Disconnect between corporate leadership and field sales employes. Bad trickle down communication and distribution of important information. Management is "old school" and refuses to change. Most managers are near the end of their careers and are just waiting to retire and truly don't have the best interest of the company's future in mind. Management has been around for years and very little has been expected of them, do to the small market share of the home dialysis therapies and very small portion of the overall business at Baxter.This has changed in the last couple of years and management can't keep up with what is happening in technology, FDA regulations and compliance standards. Very sad to see management disconnected and more worried about themselves and not the customers they serve.