&quot;And if there are indeed windfall profits to be made what is preventing smart-ass entrepreneurs from jumping in and making those profits?&quot;<p>Incredibly high barriers to entry and very large established players who have already cornered the market? Following your logic, oil companies must not be very profitable since there aren&#x27;t very many entrepreneurs buying their own offshore drilling platforms.<p>&quot;They aren&#x27;t profitable the way people make them out to be.&quot;<p>Who are these people? What is this way?<p>What concrete assertion are you refuting? How do you explain the P&#x2F;E ratios  of the biggest medical device companies?<p>If the cost of regulation is such a drag on profits and innovation, why are medical supply companies that primarily serve the US market so much more profitable in the long term than their counterparts in other countries?<p>Are you alleging that there&#x27;s a bubble, or that they&#x27;re cooking their books, or that they&#x27;re not one of the most consistently profitable industries?