“There's still a desire among clients to have a big, established East Coast agency. It's hard to tell which ones have a sizable footprint on the West Coast. A lot of them have most of their business with one or two clients. There are fewer and fewer independent agencies.”

Bob Finkel, co-founder of the recently closed San Francisco-based agency Kane & Finkel, on the struggles of West Coast agencies. Read more from Medical Marketing & Media.