Marketing may be your best weapon
The Japanese consider business to be a form of warfare. Some American companies understand this, but medical manufacturers and practices are hesitant to adopt this line of thinking, perhaps due to the scientific or “collaborative” nature of the medical business. Doctors and researchers are collegial; they want to be respected, and an aggressive posture might negatively impact their reputation.
The bottom line, however, is this: You made a better device, test or treatment available because you knew you could make a difference.