The document discusses pharmaceutical companies' reluctance to fully embrace social media. It suggests that senior leadership needs to lead by strategically approaching social media, training the organization, supporting new processes, and breaking down silos between departments. The document recommends that pharmaceutical companies establish a central social media team with local representatives, set up a global and local team process, provide guidelines and training, share resources globally, maintain a consistent online presence, and work as a global team instead of implementing social media strategies locally without coordination.