There is no doubt, as with many things, that veterinary prices have increased in many ways for many reasons over the past decade. However, it is important when we draw comparisons to check we are comparing like for like when thinking about price and value. It is also true that all professions like to believe that they are continually improving and advancing their standards of care. The veterinary industry is complex and it is not always straightforward to decide on whether more modern and advanced treatment and diagnostics always represent an increased standard of care. The ethics surrounding domestic pet care and treatment make this a complex and contextual decision with space for discussion over the best treatment varying for the individual owner, pet and circumstances.
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Is traditional always worse?
In some circumstances, when finances are tight it is worth reflecting on if there are more traditional treatment methods that may have more side effects but may be financially a better option in the situation. A common example would be the use of steroids in allergic skin disease. Sometimes categorically steroid-based treatment is the best treatment for certain types of skin disease. However, there are situations where the decision is between steroid and more modern injectable and oral medications that have recently become available that can have reduced side effects in some situations but have more cost associated with them. It is worth reflecting that sometimes, traditional methods such as steroids may not be the first line preferred option due to side effects but that there was a time when they were the only (or one of far fewer options) and that they can also be effective and cost effective.
Excellence, within the budget, is always the goal
Of course, this is complex and the option of more traditional treatment methods should not be at the expense of striving for excellence, improvements and clinical advancement to the benefit of our patients. There is nuance to be found in respecting the past and traditional treatment methods that are effective and good for animal welfare and also embracing novel, positive advancements that do the same. This is increasingly being referred to as contextualised care.
The key is as always communication
The key in balancing this is to have the conversations to understand both the financial cost but also the cost in terms of side effects, quality of life, length of life and opportunities. This is not a simple equation but when considering cost and treatment options it is key to ensure you understand all your potential options including the pros and the cons of them. There is often no one right decision. Part of the joy and challenge of veterinary medicine is making the best decision for the individual patient, owner and situation presented to you.
How to make good decisions
When decision making for your pet, if what is being offered is outside your budget and even if it isn’t, before committing to a diagnostic or treatment path please ensure you have asked for all possible options and have discussed what the pros and cons are for each of them. This can help you to settle on the decision that is best for you and your pet. And also help you to feel comfortable that you have made the best-informed decision for your pet that you possibly could.
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