The prior GE comments from one of the posters is a valid concern IMO. For those of you long timers on this board, there was a poster (lockman if I recall) who spoke often about how difficult it would be to compete against the likes of a GE, especially for the large accounts (due to their financing ability and their size / product breadth). Well, one of the questions during the last CC was in regards to the state of the new deals with the large health organizations. Management answered, as best I can recall, that those deals were progressing rather slowly because it is so difficult to compete against the big boys (GE inferred I assume) because of their ability to bundle all kinds of equipment together into one big deal.
Valid issue, not to be pushed aside imo, not a major cause of concern just yet but certainly something to keep an eye on. I'll be interested in hearing management comments in the next CC about these deals.
The government, and other large accounts, require that a company accept, and credit them for, their old used equipment, which is then discounted to small clinics and third world countries. This is a further competitive barrier.
Often, new tech is being developed by several people at the same time. The tech may be slightly different; but, if the result is the same, it will be the larger, better funded company, with the best marketing organization, that will win the most business.