Health care costs are spiraling out of control. They're pushing many companies toward bankruptcy. We all have a responsibility to cure the health care industry; to take control of these wildly escalating costs.

But this forces reps to drive back and forth to the regional office to get the products they need, pulling them out of the field and hurting sales productivity.

The art is figuring out how to run the supply chain as efficiently as possible, while dealing with both types of products. Are all products treated as regulated material? Or is there a separate supply chain built for non-regulated goods? Are all products stored in high-quality, pharmaceutical-grade space or split to reduce costs?

He's just a clutch performer. He gets out there and throws strikes and stays within himself, doesn't try to do too much. He knows his limits and makes the most out of what god's given him.

They could establish forward stocking locations, and treat these products much the same as service parts. Companies in the high-tech sector, for example, set up service parts logistics processes to get customers up and running within four hours if computers go down. Medical parts manufacturers could design the same kind of network to handle their products.

Device-makers use free logistics as a way to compete. The down side is that doctors, because they are not paying, have no incentive to manage inventory tightly.

Companies cannot make a difference if they look at the problem as just sales rep-to-doctor, or parts supplier-into-production. But if they understand it from a product flow view, they can build a demand-driven supply chain. The doctor becomes the demand signal.

I was in a great situation here and wasn't about to give up a great program for something that I didn't think that we could get done. Looking at the facilities they have and I've visited with a lot of people and I know there's a lot of talent right now in the younger classes but I'm not going to give up on those older classes.

I guess when I sign the contract it's a done deal. The verbal commitment has been made from me to them and from them to me. We've already notified our school here that we won't be coming back next year.