The Nelio is a ACE inhibitor
Yes, but when you buy electricity all you buy is electricity. It doesn't matter who you get it from. A foot trimmer generally doesn't supply much and you pay for time. None of your examples are comparable - it's the overall cost and satisfaction with the service. No practices would survive at current fee levels if they lost all medicine sales.
The better I do at my job, the more I need to make from the medicines I sell, because if I do my job well then I sell a lot less. Was talking about this recently - and I suggested charging in terms of pence per litre so both parties rewarded when things go well.
I for one would not be happy about the per litre charge. My vet bill is partly a reflection on how well I run the business. A per litre charge would mean that I was potentially subsidising those who are less careful.The better I do at my job, the more I need to make from the medicines I sell, because if I do my job well then I sell a lot less. Was talking about this recently - and I suggested charging in terms of pence per litre so both parties rewarded when things go well.
If there are cheaper drugs available on line is there a reason why you can't buy them this way too? I think I know the obvious answer but thought I'd ask anyway.I'm not a small animal vet, but they are generics and would generally be cheaper. It would depend on a number of factors though.
I'd be quite happy if all vets paid the same price and then we individually decided what was a fair markup. There are drugs online for less than I pay.
It is an interesting point - the newer practice may well have better facilities, better trained staff and work to a higher level. People are often really keen on older male vets who act as though they know everything, but can practice rather poor and old fashioned medicine.
If you want good, well trained vets and good facilities then they are to pay for. I can't think of much worse than going through life as average. Your animal gets better treatment and you get better advice, but you will get a bigger bill. Ultimately the prognosis and treatment is the small animal is more accurate and the animal better treated and the prevention and herd health benefits shine in large animals.
Sometimes what people think makes a good vet and what does are very different things.