You sound like a typical 'implant rep.' And you may be a very good one. But implant reps don't understand big capital, how to sell it, or why hospital's buy it. I don't work for Mako, but I do sell big capital, and hospitals are still cutting $1mil PO's not only to me, but to reps all across the country. Granted, the economy is not booming, and things are tough, but certain technologies matter, and will drive changes in the standard of care for certain procedures. Again, I don't work for Mako, but they sold 13 robots in the most recent fiscal quarter. THIRTEEN-at an average price of about $800k+.
Now I don't know if they will succeed or fail in the long run, I don't know much about their implants either. But the idea that technology doesn't matter when I'll bring in $2 million in PO's in the next 4 months is hilarious. Again, it's not easy, but nothing is these days.