As far as distribution goes, having a solid implant line is a game changer for your stim business. Assuming you have hardware business, the face time in the OR is much more beneficial when compared to meeting in the clinic. They don't want to be in clinic and have very little time to meet w/ reps. OR time lets you meet other influencers (PA, NPs, other surgeons) and discuss all kinds of topics. You can further your personal relationships with the decision makers.
Is it ideal? Not at all, especially considering the potential % that direct reps can earn. My highest % is much lower. It's offset by other products but some bill even less that stims while often consuming more of my time. The best part is being somewhat insulated from corporate. My area has been crushed by investigational decisions. A new RSM that didn't understand the market conditions could be befuddled by the coverage issues. I wouldn't want to have to constantly explain it.
In regards to the person expressing the enthusiasm over the NSM, you have to understand many of us are jaded at best. It's great to show enthusiasm in your career and any initiatives. Many of the LMAO-type posts are from people who have been to a few too many of those meetings, have gone through constant change, etc. Make the best of your opportunity and be loyal to your career goals (even if not specifically w/ Orthofix).