There is no question that the robot provides better outcomes. The problem is that it costs $3k-$5k just to open one up to start a procedure. This has to be paid for by someone. Even though healing is easier, less loss of functionality, and chances of infection are lower, the insurers just won't pay for it.

I am not aware of M&A in the regional provider space. Hopefully someone can make the insurers cover this huge advance in medical treatment.