Now that he's back in the atmosphere with drops of Jupiter in his hair, hey, hey
He acts like summer and walks like rain reminds TSB that there's a time to change, hey, hey
Since the return from his stay on the moon, he listens like spring and talks like June, hey, hey
Yes fellow bloggers whom else is TSB talking about than the man that leads the Cheetah Nation who single handedly has been able to make spine surgery "nearly" an outpatient procedure through rapid technological innovation over the past decade. It seems that our dear friend, Alex Lukianov had the opportunity to participate in a conference call with Representatives Erik Paulsen (MN-R), Medtronics shill and Phil Gingrey (GA-R) addressing how medical device manufacturers will be effected by the medical device tax.
The parties involved in this call cited that 80% of the jobs affected will be within the small companies, those same "ankle-biters" that Pat Miles made reference to in his recent debate where he was TKO'd by Dr. Steinmann. The Bear claims that if the tax is not killed it will cost Nuvasive $14-15 million translating to 200 jobs. Is this a threat by the Bear? Say it ain't so. Nyet. On the contrary, TSB believes that if Nuvasive cut 200 jobs it would hinder their ability to become the next billion dollar baby in the spine market. In addition, TSB knows that Alex is pushing for his candidate, Vanilla Ice Romney. If Alex is so concerned about the tax, forgo your salary and stock options and take it on the chin like a man. What other way can he keep Cheetah Nation moving at supersonic speed. But then again if Globus has their way, they just may surpass Nuvasive in the next few years if one prognosticates based on the Glo-bus' CAGR.
Contrary to what companies like Nuvasive, Zimmer, Orthofix, Biomet, DePuy/Synthes, Globus and K2M say, they would love to see many of the so called "ankle biters" disappear since they are creating havoc within the industry. Who is innovating? Custom Spine? Eminent Spine? X-Spine? Choice Spine? Phygen? Northcutt and Johnston (haven't they started a new company?), VTI, Life Spine? Lukianov would be respected if he admitted that his motivation behind using his bully pulpit are selfishly driven. If Lukianov is concerned about innovation, what has Nuva innovated since the XLiF? When pressed about Obamacare, aka Romneycare of a different color, Lukianov cites anecdotal evidence from colleagues in Massachusetts. But then many of the surgeons that bitch about Obamacare in Massachusetts are confused since it was Vanilla Ice that created the circus atmosphere that exists in that state.
Interestingly, Lukianov states that under Obamacare the new customers would be the young and we all know that young people don't need back surgery as much as the elderly, those on Medicare, the government sponsored entitlement program that companies like Alex and his surgeon buddies financially benefit from. Money is money, no matter how you cut it. The paradox is what will Alex do if Atlas shrugs and cuts those Medicare entitlements? Where will the dollars come for innovation? And who will pay for Medicare? In closing, confusion reigns supreme this election year since many aspects of Obamacare has been at the heart of Republican healthcare reform for over two decades. Don't believe it? Just read the Heritage Foundations "Assuring Affordable Healthcare for All Americans." Politics, elections and the quest for power and control can result in a schizophrenic mentality. Isn't the platform on which the Foundation is built upon to build an America of opportunity, prosperity, freedom and a civil society?
In closing, extraction equals subtraction and sometimes you have to feed the beast or the beast ends up looking like Greece, or Spain, or Ireland for that matter. You know what TSB says, it's just another day in spine paradise.