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No, you’ll probably never notice there aren’t enough vets in town ready and able to attend to Fluffy’s healthcare needs. But you can be sure the average livestock owner has to wait an increasingly long while for the vet to come care for his or her population of critters.

Imagine owning a 150-head dairy farm in Pennsylvania and realizing your vet’s just retired. He’s done. Not coming back. And there’s no young vet willing to come in and take over. The closest one’s half a county over and so overloaded with new farms who asked for her services before you did that you’ll likely be dipping and stripping teats on your own for the foreseeable future.

Preg checks? AI? Now where’s that pesky ovary? You’re on your own.

Why? Because your old-timer’s pushing sixty and can no longer shoulder the arthritis in his arm after 35 years of torqeuing it up a cow’s backside. His young associate left six years ago when she realized she was never going to pay off her student loans on the paltry winnings of each backbreaking farm call. And after she disappeared, things just got worse. The new grad pickings were just too slim for the $40,000 a year he was willing and able to shell out.

So where’s his ex-associate now? Off practicing pet medicine at some suburban hospital nearby where paying down $100 K in vet school loans is more doable, the physical risks less punishing and the schedule more amenable to raising a family.

Can you blame her? It’s not as if she doesn’t love the little ‘uns as much as any of her colleagues do. Cats and dogs can be every bit as stimulating as cows, you know. And the owners? At least they don’t haggle over every little farm call’s ins and outs after she’s driven ten miles out to see ‘em. At least these people show up—usually on time, even. And when it’s time to pay up they do so—or she refuses to see them the next time.

After all, she’s got plenty of takers in pet medicine. And they’re not stressing out over their vet bill’s impact on their family’s entire livelihood. Some even have insurance now so that any test or surgery she might need to perform doesn’t require a decision tree to sort out its advisability.

The tears? That’s new. But that’s the worst of it. And she’ll get used to it.

This tiny tale of rural woe has been repeated so often over the past ten to twenty years that it’s finally turned heads among non-vet citizens and lawmakers concerned for the safety of our food supply.

When fewer vets are there to attend to the animals, it doesn’t take much to recognize that disease is more likely to be overlooked, untreated and not necessarily noticed once the animal’s product is deep in the industrial food-processing machine. Can calamitous conditions for frequent food-borne illness be far behind?

I think not.

That why legislation has been enacted to fund a major loan forgiveness program for vets willing to work in far-flung rural locales tending to herds, flocks and other bevies of beasts destined to be consumed.

It makes sense. Ultimately vets are like everyone else. We look to our pocketbooks when making career decisions. And while vet medicine already attracts a cache of individuals well aware of their low income to debt ratio, some economic conditions have devolved well beyond even our most meager expectations.

I mean, even if you live out in nowhere where the cost of living is well below average, the price of gas and payments on $100K in student loans are the same countrywide.

Consider that the practice in the next county over is happy to pay you $10-40K more a year with more family friendly hours, to boot, and it’s no wonder  that US taxpayers will be shelling out a pretty penny to fund veterinarians who enter food animal practice.

And that “investment,” ladies and gentlemen, serves to bring you a cheaper slice of pork belly and a sub-ten cent egg. Question is: In so doing, are we funding the meat machine’s pumped-up profits or working harder than ever to keep food on the table for our American masses to consume?

Hmmmm…

Comments
Those reasons also explain why the pet-owning population should expect to see (IMHO) a shift from private-type practices w/one or two doctors to more corporate-like setups like Banfield and VCA. Future vets can go to Banfield's website and see how their offer stacks up against the competition - and if you've got a ton of loans to pay off, it's almost a no-brainer. You might not like practicing via "protocols" with an "approved formulary list", but when they can offer you $10-30k more a year, plus benefits, paid time off, membership fees to professional organizations, paid CE, medical/dental, a 40-hr. work week (or less, if you'd like), etc., etc., it's easy to see why.
# Posted By anna | 3/17/08 5:22 PM
Aren't there a LOT of graduates paying off 100K in loans that are going to enter the job market at 40k/yr. or less? I think that many fields or entry level positions, regardless of education are in the same boat. Education is just too darn expensive!

I have a great idea, how about a state to state mandate for vets that commit egregious and unethical acts be "sanctioned" to spend time (suitable to the 'crime') as large animal professionals. I bet the average "dairy or meat farmer" wouldn't put up with any nonsense and "we" would save a bundle in taxpayer subsidies!!!
# Posted By Barb Albright | 3/17/08 7:09 PM
I will applaud the move toward corporatized veterinary medicine IF, and ONLY IF, it means standards of care are adopted and enforced.

I believe that corporatized vet medicine has the POTENTIAL to bring improved care to our pets through more thorough training and supervision of practitioners and development and implementation of standards, as well as providing the opportunity for more peer review of patient cases. BUT ONLY IF the corporate entity actually gives a damn about those things rather than just making money.

In the case of Banfield, it clearly has been just the opposite -- their "pet nurses" have almost no requirements -- these people, who function basically as vet techs, are NOT required to have any experience or training. Also, by many accounts the care is far below what you would get at a private vet practice. (Just search Banfield on the Ripoff Report and get ready for your head to spin). Moreover, even insiders admit the emphasis is all money. (Evident from vet tech posts on MySpace groups, etc -- they are pushed to "push" the plans irrespective of client/patient needs or wellbeing).

I have a higher impression of VCA, but just because they have directors responsible for developing and promulgating standards doesn't mean that these are followed consistenty at all VCAs.

Again, there is great promise for corporatized vet medicine to improve care for our pets (I know that's not what anyone wants to hear, but I believe it's true.) From where I sit, the situation in the field now is dire: Consumers can't tell what the quality of care will be at a practice, it's all a big gamble. There are no standards, and no enforcement, no real management attention to quality except that which is left up to the conscience of the individual practice owner and practitioner -- which means, LOTS of variation in quality -- to a dangerous extent.

However, to date, Banfied has definitely NOT lived up to that promise or EVEN demostrated that the corporate interests include ANYTHING about providing quality and competent care. And although I have personally spoken with a NorthEastern Director for VCA and believe that have made some effort to establish and promulgate standards, I'm holding my breath on them. Could be a good thing, but it depends on the corporate philosophy and management implementation.
# Posted By Stefani | 3/17/08 8:18 PM
"In the case of Banfield, it clearly has been just the opposite -- their "pet nurses" have almost no requirements -- these people, who function basically as vet techs, are NOT required to have any experience or training. Also, by many accounts the care is far below what you would get at a private vet practice. "
Hey, let's play nice now...I'm one of "those people". And no, I wasn't expected to have much experience before I was hired, just a desire to learn and an interest in the field (up until that point I had just been a kennel person). I was provided a significant amount of "book learning" and was expected to know it after being hired. Some of my coworkers are licensed techs, but those of us who aren't typically function at the same level (or higher - experience and having taken advanced college courses in zoology, endocrinology, etc., help a lot). When it comes down to it, you can either do the job or not - some of the best techs I've known never had any formal training, and I meet lots of new tech school grads who can't place a catheter worth a flip - it takes experience. So, please don't put down those of us who aren't certified - it doesn't mean we don't do a good job. After all, why would we be there (I make barely above minimum wage, work 12-hour days, and spend a lot of time covered in bodily fluids) if we didn't genuinely want to learn or take care of animals?
# Posted By anna | 3/17/08 9:40 PM
BTW, I didn't know there was legislation being passed to help vets pay back student loans if they would provide large animal services - maybe I will end up doing some large animal, after all! Sad that it has to be that way, though.
# Posted By anna | 3/17/08 9:42 PM
I am concerned about the lack of large animal vets, but I have to say, the upside for me is that my bunnies now have a vet who trained at Oregon State's rabbit research institute at the second closest vet office to my house (and the first is the night only emergency clinic.)
# Posted By Juli | 3/18/08 1:00 AM
Well, we subsidize most other forms of agriculture. . .so I guess this isn't any different/worse.

It would be nice if we could find a way to subsidize in the short term and phase it out in the long term. (at least for feed animals, like cows)

Having the cost of beef more accurately reflect the cost to produce it would be a good thing. We could all do with less beef / meant. I think veggies are more enviro-friendly too. (although I'm not sure about anything green-wise anymore)
# Posted By Larry | 3/18/08 1:58 AM
Anna and Stefani: You raise insightful points about how the economics are skewing the profession towards corporate medicine. I just wrote an article about this issue for next month's Veterinary Practice News. But it's not just the money. It's the lifestyle, too. We're getting to be so suburbanized in our culture that it's no longer James Herriot-style quaint to drive around town in a field service truck or get up in the middle of the night to attend to a dystocia. And corporate medicine makes it easier to forget about all the stressors involved in owning and managing a practice with lots of the financial benefits that never existed before without owning your own place.

But corporate medicine scares me witless. The ones I've worked for (two VCAs on a temporary basis) were well-run and homey. It's not these that worry me. It's the Banfields that drive me crazy. I've heard tell of good (even great) ones but those in my area haven't measured up. And the concept of it all--taking the science out of the individual vet's hands, even if only to a small extent right now--is a bad precedent for our profession.
# Posted By Dr. Patty Khuly | 3/18/08 8:38 AM
Re:

"So, please don't put down those of us who aren't certified - it doesn't mean we don't do a good job. After all, why would we be there (I make barely above minimum wage, work 12-hour days, and spend a lot of time covered in bodily fluids) if we didn't genuinely want to learn or take care of animals?"

Anna, I take you at your word that you are genuinely sincere and desire to do a good job. Also -- I am well aware that there are some VERY good UNLICENSED vet techs. HOWEVER --

I learned the hard way (see my website) that when I walk into a veterinary practice, I have ABSOLUTELY no practical, pragmatic way of assessing the skill of the "vet techs". Once upon a time, I took the vets word for it. Both personal experience and research have educated me on how dangerously naiive that is.

True -- it is possible for a licensed technician to make a serious, fatal error also. HOWEVER, I believe that it is much less likely -- at least the type of error that nearly killed my cat and left him brain damaged would probably never happened in the hands of a licensed technician, whose training should have taught them the difference between a tuberculin syring and an insulin syringe.

When I walk into a veterinary hospital, the ONLY objective, 3rd-party reassurance I have about the veterinary technicians' skill and preparation is that license hanging on the wall. It is not a guarantee - but it is the least I can do, and the most I can do, to try to certify that the tech has SOME training. It is simply not practical for me to personally interview every technician who would ever touch my pet -- no practice would allow that either.

So, yes, I even know many good unlicensed techs. But I KNOW them. I typically don't know every tech that works at a vet practice I go to. And that is why I at LEAST want them to be licensed. I go to a facility now that uses only licensed techs for tech duties. It is my choice, I can't just take your work for it or someone's word for it on the skill of the techs. I did that once, and it nearly cost my very best friend his life, and in fact DID cost him his quality of life, quite heartbreakingly.

Never again if I can help it.

It is simply true -- the use of unlicensed techs poses a threat to our pets, precisely because this means that their level of training and skill is left up to the practice/vets. And I don't trust the practice or the vets to put my pets wellbeing above their pocketbook (being able to pay minimum wage for people with NO skills). I make a hobby of reading veterinary disciplinary records, and the use of unlicensed technicians is VERY OFTEN involved in the injury of pets -- harmful or fatal incorrect doses of meds being one of the more frequent occurances.

See this press release from a vet for a strong argument with horrible stories on this issue:

http://drjohnrobb.com/press/pr1.pdf.

I will pay nearly anything for good care, I want techs to make more money. I also want them all to be licensed.
# Posted By Stefani | 3/18/08 12:39 PM
Ooops, no surprise: Robb has yanked the press release, no doubt because of an outcry among the veterinary industry who wants to keep this all a big secret from consumers.

Here is a cached HTML version if you can reconstruct the link:

http://209.85.165.104/search?q=cache:-8xYeK4v4ekJ:...
# Posted By Stefani | 3/18/08 12:42 PM
Anna & Stefani, A few years ago, I would have been 100% with Stefani---feeling that formal education is a priority in any medical field including veterinary. However, since it was ultimately clear that by DECEPTION my own beloved dog "Pocket" (http://walnut-hill.bravehost.com) was utilized for "teaching benefit" for veterinary technician program and the $$$$, I would take an ethical, caring, field-trained vet tech, any day of the week. This is making the BIG assumption that the tech newbies, would only be left to perform skills that they have become proficient in. And the clinics that they work for (Vets or senior techs) are patient enough to provide the on the job training in a skillful,understandable way.

Despite the cruel memories I live with every day, and even the terrible thoughts of "what I DON'T know---of Pocket's last 7 days" ....knowing she was nothing more than a " lab rat" to practice & demo on--I have made a concerted effort to relax with the techs at the new clinic and allow them to handle my healthy, younger dogs to gain needed experience. This is a new concept and experience for" me" and one that I was not immediately comfortable with.
# Posted By Barb Albright | 3/18/08 8:41 PM
It's not the starting salary that probably deters grads from large animal,
it's the upside potential. 10-15 years experience in small animal commands
a large increase in compensation. I tend to doubt that the same applies
in large animal.

...
...

There are not enough slots in vet schools to graduate enough vets.
Probably a good number of potentially excellent vets don't get into
vet school because of this. Are there new schools or school expansions
in the works?
# Posted By eli | 3/20/08 9:11 PM
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