It should go without saying, not all veterinary practices are alike. Not all regions of the country are alike. Not all communities are homogeneous. Not all clients have unlimited resources to devote to the care of their pets. Yet, over the years, we have found ourselves frequently confronted with opinion pieces, written by practice management "experts" whose advice may be distilled down to one catchy phrase: "Charge what you're worth."

Those of us who have been doing this for a while know things aren't always quite that simple. My practice of 27 years was a good example. We were located equidistant from million-dollar homes and Section-8 housing. The former group of clients appreciated the fact we kept our pricing under control, the latter group absolutely required it, and we serviced every demographic group in between.

The real cost of treatment

A litany of very good reasons is always advanced for raising prices, including the rising debt-to-income ratios of our newer veterinarians, the need to attract skilled support staff into our clinics, and the overall rising cost of doing business, which always seems to exceed the rate of inflation. None of this is disputed; nevertheless, one critical factor never seems to change for most of us, and hasn't changed for me during my many years in practice, and that is the way we get paid.