With all due respect to the vets that help us here; it is in my opinion that the system is broken.
Well, here's one that will go into the 'Dept of Posts I Should Not Have Made', but here goes anyway.
I happened to glance at the diploma on my exam room wall Thursday and noted that it was the anniversary of the day I graduated... 39 years ago, so I can speak with a certain historical perspective.
Yes, the system, in many ways is broken. As sadly so much is in this 'special interest' dominated age. Its not as broken as the human health system, certainly- not even close. Or the pharmaceutical system. (Or the political or legal systems for that matter.)
I often ask my younger colleagues if it bothers them that veterinary medicine has gotten so 'good' that a single mother working two jobs can no longer have a cat for her children. What happens if it gets a urinary tract obstruction, which would be very possible? It's all well and good to talk about 'you shouldn't have a pet if you can't afford it', but frankly that is far more applicable for an unexpected $250 bill than a $1200 one.
I also ask 'Do you see a problem where a blue collar family, again Dad working two jobs and Mom one to get by, has a beloved Golden Retriever who eats a rubber ball, and they have to put it down because the emergency fee will be $1500 for the surgery?' And they reply, 'Don't you believe in high quality medicine? Pre-op screening, constant rate infusion of IV fluids, high end pain protocols, proper monitoring etc?' And I say, 'Of course, I do, but people don't HAVE that sort of money.' (And though I certainly don't say it, I think, 'Besides,I could slap that dog on a table and whip out that ball without the bells and whistles, with 95% likelihood of the same result, which frankly is a helluva lot better option than euthanasia.' A good definition of 'broken' is that that latter option would put my license in jeopardy for not following 'reasonable standard of care.'
But, really, if we are living in the world of $700 routine dentistries, are most dogs who need some moderate dental care going to get it?
As veterinary medicine sees the demise of the 'country store on the corner' veterinarian and the rise of large corporate practices often owned by national chains - are we catering to the affluent clientele for whom such practices compete , while abandoning less affluent owners? It's a real problem.
And, yes, $630 for an annual exam for two dogs some vaccines and routine blood work and some heartworm/flea prevention would be unaffordable for many. Please understand that I am not criticizing this particular veterinarian, those costs are hardly remarkable in some areas these days,I am just saying that a lot of people could not afford that sort of 'wellness' routine.
HOWEVER, and it's a big however, there is another side of the story. Before we jump to the conclusion of greedy mercenary veterinarians raking it in, I would also argue that most veterinarians, particularly in the smaller one and two man general practices, are significantly undercompensated for their labors. And new graduates, in their first 10 years out of school, are severely undercompensated. But that would fall into Part 2 of this rant, as Part one has gone on far too long.
And it doesn't make the system any less broken in the terms discussed above.
- Dr. Mac