LAP-BAND sales in the U.S. are being impacted both by high unemployment rates, as well as reimbursement barriers and increasing co-pays, as employers shift cost to their employees… In the overall, U.S. bariatric market, which we estimate declined 6% year-to-date in November, bands declined in procedure share to 40% in November from 52% a year earlier, whilst bypass held steady at 34% and sleeve gastrectomy doubled from 11% to 22%.
Based on overseas experience, we believe that sleeve will reach a plateau. The only bright share data point is that LAP-BAND increased its share of the band market to 83%[i.e. JNJ’s Realize band had a 17% share].
“The efficient-market hypothesis may be the foremost piece of B.S. ever promulgated in any area of human knowledge!”
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