Wednesday, July 30, 2008

Is the veterinary industry running a scam?

We're heading out on a long weekend trip tomorrow morning, so we dropped off our little Yorkshire Terrier to be boarded at the vet this afternoon. The price for boarding her was actually quite reasonable at 15 bucks a night. The real expense comes in the dental cleaning that our vet strongly recommended. When the expert is telling you that a cleaning will substantially increase the life expectancy for your furry little child, it's sort of hard to say no. And, to be honest, we can afford it; plus, her breath stinks lately, and a cleaning couldn't hurt on that front. Thing is, they don't tell you exactly how much it's going to cost. They give you a base price for the cleaning and let you know that there is a possibility that she could need some teeth to be extracted, with a cost ranging from $30 for a "level one" extraction to $90 for a "level four" extraction. They were pretty vague when I asked them to explain how extraction-levels are determined, saying only that a "more difficult" extraction, like one in the back of the mouth, would cost more. Well, ok. They promised to call us beforehand if the total cost of the dental procedures would exceed $400. Which is a lot of money. And it's not like we're going to say no if they call and ask to do something, given that this is supposed to extend our precious pooch's life span. But, man, they really fleece you. Last time we took her to be boarded overnight, we approved a $27 vaccination booster, but when we picked her up, the bill for the procedure was almost $100 because, the vet said, they had to examine her first to make sure she was healthy enough to get the shot. I mean, really.

I had a conversation with my parents the other night, and my dad lamented the high cost of contemporary pet ownership. In his day, he noted, you took a pet once every year or two to get a rabies vaccine, but, otherwise, assuming the dog didn't develop some obvious disease or suffer some injury, you didn't take it to the vet. Nowadays, with all the care that your pet "needs," you really ought to have some kind of health plan for it. But this leads me to wonder, do our animal really need all these vaccinations, all these procedures? Especially a dog that, like ours, and like many urban dogs, stays inside most of the time--where are they going to be exposed to rubella, distemper, or even rabies? I mean, sure, it seems heartless to deny your man's-best-friend of any preventative care that he or she might need, but isn't it the veterinary industry that's telling us we need all of these things? And I would imagine that the prevalence of all these preventative treatments are most prominent in urban areas, where, to many, a dog really is like a child, rather than, say, a farmhand or a watchdog. I'd bet money that farmers don't take their precious sheep herders to the doggie dentist, and they do just fine. Aren't these people bilking us? Exploiting our paternal love for our animals?

Weren't dogs wild animals at some point? I would imagine that our pets' wild ancestors did just fine without yearly dental cleanings and 200 booster shots a year. But maybe therein lies the difference. Our modern pooches--especially a tiny, helpless one like ours--are less a product of natural selection and more one of human design. They are bred to be small and cute (actually, small terriers were apparently originally bred to catch small vermin, such as mice, but ours has never done any such a thing, thank God, save that one time she bit a dying but still buzzing locust, a decision she soon regretted). I feel fairly confident saying that our pooch would not survive long if left on her own. I also feel fairly confident asserting that never have packs of small terriers existed in the wild, so there's really no way to know how such an animal would fare without the care of humans. So maybe dogs like ours--who sustain themselves on easy to munch doggie food and an occasional dropped sandwich, rather than teeth-strengthening snacks like bone-of-recently-deceased deer--really do need human-provided dental care and vaccinations.

But still, I think there is a healthy bit of manipulation in the modern urban veterinary industry. I have a gut feeling that the vast majority of our pets would live healthy and happy lives even bereft of the constant care recommended by our vets. But, of course, like any overprotective parent, we'll continue to give her as much care as is recommended, to the extent that we can afford it. Here's hoping, for our sake as well as hers, for as few as possible "level four extractions" this weekend.

5 comments:

bdoyle said...

Although I do feel for you in regards to the high cost of doggie health care, I must contest that veterinarians are fleecing no one. People do not choose to become a vet to make lots of money, on the contrary, its often harder to get into a vet school and costs as much if not more than a comparable medical school would.

Combine this with the fact that vets make on average of $75,000 in the US and still have to pay back loans, it would make it hard to believe that they are really price gouging anyone for their own personal benefit.

I think a much more likely cause to your sticker shock is that we are not use to paying full price for even human health care through medical insurance and do not realize the large amount of overhead that these operations must deal with.

I hope your dog lives a wonderfully long life and has a smile all the other dogs would die for,

-bdoyle

Matt said...

I tend to lean towards the belief that the vets are, at least to a degree, feeding off of owners desire to provide the best possible health to their beloved pooches - sometimes to the degree of parental/financial exploitation.

Not that every vet is out to rip you a completely unjustifiable 'new one', but that they often willing to "fluff" the bill to pay for that new flat screen in the owners lounge (or better yet, the one back in the vet's lounge)...

I feel that often times the extra "special care" provided by a particular vet is curtailed to their clientèle's economic demographic and not necessarily to a need specific to their particular pet... Go to a vet in a small town (or an area with a slower economy within your own town) and they often provide the same care and same health recommendations for your pooch - often using more understandable terminology for what they are recommending and often at a cost far less than at the "big guys" in the wealthier city...

Its crazy - we often drive back to Troy for our veterinary needs because we are comfortable with our vet there, trust the care that they provide and get most things done for half the cost that we can here in the wealthy area of a larger city... A quick talk with the small town vet will let you know that the small town vet went to the same school as the big town vet, orders his supplies from the same place as the big town vet and largely only differs from them big town vet in where they do their car and house shopping...

Laura said...

It is a scam. I'm a (human) medical doctor, I'm appalled by what vets reccommend and I've been unable to find one who hews to "evidence based medicine". I always feel emotionally manipulated and end up accepting treatments and interventions which I know are ridiculous just to avoid being too confrontational. I am able to resist the biggest ticket items such as diagnostic workups which I know have no hope of leading to treatable conditions. Unlike human docs, vets are allowed to sell tests and medications themselves. I think of the vetinary scene as what we would see more of if human medicine were more deregulated. The average consumer is not in any position to assess value in medical care and certainly the vet care I've been exposed to is a travesty of unneeded procedures/tests/interventions which puts even the human healthcare system to shame (and the US human system is pretty bad in this regard too). Laura

Clyde said...

Hmm, my dog recently started skipping from is right foot, then his left foot, this has increased as the winter has worn on. At first I thought it was just a stem of grass caught in his paw, then it became more frequent then our dog walker noticed and asked us about it. So we took him to the vet, the vet explained that some small dogs develop knee problems on the their hind legs and talked about the patellar groove and the tendon coming out of the groove. The thing is, from the description of the problem I've read, that isn't what is happening with my dog. He simply skips after walking in the cut grass, he skips when walking on cold icy paths, he skips but then he runs full out. I'm not buying this knee problem at all! And after reading the comment from a medical doctor, I am appalled at the idea that a vet would manipulate me to make a buck off my dog! I am also royally pissed, because during the examination, he looked like he was forcing the dogs tendon out of the kneecap. My poor dog looked up at me like why would you let him hurt me? I wonder if the dog walker who was recommended by the vet in the first place has anything to do with it too? Naw, it can't be that someone would intentionally maim or hurt such a cute little guy as my dog right?

steven said...

Well, I have to say that Vets my recent experience with Missouri vets vs. California vets and vets that own their own shop vs. chains like VCA have different priorities and may not be bothered by the ethics of recommending 3 teeth be pulled ($1000 to $1400 depending on VCA or another local vet).

The thing that gets me are the costs of the tests. I recently took my dog in for all the necessary shots and they recommended pulling 1-3 teeth. seems like you should know before you pull them which ones are bad right? $50 x-rays would be more reasonable than $1400 extractions that may or may not be needed.

I too am annoyed and think some government oversight is needed to reign in the bilking of pet owners.

Some treatments are necessary, but as I said, first it was $1000 for dental, then another vet in the same facility found a lump in my dogs butt and referred me to a specialist, who for $125 basically told me yep, there's a lump but I need to run $500 worth of tests to know if it's bad or not, and another $900 to remove it.

WTF people, does she have bad teeth or cancer or both? Should I just go out and burn that $1000 they think I have or put the dog down or try these multi-thousands of dollars worth of treatments that are horrible and make my poor dog suffer because these vets need to pay their lease and keep the lights on?

I've also noticed that payment plans are gone, they want everything up from or a large deposit, then full payment upon completion.

seems a little too cold hearted to make someone have to choose food over their pets life.