You clearly don't know renal at all. What do you call a physician who finishes last in medical school? An idiot physician.
Don't lose sight of the golden rule: You hire idiot reps. you will get idiotic results, hire the best and you get what you pay for, the best results. We have seen this in renal over and over, for example: Shire hiring idiot reps on the cheap to launch Fozrenal, results relaunch 18 months later, mass firing and rehiring highly skilled and smart reps. result +10% market share 2 years post launch. Fresenius reps. launching Phosleria with stupid reps and disaster results, tries again with Velphoro results with same group of idiots = less than 6% share nationally 3 years post launch, disaster. Amag launches fermuxatol with idiot reps. results company almost folds with lack of sales, hires smart reps to relaunch in oncology results keep company afloat and buy additional products, little sales in renal to this day. Do you what the beating to continue but I think I made my point with these few examples of binders and iron launches with stupid and cheap reps.