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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Pet Overpopulation: Is Control A Veterinarian's Moral Imperative?

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October 28, 2006 / (9) comments


At the outset let me just say that our hospital performs low cost feline spays and neuters ($30 for neuters and $50 for spays) almost every day of the week. We do so as a special service to our clients—people we know well and whose work in the community trapping cats is something we choose to support. What I’m about to say about pet overpopulation may sound callous but it’s an accurate description of one of my pet peeves: the frequent expectation that I perform services at reduced or no cost.

My place of work gets phone calls every week from prospective clients asking how much we charge for spaying and neutering stray pets. When we tell them our fees (average by national standards) many take an indignant tone. "But the animal shelter down the street does it for $30." My receptionist’s answer: "We'd love to be able to do it at that price but we like to provide a higher level of safety and comfort for our patients and that’s more expensive. If you want a basic castration the shelter does a good job."

In other words: "Get real, lady, if you want something for [almost] nothing go there and stop calling every other vet hospital in town to see if you can do better than thirty bucks." After all, it costs a private veterinary hospital thirty bucks just to anesthetize a patient. That doesn’t even begin to cover the vet’s time, the staff’s time, the suture material, the sterile instruments or the roof over our heads (with all its expenses).

Shelters are subsidized by your tax dollars. If you have an overpopulation problem in your neighborhood or if you have very limited funds, this is an excellent option.

However, if you’ve been feeding a sweet cat that found its way to your house, and you plan to keep feeding it, then he’s your cat now (technically, no longer a stray). And, if you have the funds, you should shoulder the cost of the castration—not the taxpayers and certainly not your vet. Think about it this way: the more we ask shelters and vets to provide services [for those of us who can afford to pay our way] the fewer abandoned animals the shelter has the power to provide care for and the fewer real needy pets and strays a vet can help.

Yet far too many in our communities expect veterinarians to shoulder a disproportionate burden of the cost for stray animals. The reasoning is obvious: Vets love animals, right? Then how can they refuse to perform services for the most needy (strays) at an affordable price?

1. "Affordable" is relative. When we make something affordable for you, it means it’s less affordable for us. We pay that difference. So ultimately, our other clients will, too.

2. We’ve all been duped into performing services at a reduced price for what turned out to be someone’s beloved house pet. With a new client, it’s hard to know whether we’re doing the community a favor or getting taken advantage of by someone who’d prefer your speedy service and high level of care.

3. There’s a better option at the shelter so why must we offer the convenience (expense) of our retail location and the more expensive procedure (better anesthetics, pain control, individual attention, high-tech anesthetic monitoring, etc.) for one person’s unwillingness to shoulder their fair share of the burden?

4. The neediest of strays are also the sickest, so each time we take these animals in for routine procedures, we potentially subject all our hospitalized patients to their illnesses. If our practices are small, this is even more risky. So we (and all our other patients) shoulder this burden as well.

I hope none of this sounds cold or crass. Yes, we do love animals—all animals—not just the cash-paying variety. However, like any member of any other profession, we must be allowed to pick and choose our method of community service. You wouldn’t expect a lawyer to take a pro bono case just because he’s capable of it. And I’ll bet you wouldn’t expect your dentist to work on your destitute neighbor’s teeth for free. He might. But you wouldn’t expect it. And if she did, you’d be very thankful.

As vets, we have ample opportunity to donate our services—in our offices and beyond its confines. Because of this, most of us perform far more community work than the average professional. If we choose to do so in structured ways to increase our efficiency, provide a special service to our existing clients and decrease the stress (and disease transmission) in our workplace, this should be respected.

Yes, indeed, pet overpopulation is a huge problem, but to expect veterinarians to shoulder more of the burden than anyone else is stressful for us. We want to do what’s right but to demand that our education and training implies a moral imperative to help any animal in need under any circumstance is not fair to us as equal members of the communities we live in. After all, pet overpopulation is not just the vet’s problem—it belongs to all of us.

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COMMENTS (9)
1
by Amber on 10/31/2006 12:42am

Thank you for so eloquently putting something that got under my skin, but happened way too often, during my two years working in a vets office. If only I could print & pass out your entry for others to understand rather than just think I’m insensitive. More often then not too many clients would just rather have the quickest answer and being concise on this topic has always been a challenge.

Your loyal, but quiet reader

2
by Shannon on 10/30/2006 04:48pm

Dr Patty,
I don't know how big our overpopulation is in relation to problems in other parts of Canada and the US but I do know after only a couple of years working as a volunteer with the Humane Society and now with a privately run rescue agency that it is a HUGE problem. I can't give you statistics but I can tell you from experience that there are a lot of animals and not enough homes to go around.
Shannon

3
by Dr. Patty Khuly on 10/29/2006 08:46pm

Shannon: In your Toronto example you make a great argument for public, tax funded humane services. Someone has to take a government-regulated stand in favor of spays and neuters when the overpopulation problem is so immense. Perhaps Canada is not so afflicted?

4
by Dr. Patty Khuly on 10/29/2006 08:42pm

Vets are right to be threatened by low cost spays and neuters when they serve a population of ignorant pet owners. However, that doesn't mean they should oppose them. Most people think that spays and neuters are the same no matter where you go. While that couldn't be more wrong, some vets will lose income when their regular clients take their pets elsewhere. The other side of the coin is that I, for one, do a brisk business in cleaning up sloppy surgeries. Although the majority of low-cost spays and neuters do well-and I support their existence, the standard of care is just not the same (as a general rule). It's still a service to the community that needs to exist and vets just have to accept that fact, regardless of their bottom lines. Period.

5
by Rita on 10/29/2006 12:58pm

(Actually, lawyers are expected to do pro bono work. Granted, it's primarily an aspirational goal, unless there is a situation like in my state, in which public defender programs are poorly funded and private attorneys thus get appointed to represent the accused.)

But I digress. Thanks for your thoughts. I have a vet who is wonderful about helping me help the ferals that come to my house to eat. There is usually no question but that they are ferals - it's a wonder he hasn't charged me combat pay for some of the wilder ones! In my area there is no such thing as taking the animal to the shelter for medical services; you either do it yourself, don't do it, or take the animal to the shelter to surrender it.

What I would like to know is your response to claims that vets are opposed to low cost spay and neuter clinics, because it cuts into their profits? I know some people who are trying to establish one here, and they make that claim. I don't know; I haven't been involved in these efforts as some of them have over the years, but I have a problem believing that very many good vets would feel threatened by something like this.

Thoughts?

Rita

6
by Dr. Patty Khuly on 10/29/2006 09:03am

Janine: We do have a pet abandonment problem. So we always have kittens and the occasional dog. It's something we tolerate (and even enjoy) but it sometimes gets out of hand. I've worked at places with zero tolerance policies (all go to shelters) but I like working in a place that is willing to make an effort to do a few adoptions of its own.

7
by Shannon on 10/28/2006 12:29pm

Dr Patty,
I completely support your perspective. We don't expect other professionals to give their services away, so why should vets? That seems very fair.

I work with cat rescue group and in this entire city of almost 3 million people there are approximately 3 vets that we visit for their willingness to provide the cats medical care at a reduced rate. I would never (except in an extreme emergency) take any of my foster cats to anyone besides the vets approved by the rescue organization. Why? Because than someone has to shoulder the extra charges and the more the rescue org has to pay the fewer cats it can help.

However, just to clarify, in Toronto the main humane society is in fact not supported by tax dollars but is totally dependent on corporate and private donors. They don't offer low cost spay and neuter clinics, particpate in any trap spay release programs in an attempt to control the thriving population of feral cats and regularly adopt out animals who have not been altered in the belief that by spaying or neutering the animal is bound to live an incomplete life. But that is a whole other very personal issue altogether.

Shannon

8
by Georg on 10/28/2006 08:48am

Do you have a dumping problem too?

I overheard at the vet's office yesterday an exchange between the tech manning the phone (normal receptionist not in or additional duties for the tech, not sure) and one of the doctors, concerning someone had found a stray dog and wanted to know if she could bring it in. The doc wanted to know if it was hurt? It was not. Then the dog should be taken to the dog control officer and put in that shelter.

My friend rescued a kitten that didn't have its eyes open yet- she found it on the porch of her vet's office at the start of Memorial Day Weekend. If she hadn't found it, the vet would have come back on Tuesday to a cardboard box with a corpse in it. How unpleasant.

But I hadn't thought the vet's office might have an issue like the shelter does. I won't go there.

9
by Janine on 10/28/2006 03:59am

I totally agree with you, and I don't think it's bad for you to feel the way you do. Fudge was spayed at the shelter we bought her from, as a requirement of adoption. It was $100 (less for castration), and I considered this a very fair price to pay. If I had the choice (and the funds), I'd probably opt for a spay at a vet than at a shelter, for the reasons you stated. There were no problems with Fudge after her spay, but because there was no post-operative care there (they don't keep any animals overnight at the shelter hospital), she came home immediately after she woke up (she was groggy and still had the protective ointment stuff in her eyes). This wasn't a problem for us since we could stay home with her and make sure she recovered fine, but I imagine for some people this would have been a challenge.

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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