What Is Happening to Local Vet Clinics?

Dotty, a white golden retriever, wears a blue belly band with small turtles on it. She's yawning
Dotty’s spay surgery was expertly performed by my local vet.

The first (and only, so far) time I changed vet clinics because I was tired of being pressured to pay for tests and services that I knew my dog didn’t need was almost 15 years ago. The clinic, where a friend had taken her dogs for several years, was pushing and pushing and pushing. The final outrage was when they suddenly decided that my dog needed a heartworm test every 6 months.

They had been insisting on annual tests before issuing a new prescription for the preventive. I thought this was overkill, since we never missed a dose, and I was confident that my dog did not have heartworm. But every clinic demanded that, so I played along and paid up.

When they refused to give me the prescription for more than 6 months without a repeat test (and vet visit), I took my business elsewhere.

Since then, I have been fortunate to have found locally owned, outstanding vet clinics.

This is getting harder and harder, as more practices are being purchased by private equity companies. This often happens when the owner of a small clinic retires.

As has happened with human health care, private equity purchasers of clinics and hospitals tend to focus aggressively on increasing profit—with the results including higher prices, improved efficiency (which may mean cutting some services), and closing unprofitable clinics and hospitals. In veterinary medicine, it also seems to mean high-pressure tactics to convince pet owners to purchase more services, even if their pets don’t need them.

In addition to higher prices, many pet owners are finding that they have fewer options for routine and emergency care — similar to the scarcity of rural and community hospitals in many parts of the U.S.

Huge growth in pet ownership during the COVID pandemic caught the interest of some private equity firms, a Stateline article said, leading them to purchase small clinics for many times their market value, making it more attractive for a retiring owner to sell to them rather than to a local vet. The new corporate owners might leave the clinic name unchanged, meaning many clients are unaware of the ownership change. This has happened in Missoula, where I live.

Within a few months to a couple of years, though, the changes in business practices are often obvious — and not in a positive way. I know many pet owners who patronized a local clinic for years, remaining loyal through the original owner’s retirement. Ultimately, though, the clinic “went corporate,” and at first a trickle, then a stream of friends were asking for vet referrals.

The privately owned clinic where I take my girls is thriving; they’ve added two vets in the past couple of  years and are always busy. Even so, my vet always has time to talk with me and has never tried to talk me into a test or treatment that Cali, Orly, and now Dotty didn’t need.

If your clinic doesn’t deliver that kind of service, check into the ownership … and if needed, search for one that is owned locally, by an actual vet.

Vet Visits, Training and More — Fear Free

Fear Free logo with silhouette of a dog, a cat, and an outstreched hand reads "taking the pet out of petrified"

While going to the vet may never become your dog’s favorite thing to do once you’ve enticed her into the car, it doesn’t have to be scary. Dog training should always be fun. And there are even things pet owners can do at home to reduce fear and anxiety in their pets.

The Fear Free Pets initiative, founded by veterinarian Marty Becker, is a few years old and gaining a lot of followers.

Fear-based anxiety can lead to fear-based acting out, including aggression. A recent Whole Dog Journal article details the effects of chronic stress on pets and their families. It also lists signs of stress or anxiety that people might not recognize, including drooling or foamy mouth, as well as more familiar signs, like trembling or hiding.

The Fear Free movement offers certification for veterinarians and clinics, dog trainers, and groomers, with a dog-walker certification in the works. The goal is to teach pet professionals to use handling techniques and equipment that are gentle, to reduce the use of restraint and force. The certification programs teach pet professionals to recognize stress and how to acclimate pets to scary procedures, whether getting a shot or having their nails trimmed.

At the vet clinic, some fear-free protocols might include moving the pet and her person into an exam room immediately, rather than having them wait in a waiting area, with other stressed-out animals.

The website notes that many shelters, vet clinics, and pet professionals practice force-free and anxiety-reduction techniques without pursuing certification. It’s certainly worth asking about when shopping for a vet, a groomer, or a positive trainer.

The initiative is a fantastic extension of positive, no-force training approaches into every area of dogs’ and other pets’ lives.

The Fear Free Pets website offers resources for pet owners, including COVID-19-related information and resources. While professionals pay for the courses and certification, pet-owner resources are available for free. There’s also a search function to help pet owners find fear-free professionals nearby (Cali’s vet, whom she adores, is one of a half-dozen Missoula-area vets who are certified).