Lets talk about fees first. These days, at some veterinary hospitals, the actual "walk out the door" fees are difficult to determine in advance. The complexion of our profession has changed dramtically in the last 20 years. I can't say years ago that all veterinarians were were hard working, honest, highly ethical people, but almost all of them were. I was extremely proud just to be able to say that I was a veterinarian. I knew that to everybody, it was automatically assumed that I was a person of high standards and character. Things have changed, though. There are people in our profession who are driven primarily by money. The veterinary profession has been invaded by the big corporate veterinary hospital chains. Like a bunch of veterinary Wall Marts. Advertising, which used to be an ethical "No-No" in our profession, is now common place. These big outfits have enough money to advertise aggressively and often offer the "lost-leader", a cheap vaccination, for example, to get you in the door. If you look at your receipt when you walk out the door of one of these places, you shouldn't be surprised if you paid more than you would have just about any place else. They have very creative and not very straight forward or understandable fee structures. They might advertise a $10.00 Rabies shot, for example, but because of hidden and/or additional fees, 'administrative charge', 'computer fee', office call, etc. your bill quickly climbs to fourty, fifty, sixty dollars. But think about it. They have to charge more. Their overhead is higher. Bigger fancier buildings located on prime real estate, larger staffs, big advertising budgets not to mention a big corporate office with highly paid executives who travel the country. These executives don't actually generate money, they oversee the money somebody else generates. It isn't possible that they can charge less. Not only do they have to get more yield per client, they must have more people through the door. The only assured way for this to happen is if they advertise that they charge less. The reality is, that the basic cost of doing business is about the same for all of us. You can really only save significant money by employing younger doctors, who will work for less because they lack experience, and/or skill. Other than that, in the scheme of a million dollar budget, you're pretty much talking about savings in pennies. Drugs and equipment pretty much cost us all about the same.
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