a big part in research and development.

如果你想开发新药或新诊断方法,你需要大量数据来了解如何最好地靶向、设计哪种分子等等。

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If you want to develop a new medicine or new Diagnostics, you have have a lot of data to understand how to best Target which molecule to design, etc.

所以,你拥有的数据越多,作为开发新药和诊断的起点就越好。

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So the more data you have, the better it is for you as a starting point to develop new medicines and and diagnostics.

同时,我认为在患者治疗方面,数据也扮演着重要角色。

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At the same time, I think when it comes to treatment of patients, data plays a big role.

例如,你可以使用诊断方法,了解许多不同患者的疾病原因,然后你可以查看这些患者是如何被治疗的,以及这些治疗的效果如何。

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For example, you can use Diagnostics and understand, you know, the cause of disease for a number of different patients, and then you can look at how these patients were treated and how these treatments worked.

现在,如果你能回溯并在更大的人群层面观察这一点,它实际上将帮助你决定针对何种诊断和何种患者给予何种治疗。

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Now, if you can go back and you can look at this on a bigger population level, it will actually help you to decide which treatment to give for what kind of diagnostics for What patients.

所以,我认为将这些结合起来对于更好地治疗患者、改善他们的生活以及在诊断方面更加精确至关重要。

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So to combine that is I think very critical to be even better in treating our patients and improving their lives and being more precise in the Diagnostics.

制药行业的创新文化与AI的影响

Thomas,如果我们进一步深入探讨创新,一个天真的问题是:为什么有些制药公司比其他公司更擅长创新?

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Thomas, if we want to if we drill down a bit further on on Innovation, like a naive question, why are some farma companies better at Innovation than others?

具体是什么让一些公司脱颖而出?

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What what is it in particular that makes some companies stand out?

我认为一个方面是文化。

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I think one topic is culture.

作为一家公司,我认为这是我们与众不同之处。

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You know, as a company, I think that's something that differentiates us.

我们能够招聘和留住最有才华的人才,我们的员工流失率非常低。

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We are able to recruit and retain the most talented people, we have a very low turnover.

事实上,如果你将我们与行业内其他公司进行比较,我们在这方面是最好的公司之一,甚至可能是最好的。

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In fact, if you Benchmark us compared to other companies in Industry, we are one of the best if not the best company in that aspect.

鉴于我们行业漫长的性质和周期,拥有一定程度的人员连续性来从事某些项目非常重要。

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And given the long nature and the long cycles of our industry, it's important that we have also a certain level of continuity of people working on certain projects.

如果人们不断在项目之间切换,我认为这不是一件好事。

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When people keep switching between projects, I think that's not not a very good thing.

第二点是,作为一家公司,你必须遵循科学,你必须看到哪里有新的科学突破,就像我们用抗体所做的那样,就像我们现在正在利用人工智能和类器官(Organoids: 在体外培养的微型三维器官模型)进行研发一样。

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The second piece is as a company, you have to follow the science and you have to see where is their new scientific breakthrough, like we did with antibodies, like we're now doing with using artificial intelligence and using organoids in our research and development.

然后你必须抓住这些机会,你必须有长期的耐心,让它们成为现实。

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And then you have to jump on those, you have to have the long breath for those then to become to reality.

我认为这很重要,如果你在这样一个周期漫长的行业中不断改变方向,实际上不利于创新的发生。

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And I think that's important if you keep changing the course in a business that has such long Cycles, it's actually not good for Innovation to happen.

罗氏的创新文化有何独特之处?

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What is it that sets the rush Innovation culture apart?

我认为首先是我们与员工的文化,这是一种非常赋能的文化。

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So I think one is the the culture that we have with our people, which which is a very empowering culture.

第二点,我相信也是我们独特的设置。

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The second piece I believe is also the unique setup that we have.

在制药方面,我们实际上有两个早期研究引擎。

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We have on the farmer side actually two early research engines.

一个是中外制药(Chugai),一家我们拥有大部分股权的日本公司,另一个是美国的基因泰克研发部(Genentech Research and Early Development),它是通过收购基因泰克而来的。

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One is Chugai, a company in Japan that we own the majority of, another one is in the US, called Genentech research and early development, it came to us through the acquisition of Chen tank.

第三个是制药早期研发部。

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And the third one is farma research and early development.

这给了我们三个独特的创新机会来开发新药。

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It gives us three unique shots at goal to develop new medicines.

它们都有非常不同的文化和方法,在创新方面,拥有这种不同的方法而不是单一方法实际上是有帮助的。

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They all have very different cultures, different approaches, and when you look at Innovation, it's actually helpful to have the kind of, you know, different approaches and not only have one one approach across.

人工智能将如何改变你们的创新方式?

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How is AI going to change the way you innovate?

这实际上是基因泰克研发部(Genentech Research and Early Development)非常关注的一个领域。

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So this is actually an area where Genentech Research and Early Development has a huge focus on.

我们那里有一个由世界专家组成的优秀团队。

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We have an amazing team there of people who are World experts in in this area.

人工智能在整个研发过程中发挥着并将继续发挥作用。

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And AI plays and will play a role in the entire process process of research and and development.

在研发的早期阶段,例如,过去你可能需要合成大量不同的分子,然后逐一在细胞中进行体内测试,看看哪一个有效。

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In the early stage of research and development, for example, what what used to be done where you synthesize a lot of different molecules and then you test every molecule in Vivo so in the cell to see which one works.

现在,你会做的是,你获取所有现有数据,让人工智能在成千上万的分子中设计出具有最佳属性的分子,然后你只需测试少数几种不同的分子。

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Nowadays, what you would do is you take all the data that you have, you let AI design among thousands and thousands of molecules those molecules that have the best attributes, and then you just test a handful of different molecules.

这意味着我们可以更快、更具成本效益,我们可以更快地测试更多不同的分子,从而更快地将药物带给患者。

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And what that means is that we can actually be much faster, we can be much more cost efficient, we can test a lot more different molecules much faster, and with that actually bring medicines to patients much more quickly.

那么,如果你们提高了速度,这会对速度产生什么影响?

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So if you if you do speed for instance, what is it going to do to speed?

我们设定了研发目标,要提高40%。

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So we set goals for R&D by 40%.

这并不是说我们特别差,所以才要设定一个负40%的目标,这只是我们认为到本十年末,当我们真正端到端地实施人工智能时,行业将达到的水平。

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And it doesn't mean that we are particularly bad that we have to set a goal of minus 40%, it's just where we believe that the industry will be at the end of the Decades when we really Implement Ai and to end.

那成本呢?会便宜多少?

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And what about costs? How much cheaper will it be?

成本方面,我们的目标是降低20%。

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So costs, our Target is to reduce it by 20%.

一方面我们可以更有效率,但另一方面我们也想做得更多。

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You know, on the one hand, we can be more effective, but on the other hand, we also want to do more.

所以我们有可能每年推出更多药物,这对患者来说是好消息,对我们公司来说也是如此。

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So potentially we can also increase the number of Medicine that we launch every year, which would be great news for patients, but obviously also for our company.

除了速度和成本,您认为它会对最终药物,即最终产品产生什么影响?

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So in addition to speed and cost, what what do you think it will do with the with the final drug, with the final product you come up with?

您认为它会显著改善吗?

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Will that be significantly better, you think?

是的,我认为在更短的时间内会发生更多的创新。

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Yeah, I I think that you should have a lot more Innovation happening in a much shorter period of time.

如果能做到这一点,你显然也会拥有更好的药物。

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And if you have that, you will also obviously have better medicines.

我认为人工智能还会做很多现在需要人工完成的工作,比如编写研究方案、进行所有监管申报,这些都是800到900页的文件。

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I think what it will also do actually AI is lot of the manual work that's being done today, like, you know, writing study protocols, like doing all the regulatory submissions, which are 800, 900 pages of paper.

如果你能将人工智能用于所有这些工作,当然你需要校对并确保一切正确,但它可以大大减少工作量。

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If you can use AI for all of that, and of course, you need to proof read and you need to make sure that everything is correct, but it can massively reduce the amount of effort.

我们可以利用这些人的时间,不再从事体力劳动,而是真正投入时间开发新药。

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And we can use the time of those people not to do, yeah, manual labor, but really invest the time into developing new medicines.

所以,我认为人们所做的工作类型也会发生转变。

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So I think there will be also shift in the kind of work that people are doing.

您说现在每10种药物中只有1种成功,您认为10年后这个数字会是多少?

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So you said that now one one out of 10 drugs make it, what do you think that number will be in 10 years time?

一方面,你会增加产量,这会有帮助。

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Well, on on one hand, you will bring up the volume, right, so that will be helpful.

至于我们具体能达到什么样的成功率,我认为仍然会有很多失败,因为最终你必须进行测试。

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In terms of, you know, what exactly we will achieve in terms of the success rate, I think you will have still a lot lot that will not succeed, because ultimately you will have to test it.

而且,你知道,要让一种药物发挥作用,需要许多属性都起作用。

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And, you know, there are a lot of attributes that have to work in order for medicine to work.

但是你能想象,如果只是将其增加一倍,从10%提高到20%,你就能将提供给患者的药物数量增加一倍。

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So but can you imagine if you just increase it by a factor of two, just to go from 10% to 20%, you would double the amount of medicines that are being delivered to to patients?

那将是巨大的,是游戏规则的改变者。

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I mean, that would be huge and The Game Changer.

您认为未来10年癌症存活率会发生什么变化?

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What do you think will happen to cancer survival rates, let's say in the next 10 years?

我认为它会持续改善。

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I I think it will continuously improve.

显然,目标是根除癌症。

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And, you know, the goal is clearly to eradicate cancer.

如果你看看艾滋病毒(HIV)的时代,当第一种药物被开发出来,第二种药物被开发出来时,我认为关键在于如何通过联合用药来基本实现人们不再死于艾滋病毒。

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And if you know, you look at the time of HIV, when the first medic was developed, the second medicine was developed, I think the the key of how to basically achieve the fact that people don't have to die of HIV anymore was actually to combine medicines.

原因是,如果你只使用一种药物,病毒会发生变异,会产生不同的突变,从而逃脱这种药物的作用。

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And the reason is if you use one medicine, you the the virus will change, will have different mutations, so it will escape that medicine.

所以通过联合使用多种药物,病毒就很难逃脱。

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So by combining multiple medicines, you, you know, it's much much harder for this this virus to escape.

癌症也是如此。

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And it's the same for cancer.

对于癌症,你知道,当你通过添加药物施加选择性压力时,受药物影响的细胞会死亡。

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For cancer, you know, when you put a selective pressure on it by adding a medicine, you know, the cells that are, you know, affected by this medicine, they will die.

但如果存在某些突变,它们就会逃脱这种机制,并找到不同的机制。

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But if there are certain mutations, they will escape the mechanism, and they will find a different mechanism.

这正是我们在癌症中看到的。

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And that's what exactly we see with cancer.

因此,通过应用多种药物,你可能在某个阶段达到与我们治疗艾滋病毒等传染病时相同的情况。

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And so by applying multiple medicines, you can probably at one stage get to the same situation as as we've done with infectious diseases like HIV.

我相信免疫系统将发挥重要作用。

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And I believe the immune system will play a big role.

你知道,如果我们能激活免疫系统来对抗癌症,更好地识别癌症,那么我认为我们也将迈出一大步。

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You know, if we can activate the immune system to fight the cancer, to identify the cancer better, then I think we also will make a big step forward.

欧洲在全球临床试验中的地位与挑战

接下来谈谈欧洲在全球的地位。

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Moving on to Europe's place in the world here.

在临床药物试验方面,欧洲正在落后于中国和美国。

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So Europe is falling behind China and the US when it comes to clinical drug trials.

我认为过去10年欧洲的市场份额已经减半,这相当惊人。

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And I think the European share has Haled over the last 10 years, which is pretty pretty dramatic.

为什么会这样?

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What why is that?

我认为,如果你看看创新,我会说世界上大约有四个区域是创新的主要来源。

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Yeah, I mean, if you look at Innovation, I would say there are probably four area regions in the world where Innovation is really coming from.

一个是美国,一个是欧洲,中国正在迅速崛起,如果你看看中国的专利申请数量,它正在超越,发展非常迅速。

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One is the US, one is Europe, China is really accelerating if you look at the patent applications coming out of China, it's taking over, it's it's advancing very quickly.

最后一个区域是日本。

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And the last area is is Japan.

美国做得很好的一点是,所有这些地区都有相当强大的学术界。

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Now what the US is doing quite well is um so all of them have pretty strong Academia, I would say.

但美国做得特别好的是,他们拥有更好的初创企业环境。

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But what the US is doing particularly well is that they have a much better environment for startups.

风险投资的获取途径更好,因此有很多人才涌向美国。

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So there is a much better access to venture capital, and with that, you have a lot of people actually moving to the US.

所以,有很多人才流向美国。

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So they have a lot of talent going to the US.

你会看到很多创新,这些创新从学术界转化为生物技术公司,现在更多地发生在美国,可能也包括中国,而不是欧洲。

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And you see a lot of the Innovation, which is translated from Academia into the biotechs, than actually happen more in the US and probably also China now than than for example in Europe.

所以,我认为欧洲必须把这一点做好。

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So I think Europe has to get that right.

欧洲必须做好的第二点是,他们必须减少官僚主义。

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The second piece that Europe has to get right is they have to reduce the amount of bureaucracy.

如果你看看临床试验等,这些试验是在官僚主义较少的国家进行的。

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If you look at clinical trials, etc., these are done in countries where you have less bureaucracy.

如果你从申请临床试验到能够开始临床试验需要一年的时间,那就会损失一年的时间。

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If it takes you a year for from the time you apply for clinical trial to being able to start a clinical trial, that's a year of lost time.

如果这种药物成功了,那就会损失一年拯救患者生命的时间。

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A year of time where we cannot save a number of patients lives if this medicine makes it.

所以,我认为欧洲确实需要解决官僚主义问题。

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So I think Europe really needs to work on on the bureaucracy piece as well.

具体是哪一部分官僚主义阻碍了你们?是与GDPR(General Data Protection Regulation: 欧盟关于数据保护和隐私的法规)相关的问题吗?

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What particular part of bureaucracy is holding you back? Is it G is are these gdpr related issues or what are they?

是的,与GDPR相关的问题,但总的来说,所有你需要获得的批准才能开始临床试验,如果这需要一年时间,那就是浪费了一年的时间。

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GDPR related issues, but in general, you know, all the approvals that you have to get to start a clinical trial, if that takes a year, it's just a year lost in time.

中国在全球创新中的角色

您说中国正在超越,您能更具体地谈谈中国的角色吗?

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You said China was taking over here, what could you be a bit more specific about China's role?

是的,看看中国,首先,如果你看看中国的专利数量,正在呈指数级增长。

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Yeah, so looking in China, first if you look at the amount of patn that are coming out of China, this is going up exponentially.

如果你看看在中国可以找到的人才,简直令人惊叹。

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If you look at the talents that you can find in China, you I mean, it's just amazing.

有很多人在世界上最好的大学学习后回到了中国,并创办了生物技术公司,在大学工作等等。

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You have a lot of people that studied in the best universities in the world that have gone back to China and have opened biotechs, are working in universities, etc.

而且,你知道,不得不说,如果你看看中国的思维方式,他们希望成为领导者,然后他们会投入国家和人民的所有努力和力量来实现这一目标。

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And one has to say, you know, if you look at the mentality in China is, you know, they want to be a leader, and then they put all the efforts, all the strength of the country of the people behind it to become a leader.

我认为有时如果你看看某些地区,我只选择欧洲,因为我是欧洲人,所以批评自己总是更容易。

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I think sometimes if you look at regions, and I'm just going to pick Europe because I'm a European, so it's always easier to pick on yourself.

你知道,也许有时我们变得过于安逸。

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You know, maybe sometimes we've become too comfortable.

我想说,我们拥有的繁荣有时也是我们的敌人。

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I would say the prosperity that we have is sometimes also a bit of our enemy.

你知道,如果你想保持领先,就不能躺在过去的成就上,而必须不断努力。

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You know, if you want to stay ahead, you cannot rest on the achievements from the past, but you constantly have to work at that.

我认为这就是中国态度不同的地方。

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And I think this is where China has a different attitude.

你们能在多大程度上利用中国的人才?

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To which extent can you tap into the talent in China?

所以,中国实际上是我们员工数量最多的国家之一,也是市场和销售额最大的国家之一。

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So China is actually one of our biggest countries in terms of number of people we have there, and also in terms of, you know, markets, sales, etc.

但除此之外,我们不仅在那里设有商业机构。

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But beyond that, we don't only have commercial organizations there.

在过去的几年甚至几十年里,我们还在研发方面建立了业务。

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Over the past years, and partly decades, we've built up also a presence on the research and and development side.

制药业务在那里已经有一段时间了,但诊断业务也在过去几年里进入了中国。

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Pharma has been there for a bit longer, but also in Diagnostics, we've been there for the last couple of years.

这很重要,因为首先,我们希望利用那里的人才。

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And it's important because, you know, first of all, we want to tap into the talent that is there.

其次,如果你有强大的研发存在,你也能更容易地利用生物技术公司,因为你有连接性。

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And second, if you have strong R&D presence, you also can tap more much more easily into the biotex because, you know, you have the connectivity.

你们说同一种语言,只有当你内部有优秀的科学家时,你才能评估外部的科学。

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You speak the same language, you can, you know, only assess the science outside if you have great scientists inside.

所以,我认为从这个角度来看,我们处于一个相当好的状态。

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And so I think from that aspect, I think we're in in a pretty good shape.

显然,中国将是并将继续是我们的一个重要优先事项,仅仅因为中国有14亿人口,其中很多人仍然无法获得优质医疗保健。

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And clearly China is going to and will remain a big priority for us, simply also because there are 1.4 billion people in China, and a lot of these people still don't have great access to to healthare.

所以,还有很多工作可以做。

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And so there's a lot of work that can still be done.

你们在中国收购专利和公司吗?

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Are you acquiring patents and companies in China?

我们已经与生物技术公司达成了几项许可协议,我们从中获得了许多分子的许可,我不得不说,那里的科学非常出色。

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So we've done a couple of Licensing deals from biotechs where we licensed in a number of molecules, and I have to say the science is great.

您认为现在比美国更好吗?

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Is it better now than in the US, you think?

我不会说现在是这样。

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I I wouldn't say that at this stage.

我想说,如果你看看全球,美国、欧洲、中国和日本是大部分创新来源地。

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I would say, you know, if you look at, you know, around the globe, us, Europe, China, and Japan are where most of the Innovation is coming from.

美国显然仍然处于领导地位,但中国正在迅速追赶。

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Us is clearly I still in the leadership position, but China is catching up very quickly.

药物定价与创新激励

接下来谈谈重要的定价问题。

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Moving on to the important topic of pricing.

当然,在制药行业,关于收费多少以及有多少人能从中受益,一直存在权衡。

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Of course, there's always been a trade-off in the farma industry about, you know, how much you charge and how many people will benefit from It.

总的来说,现在全球的药价是否过高?

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Generally are drug prices too high now across the world?

如果你看看定价,你也必须看看创新的模式。

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Well, if you look at pricing, you also have to look at the model of how Innovation happens.

正如我所提到的,在制药行业,开发一种新药的周期大约是13年。

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As I mentioned, you have in Pharma a cycle of about 13 years to develop a new medicine.

而且,风险概况是每10种药物中只有1种成功。

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And you have a risk profile where only one out of 10 medicines make it.

所以,你实际上必须用一种药物赚回你无法用其他九种失败药物赚回的钱。

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So you actually have to earn the money back with one medicine that you couldn't with the other nine that failed.

而且你只有很短的时间,大约只有10年,在世界某些地区,这个时间甚至还在缩短,只有10年时间来赚回资金。

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And you only have a short period of time, you only have around 10 years, and in some parts of the world, this time is shortening even, 10 years to earn back the money.

然后就会有生物类似药(Biosimilar: 与已批准的生物药高度相似的生物制品)和仿制药(Generics: 与品牌药具有相同活性成分、剂量、剂型和给药途径的药物)的进入。

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And then you have the entry of biosimilar, you have the entry of generics.

所以,对社会的益处当然在你们推出这种药物的这10年间就已经存在了。

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So the benefit to society is of course already during these 10 years when you have launched this medicine.

但对社会的益处远不止于此。

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But the benefit to society goes Way Beyond.

如果你看看我们历史上推出的药物,现在有44种药物列入了世界卫生组织基本药物清单(WHO list of essential medicines: 世卫组织推荐的基本医疗保健所需药物清单),比如抗生素(Antibiotics: 用于治疗细菌感染的药物)、安定以及其他一些癌症药物等。

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If you look at if you look at just the medicines that we have launched in our history, Now 44 medicines are now on the wh list of essential medicines like antibiotics, like volume, a number of other cancer medicines, etc.

如果之前没有创新的激励,这些创新就不会发生,那么这些药物就不会像今天这样广泛可用。

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Now if the Innovation didn't happen before because there were no incentives for Innovation, then these medicines would not be as widely available as they are today.

事实上,我总是说,我们这个行业实际上是仿制药和生物类似药行业的研发管线。

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In fact, I always say that our industry is actually the pipeline of the generics and biosimilar Industry.

所以,如果你打破这个模式,它就行不通。

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So if you break that, it doesn't work.

我认为一个很好的例子,你可以看到如果没有这种激励机制就行不通的地方,就是抗生素。

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I think a good example where you can see where if you don't have that incentive and it doesn't work is antibiotics.

现在已经有50年没有新的抗生素了。

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So there haven't been new antibiotics for 50 years.

我们一直在开发抗生素,因为我们认为这是一种道德责任,我们相信不幸的是,未来会有更多的流行病。

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Now we've been developing antibiotics to antibiotics because we see it as an ethical responsibility and we believe that unfortunately there will be more pandemics that will come.

不幸的是,其中一种流行病可能是细菌性流行病,那时疫苗将不起作用,我们需要新的抗生素。

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And unfortunately, one of the pandemics that could come could be a bacterial pandemic, and then the vaccines will not work, then we need new new antibiotics.

但为什么没有人,尤其是很少有生物技术公司,在研究这个呢?

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But why is no one especially not a lot of biotechs, why is no one working on this?

因为商业模式行不通。

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It's because the business model doesn't work.

如果你知道一家公司开发了一种新的抗生素,会发生什么呢?

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If you know, you have a company developing a new antibiotic, what would happen is that antibiotic would not be used.

这种抗生素不会被立即使用,只有当所有其他抗生素都失效时才会被使用。

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It would only be used once all the other antibiotics fail.

所以,生物技术公司没有巨大的激励去投入这个领域。

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So there is not a huge incentive for biotechs to go in it.

他们必须生存,他们必须让公司生存下去。

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They have to survive, they have to survive a company.

像我们这样的公司,我们可以将一部分研发资金投入到这个领域,但生物技术公司不能。

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Like ours, we can invest a certain piece of our money that we have in research and development to do this, but biotechs cannot.

不幸的是,很多创新都发生在生物技术公司。

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And unfortunately, a lot of innovation happens in biotechs.

所以,你需要为这种创新创造更多的激励系统。

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So you need to create more of an incentive system for this Innovation to happen.

总之,如果我们打破激励系统,那么我们将面临创新方面不再有任何进展的局面。

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So in in conclusion, if we break the incentive system, then we will be in a situation there will be no more progress in terms of innovation.

这就是为什么我认为在考虑定价时,理解其完整背景很重要。

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And that's why I think it's important to understand the full context when you think about pricing.

欠发达市场的差异化定价

在欠发达市场定价时,以及围绕其的道德考量,你们是否采取与其他制药公司不同的方法?

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When you think about pricing in less developed markets and the ethical aspects around that, do you take a different approach than other farma companies?

我们和许多其他制药公司实际上都采取差异化定价(Differential pricing: 根据不同市场或购买力设定不同价格的策略)。

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We and I think many other Pharma companies actually have differential pricing.

是的,差异化定价意味着,一方面基于药物的效果,另一方面基于可负担性,你尝试以公平的方式定价。

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Yeah, differential pricing means that based on also, you know, how well the medicine works on one hand, but also what's the affordability, you try to price it in a fair way.

这意味着富裕国家将不得不为药物支付更多,而贫穷国家支付更少。

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And that means that richer countries will have to pay a little bit more on the medicine than poorer countries.

我认为这必须是富裕国家和贫穷国家之间的一种契约。

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And I think this has to be this kind of contract between richer countries and and poorer countries.

现在,如果你有一些政客,他们基本上想要世界上最好的价格,比如在非洲的一个国家,那么危险在于许多制药公司会说,如果我必须给欧洲或美国等发达国家与非洲国家相同的价格,我就无法在非洲推出它。

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Now if you have, you know, certain politicians that want basically the best price in the world, which is in let's say a country in Africa, the danger is that a lot of Pharma companies will say, well, if I have to give to developed countries like in Europe or the US, I have to give the same price as a country in Africa, I cannot introduce it in Africa.

所以,我认为必须理解我们世界不同地区之间存在差异化定价,你不能让世界领导人要求与非洲或拉丁美洲某些国家相同的价格。

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So I think there has to be an understanding that we have differential pricing between the different parts of the world, and you can't have world leaders asking for the same price as in some country in Africa or in Latin America.

医疗成本与未来展望

现在,五年后,你们的研发成本将降低20%,时间框架将缩短40%,并且成功率将从十分之一提高到五分之一,对吗?

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So now you'll um uh five year hence, you will have reduced your R&D cost by 20%, you have reduced the time frame by 40%, and instead of 1 out of 10, you know have one out of five succeeding, right?

这是否意味着患者的成本会降低?

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Will that mean lower costs for patients?

我认为,你必须再次审视你所产生的总影响。

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Well, I think that um again, you have to look at the total impacts that you have.

现在,如果你进入一个预防疾病发生的情况,那么也许这种药物的成本更高,但由于你不需要在未来10、15、20年内持续用药,总成本就会下降。

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Now if you if you uh go to a situation where you prevent diseases from happening, then maybe that one medicine costs more, but the total costs because you don't have to give this medicine for the next 10, 15, 20 years goes down.

或者你住院治疗的次数减少了,因为人们生病少了等等。

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Or you have less treatments in hospitals because people get less sick, etc.

所以,我认为你必须从整体影响医疗保健系统的角度来看待它,而不仅仅是简单地说每种药物的价格。

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So I think you have to look at it's not as simple as saying, you know, each each medicine, but you have to look at the total impact on the healthcare system.

很明显,这是我们的承诺,我们希望帮助改善患者的治疗效果,但我们也希望降低医疗保健系统的成本。

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And it's clear and that's our commitment, we want to help improve the outcome for patients, but we also want to reduce the costs in the healthcare system.

我们必须通过更多地走向预防,通过减少医院治疗,更多地在家庭环境中治疗人们来降低成本。

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And we have to reduce it by going more towards prevention, by going towards treating people less in the hospital, but more in the home setting.

因为,你知道,如果人们经常去医院,也会增加系统成本。

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Um because, you know, if people constantly go to the hospital, that also drives cost in the system.

此外,生病的人也不想一直面对自己的疾病,所以他们实际上不想去医院。

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Plus, you know, people who are sick also don't want to be confronted with their disease all the time, so they they actually don't want to go to the hospital.

所以,我认为如果我们能做到这一点,我们就能整体降低医疗保健系统的成本。

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So I think if we can get that done, we can bring down the cost in the Healthcare System overall.

领导力、公司文化与个人生活

接下来谈谈领导力。

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Moving on to leadership.

您担任罗氏首席执行官已经一年多了,担任罗氏首席执行官最有趣的部分是什么?

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You've been the CEO of rush for a bit more than a year, what's the most fun part being the CEO of Rush?

是的,我已经在罗氏工作了21年。

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Yeah, so I've been with Ros for now 21 years.

你知道,我热爱这家公司,热爱这家公司的文化,也热爱我们公司的宗旨。

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And, you know, I love this company, I love the culture in this company, and I love the purpose of of our company.

你知道,如果你能看到我们正在进行的创新,那真是太棒了。

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And, you know, if you can see the kind of innovation that we're working on, it's just amazing.

你可以看到你对患者生活产生的影响。

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And, you know, you can see the impact that you can have on patients lives.

当我和我们的一些研究人员和医生交谈时,你知道,当我们进行一项临床试验,有时需要三到四年才能进入三期,然后当他们看到结果,看到结果是积极的,以及他们能对患者生活产生的影响时,你会看到人们热泪盈眶,因为他们看到了自己能产生的影响。

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I mean, when when I talk to some of our researchers and medical doctors, you know, when we run a clinical trial that sometimes takes 3 to four years in the phase three, and then the day when they see the results, and they see that the results are positive, and what impact they can have on patients lives, you you have people that have tears in their eyes because they see the kind of impact they they can have.

所以,我认为从事这样的工作真是太棒了。

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And so I think that's just amazing, you know, to work on something like this.

第二点是,也许这也是我在这家公司工作了21年的原因,我真的很关心我们组织中的员工。

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The second piece is, and maybe that's also why I've been with the company for 21 years, I really care about the people in our organization.

对我来说,与这些人一起工作很有趣,培养领导者,看到他们成长也很有趣。

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And for me, it's fun to work with these people, it's fun also, you know, to develop leaders, to see them grow.

我认为这对我来说也是非常有成就感的事情。

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I think that's also something that is very fulfilling for me.

所以,这些是我真正喜欢做的事情,也是我现在这个职位上可以做更多的事情。

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So those are things that I really enjoy and that I can do even more in the role that I'm in right now.

您和您的前任Severin Schwan之间最大的区别是什么?

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What's the biggest difference between you and S Schwan, who was your predecessor?

在过去四五年里,当我担任诊断业务首席执行官时,我与他密切合作。

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So I've been working closely with him over the last four or five years when I was Diagnostics CEO.

我想说有两点。

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I would say two things that I see.

一是,他学习金融和法律,而我是一名科学家。

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One is he studied finance and law, and I'm a scientist.

您拥有生物学博士学位,我拥有分子生物学博士学位,并在癌症肿瘤学领域进行了研究。

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So you got a PhD in biology, I have a PhD in molecular biology and did research in the area of cancer oncology.

我认为这是一个方面。

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I think that's one element.

第二点是,如果你看看我生活和成长的地方,我出生在德国,但在九岁时,我的父母搬到了新加坡,搬到了亚洲。

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The second piece is, you know, if you look at where I lived and grew up in my life, I was born in Germany, but with the age of nine, my parents moved to Singapore, to Asia.

我总共在亚洲生活了12年,我去了美国学习和工作。

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And this is where I grew up, I lived in total of 12 Years in Asia, I went to the US to study and and work in the US.

所以,我真的很喜欢在这么多不同文化中工作。

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So it's something that I really enjoyed working in so many different cultures.

我想说,这两点可能有些不同。

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And I would say those are two elements that are probably a bit different.

您从亚洲的成长经历中获得了什么?

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What did you take away from your upbringing in Asia?

首先,新加坡位于赤道,所以我喜欢温暖的天气,也喜欢那里的食物,比如辣椒螃蟹,点心等等。

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Well, first of all, Singapore is at the Equator, so I I loved the warm weather and I loved the food, the chili crab, for example, dim Zam, you know, you name it.

我就是喜欢亚洲食物,以至于每次我们在瑞士吃饭时,我总是说我们去吃亚洲菜,我的家人对此不太高兴,因为我每天都想吃亚洲菜。

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I I just love Asian food to the point where, you know, every time we go eat in Switzerland, I always say let's go eat Asian and my family is not so happy about that because I would go eat Asian every day.

不,但除此之外,我认为你可以从每一种文化中学到一些东西。

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No, but beyond that, I think you can learn something from every every culture.

显然,在新加坡,是工作态度,他们有非常强烈的敬业精神。

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Clearly, in Singapore, the work attitude, right, I mean, they have a very strong work attitude.

如果你看看美国,他们的创新方法,我认为那里的文化比一些亚洲文化更外向。

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If you look at the us, the approach to Innovation, I think the culture is more extroverted than some of the Asian cultures.

我认为这对我现在的角色有帮助,因为我与来自世界各地的人一起工作。

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And I think it helps me in the role that I'm in because I work with people from all kind of different parts of the world.

我一直看到并意识到的是,你知道,在某些文化中,比如德国或荷兰文化,人们会直接告诉你问题是什么。

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And what what I've always seen and what I've realized is, you know, in certain culture like the German or the Dutch culture, people tell you directly what the problem is.

在其他文化中,有时你需要读懂言外之意。

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In other cultures, sometimes you have to read a little bit between the lines.

所以,我认为其中一件事是这种文化敏感性,真正理解你正在与之交谈的另一方。

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So to to I think one of the things is this cultural sensitivity to really understand the other side that you're talking to.

我认为这只是帮助我与世界不同地区的人们一起工作。

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And I think it just helps me really working with the different regions in the world.

拥有博士学位的人通常风险偏好较低,您在寻求风险的尺度上处于什么位置?

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People with phds are often less have less risk appetite, are you where are you on the risk-seeking scale?

我没听说过这种理论,但我想说,我认为不承担风险就无法成功。

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I I haven't heard that theory, but I would say I think without taking risks, you cannot be successful.

你知道,在生活中,要想成功,你必须走出舒适区。

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You know, in anything in life to be successful, you have to step out of your comfort zone.

您是如何做决定的?

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And how do you make decisions?

您是凭直觉做决定,还是所有决定都基于分析?

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Are you are you an intuitive decision maker or are you basing everything on analysis?

再次强调,你可能需要一个平衡。

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Again, you probably have to have a balance.

我喜欢理解数据,喜欢理解问题。

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I like to understand the data and I like to understand the problem.

我认为很多时候,当人们不试图完全理解问题是什么时,他们会提出无效的解决方案。

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I think often times when people don't try to fully understand what the problem is, they they come up with solutions that don't work.

只有当你首先完全理解问题,然后才能找到正确的解决方案和主题,从而让公司中每个人的生活更轻松。

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You can only get to the right Solutions and and topics that make life of everyone easier in a company if if you first fully understand the problem.

然后对我来说重要的是有陪练伙伴,以理解数据上的不同观点。

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And then what for me is important is to have sparring partners to understand the different perspectives on the data.

我认为这对于做出决策很重要,因为你可能有一个观点,而其他人有不同的观点。

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And I think that's important to come to decision because you may have one perspective and other people have different perspectives.

所以要真正完全理解这一点,但同时你也要达到一个快速做出决定的地步。

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So to really fully understand that, but at the same time, you have to also get to a point where you then quickly make a decision.

你知道,人们常常只是在数据上打转,然后永远无法做出决定。

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You know, often times people just spin along on the data and then never get to the decision.

我经常做的一件事是,我也会与不同的专家交谈。

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Now, one of the things I often do also is I talk to the different experts.

这取决于是我必须做出的决定,还是组织中其他人必须做出的决定。

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Now, it depends, is it decision I have to make or is it someone else in the organization and has to make a decision?

但如果是我要做的决定,我就会尝试与不同的专家交谈,并尝试了解他们的观点和决定是否与我的信念一致。

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But if it's my decision to make, I try to talk to different experts, and I try to understand, you know, does their View and their decision conform with what I believe?

如果一致,我认为这些通常是更容易的决定。

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If that happens, I think that often times these are probably the easier decisions, right?

如果我看到其他所有人都持不同意见,那么我一定是错了。

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If I see that everyone else is a different opinion, oh, then I must be wrong.

但很多时候,介于两者之间,你知道,当你有非常不同的意见时,我知道这是一个难题。

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And but often times it's something in between, you know, where you have different, then I know it's a difficult problem, right, when you know, you have very different opinions.

然后,在某个时刻,你必须根据事实,根据你所拥有的信息做出决定。

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And then at one point in time, you have to make based on the facts, based on the information that you have, you have to make the decision.

你必须向前迈进,你知道,很多时候你必须希望这个决定是正确的,但有时你的决定也可能是错误的。

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And you have to go forward, and you know, often times, you know, you have to hope that decision is right, but there may be times when your decision is wrong.

您可以与之交谈的一些人是其他公司的首席执行官,他们曾在罗氏接受教育,例如阿斯利康(AstraZeneca)的首席执行官。

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Some people you can talk to are CEOs in other companies who have been educated at rush, you have Co B Marine, uh buyer, AstraZeneca.

为什么罗氏在培养领导者方面如此成功?

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Now, why has Ros been so successful in in developing leaders?

我认为一方面,这显然表明我们拥有良好的文化。

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I think on the one hand, it's clearly a sign that we have a good culture.

另一方面,它表明我们在招聘优秀人才和培养这些人才方面做得非常好。

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And on the other hand, it shows that we have been very good in hiring great people and developing those people.

所以,我认为这种培养人才的能力和对人才的强烈关注是推动许多创新和良好决策的原因。

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So I think this ability to develop people and have a strong focus on people is what drives a lot of, you know, innovation and also good decision-making.

因为最终,创新也基于良好的决策。

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Because at the end Innovation is also based on good decision-making.

所以,你知道,投资于人,我认为这是非常关键的。

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So, you know, investing in people, I think is something very critical.

这并不是我们过去几年才做的事情,而是我们长期以来一直在做的事情。

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And it's not something that we've just done over the last couple of years, it's something that we've done for a very, very long period of time.

这就是你如何在组织中建立强大的优秀人才基础。

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And that's how you build a strong base of strong talents in the organization.

您说您已经在罗氏工作了21年,如果我们将过去三位首席执行官的任期计算在内,他们平均担任首席执行官15年。

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You said you'd been at Raj for 21 years, and if we take the last three CEOs, they have been there for an average of 15 years as CEOs.

而标普500指数公司的平均任期是5年。

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Now you look at the S&P 500, the average time is 5 years.

所以,服务时间非常非常长。

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So incredible incredible length of of service.

这有什么优点和缺点?

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What are the what are the kind of the pros and cons of that?

如果你看看我们公司已经有127年的历史,这表明我们这种模式相当成功。

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So if you look at the fact that we are 127 years old, it shows you, you know, that we've been quite successful with this kind of model.

好处显然是,鉴于我们漫长的发展周期,平均13年,你还需要有长期的耐心。

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What the benefit is, is clearly that given the fact that we have a very long cycle of development of, you know, 13 years on average, you also have to have a long breath.

你不能每隔一两年或三年就改变方向,因为那样在这个行业中什么都不会发生。

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You can't change direction every one, two or three years, because actually then nothing will happen in this industry.

你必须有决心、毅力、韧性,因为你会遇到挫折。

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You have to have determination, you have to have stamina, you have to have resilience because you will have Z bags.

但同时,你需要对变化持开放态度,并推动变革向前发展,并且非常注重绩效。

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But at the same time, you need to be open to change and Drive change forward and be also very performance oriented.

所以,显然长远眼光很重要,但在这长远眼光中,你也必须有所交付。

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So clearly The Long View is important, but also during this Long View, you have to deliver.

如果你看看我们最近几个季度,我们每个季度都有9%的显著增长,我认为我们在短期内也有所交付。

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And, you know, if you look at just the last quarters where we had very significant growth of 9% each quarter, I think we also deliver in the short term.

这不仅仅是长期和我们将在长期内交付。

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It's not only just longterm and weights we will deliver in the long term.

不,对我们来说,很清楚的是,你还必须在短期内有所交付。

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No, for us, it's very clear that you also have to deliver on the short term.

拥有家族支持有什么优势?

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What are the advantages of having family backing?

罗氏家族和霍夫曼家族拥有公司的大部分投票权,这给你们带来了什么优势?

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So the Raj family and the the Hoffman Family have the majority of the Voting Rights in the company, what are the what kind of advantages does that give you?

这种长期思维。

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Yeah, this long-term thinking.

你知道,如果你不断改变一家公司的方向,首先,对于这样规模的公司,改变超过10万人公司的方向也需要一些时间。

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You know, if you constantly change direction in a company, first of all, of this size, I mean, to change direction of a company of more than 100,000 people also takes a bit of time.

然后你再看看我们所需的漫长创新周期。

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And then you look at the long cycle of of innovation that we need.

所以,这种长期思维我认为非常关键,再次强调,它与短期绩效相结合。

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So this long-term thinking, I think is is very critical a part again with the in short-term performance.

我们拥有的结构对此非常有益。

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And the structure we have is really beneficial for that.

个人生活与建议

一些个人问题,Thomas,作为一家杰出制药公司的负责人,您过着非常健康的生活吗?

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Some personal things, um Thomas, being a head of the uh an incredible farmer company, do you live a very healthy life?

嗯,我当然努力。

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Well, uh I try, uh for sure.

当然,我认为这也很重要,因为这样的工作在工作时间等方面非常紧张。

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Um of course, uh I think it's also important because a job like this is quite intense in terms of the amount of time that you work, etc.

所以,保持健康状态对于实际交付绩效至关重要。

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So, uh being in a healthy space is critical to actually deliver performance.

例如,您吃什么?

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What do you eat for instance?

非常健康。

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Uh extremely healthy, you know.

在过去几年里,我们在家几乎不吃碳水化合物,肉类也吃得很少。

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Right now over the last couple of years, um so at home, we hardly eat any carbohydrates, uh we eat quite a little amount of meat, etc.

但我不得不承认,这更多是我妻子做的,而不是我自己。

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So, uh but I have to admit it's more my wife than myself.

所以,你知道,有时出差时我可以稍微逃避一下,但我在家时就不能了。

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So, you know, sometimes when I I'm on a business trip, I can escape that a little bit, but when I'm at home, I can't.

运动方面,我热爱运动。

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Sports, I love sports.

但是,你知道,年龄不饶人。

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But, uh, you know, age is catching up with me.

我热爱足球,小时候踢过,也热爱壁球。

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You know, I I love soccer, I I used to play when I was a child, and I love squash.

壁球,我想这与我在亚洲长大有关,壁球在亚洲很流行。

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Squash, uh I guess that has to do with the fact that I grew up in Asia and squash is a big thing in Asia.

如果你看看跑步量和消耗的卡路里,壁球实际上是你能做的最好的运动之一。

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And if you look at the amount of running and calories that you burn actually squash is one of the best sports you can do.

你不能说年龄不饶人,你才49岁,非常年轻。

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I don't think you can say that age is catching up, you you're only 49, it's super young.

是的,但你知道,我能感觉到。

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Yeah, but you know, I see it.

我现在和我儿子以及其他朋友踢足球时,10年前我还能跟上,现在我不得不说,和30岁的人一起踢球对我来说变得相当困难。

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I see it when I play soccer now with my son and and other friends, uh 10 years ago, you know, I could keep up right now, I have to say, you know, playing with 30y olds becomes quite difficult for me.

你知道,有时我的头脑知道该做什么,但我的身体跟不上我的头脑。

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You know, sometimes my head knows what to do, but my body doesn't catch up with my head.

罗氏有一个口号,你们治愈疾病,这样人们就能花更多时间陪伴他们所爱的人。

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So you have a slogan in rash, um that you cure medicines so that people can spend more time with the people they love.

您是如何与您所爱的人共度时光的?

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How do you spend your time with the people you love?

是的,基本上我90%以上的空闲时间都与我的家人和三个孩子一起度过。

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Yeah, so basically 90% plus of my free time, I spend with my family and with my three kids.

孩子们,你知道,我们去徒步旅行,我们去运动,也喜欢和他们一起度假。

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Um the kids, you know, we go hiking, we go do Sports, uh uh also enjoy going on holiday with them.

我们每年去一次,通常是复活节,我们去阳光充足的地方,因为你知道,漫长的冬天过后,我们需要恢复,真正从阳光中获取能量。

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Um we go once a year, we go um it's mostly Easter, we go somewhere into the sun because, you know, after Long Winter, we need to recover and really get energy from the Sun.

所以我们这样做,我真的很喜欢。

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So we do that, uh and and I really like that.

我想这可能也与我在赤道长大有关,漫长的冬天过后,我真的很渴望温暖和阳光。

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I guess it also has to do with the fact that I grew up at the equator that I really long for warmth and and Sun after Long Winter.

您读什么书?

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What do you read?

作为一名科学迷,我想我喜欢阅读大量科学书籍。

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Um so being being a a science geek, I guess, uh I love reading uh Lots on science.

你知道,我实际上仍然阅读出版物,因为我觉得它非常引人入胜,它让我了解科学方面的最新进展。

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You know, actually still read uh Publications because I just find it very fascinating, um and it keeps me up to speed on what's happening on the science side.

这就是为什么我也喜欢与科学家交流,因为我一直在学习新东西。

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That's why I also love having conversations with Scientists because uh I learned something uh all the time.

所以,我喜欢那样。

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Um so I like that.

你知道,我花了很多时间阅读政治和历史等方面的书籍,我真的很喜欢阅读这些东西。

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You know, I spend a lot of time, you know, reading up on, uh, you know, politics, uh, also history, things like that, I really enjoy reading those things.

您对年轻人有什么建议?

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What is your advice to young people?

是的,有三个孩子,我想我不得不经常给我的孩子们建议。

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Yeah, so having three kids, uh I guess I have to give uh advice quite a lot uh to my children.

你知道,我告诉他们的一件事是,社交媒体上发生的事情不是真实世界,真实世界实际上可能非常令人兴奋,人们应该花更多时间在真实世界中。

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You know, one of the things that that I tell them is, uh, you know, what happens in social media is not the real world, the real world can actually be quite exciting, and people should spend more time in in the real world.

你知道,社交媒体上看到的东西也常常不完全真实。

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And, you know, oftentimes what you see in social media is just also not completely true.

我告诉他们的另一件事是,人生没有捷径。

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The other thing I tell them is, uh, you know, there are no shortcuts in life.

如果你想取得成就,唯一的途径就是通过努力工作。

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If you want to achieve something, the only way to achieve it is through hard work.

除了努力工作,没有其他方法可以实现目标。

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There is no other way than to achieve things than other than through hard work.

我认为这对人们和年轻一代来说也很重要,要认识到这一点。

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And I think that's important for people, uh, and the younger Generations also to realize.

听起来您工作非常非常努力。

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Well, sounds like you work really really hard.

非常感谢您参加播客,非常感谢您治愈所有疾病,请继续在巴塞尔做好所有工作。

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Big thanks for for being on the podcast, big thanks for curing all the diseases, and please keep up all the good work in bastel.

非常感谢您的交谈。

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Thank you very much for the conversation.

📌 文中提及的人物和组织