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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.

 

Spied in the New York Times this Sunday: High level veterinary competition in the City

July 23, 2007 / (2) comments


A huge, color photo of an anesthetized pit bull being prepped to enter the extremely high-tech mouth of a $750,000 MRI. That’s what’s pictured above the fold in SundayStyles, a section better known for frothy drink concoctions and the weekly wedding roster than for animal fare.

The article details the New York Animal Medical Center (that bastion of non-profit, academic-oriented veterinary services for going on thirty years now) and its emerging competition, primarily the for-profit behemoth that is New York City Veterinary Specialists.

AMC is such a well-respected institution that, until recently, it seemed unlikely for another hospital to usurp its predominance in the high-priced Manhattan market for super-premium vet services. But a gleaming, 20,000 square-foot facility that boasts every toy but its own linear accelerator is having a successful go at it.

Granted, care at NYC Vet Specialists is remarkably expensive. The article mentioned that Steve Martin’s dog went home with a $900 some-odd bill after ingesting chocolate and needing to throw it back up. That’s about four-hundred percent more than what I charge for a similar procedure. Who knows, though, maybe this wasn’t a simple outpatient case. (But I do know how much some of my NYC friends spend on vets—and it’s pricey by anyone’s standards.)

While the NYT does not in any way disparage the care at AMC (nor should it), it does manage to cast its customer service in a less-than-favorable light. It quotes pet owners who have suffered long emergency service wait times and vets who choose to refer elsewhere so that fresh-from-school interns aren’t endowed with their patients’ care.

It’s not a pretty article for the AMC, whose pillow-shaped laurels are undeniably being questioned—for their shape if not their substance. The overall sentiment is that times are changing—and the AMC has not changed with them.

Indeed, animal care is very different these days. And while there’s a need for institutions like Angell Memorial in Boston and AMC in NYC, it’s tough to run a hospital as big as any vet school’s and still offer services competitive with those now available in the private arena.

Specialists are completing their residencies and passing their boards in droves compared to what we experienced only twelve years ago (when I graduated). So it makes sense that the city as large as New York would need more of their increasingly sought-after ilk. And it’s been clear for years now that they wouldn’t all fit at AMC.

In spite of the negative press, I’m not sure AMC’s sweating it any. Their goals have always been more academic and less economic (as designated by their non-profit status), but that’s not to say that AMC shouldn’t get off it’s leafy behind and work to bolster its image in the eyes of its community…for the sake of the many pets who benefit from both the research and care that emanates from within its walls.

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COMMENTS (2)
1
by on 07/31/2007 11:38am

Sweating... yes.. buckets over the article...

The AMC has gone along for the past years.. with no competition...no care... bleeding or shall I say hemoraging patients...because there was NO where to go...

People complained.. they suffered the indignity of waiting for sometimes hours to be treated like dirt..sitting in cold ,ugly waiting rooms.Spoken down to by interns who knew less many times than the owners..

Along comes not one but several state of the art new Vet hospitals..who give comfort and great care..Is the new head of the AMC worried.. you bet your proverbial behind...For many reasons..
Charitable donations. how can you ask people to donate when case load is dropping.. when PR is bad..when Dr's are leaving as soon as they finish their fellowships.. When the word on the street is negative...

The new head of the AMC is VERY concerned...one of the first priorities is to reverse the flow.. to change this state of affairs.. to teach the Drs that the Patient comes first.. that the AMC is no longer the only game in town...
How do I know???I am very friendly with Dr K....

2
by on 07/24/2007 11:26am

Angell has really done a lot in the last year or so to improve itself--there's still a lot of bureaucracy involved in a simple trip to the vet, but it's more straightforward than it used to be. Getting out of the financing business was very good for them, administratively speaking (clients can use CareCredit there now; in the past, Angell used to calculate sliding rates and try to manage billing and debt collection which I think was a big drain on their staffing resources). Recently renovated facilities have added to the improvement. I think Angell is a pretty good example of how a large hospital can keep up with the times and remain competitive. I don't know much about their dog and cat pricing, but I can say that their exotics pricing is entirely in line with smaller practices. (I'm a ferret owner)

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About fully vetted

Patty Khuly, VMD, MBA

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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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