Missing real leadership in tougher times is driving responses to an entirely new set of on-line ads, that 1 year ago were almost irrelevant. It will tell you what people really want, and need right now.
The same is true off-line.
I recently took a hard look at what on-line ads are pulling the hardest.
Boy, has that changed!
How many businesses and practices are oblivious to this?
It also explains why private practices, lead by true integrity continue to support the community and are themselves very healthy.