Boy howdy, I bet at the manager's meetings, they laugh about how big of a minion you are. You really are drinking the Kool-aid. Your first point about the 510K clearance: is the exact same thing EES and any OEM for that matter had to go through with the FDA. The 510K is not just for reprocessing. Do your homework before trying to sound intelligent. First point knocked out.
It is obviously very efficiant for Ascent to be able to sell your products at 1/2 the cost at the same time providing jobs. No matter how inefficient you feel it is, the business model works to a "T" or Stryker would not have spent $525 million on them. This unique niche is a billion dollar industry. The reason why not as much monry is spent on R&D is because the problems are corrected before they go out the door....and that is more efficient.
Any more points you wantto discuss?? We can do this all day because you have no credibility.