Hsaio Liu is a Chinese American, born in America, who thought she could easily adapt to life in Shanghai and the cultural challenges she faced when she moved there as a pharma executive. She wasn’t prepared for the rapidity of change, but soon learned to cope with “the System”, and found that what used to be a matter of helping Westerners bring their products and services to Asia quickly switched to helping Asians bring their wares and expertise to the West. Back in the US now, Hsaio says much has changed in the last decade. Asian millennials who come to school in the West these days are excited about returning to China and exploiting their newly learned entrepreneurial skills there. In fact, they’ve changed the ways Chinese companies and their employees deal with job success and promotion, and are driving much of China’s “home grown” innovation. She talks of these topics and what’s happening in the development of medicines and how China fits into the pharma scenario on the global stage, as well as the challenges that threaten China’s continued growth.