Veterinary Care vrs Medical Care

My brother sent me this great article looking at the costs of veterinary care verses human medical care. Click here to see the full article plus an array of great comments.

A dog is a rat is a doctor is a vet

I want to return briefly to a point made in a hard-hitting post from Canadian blogger Blazingcatfur about the awful treatment his mother received:

With barely contained anger I informed the nurse that keeping an ill, 84 year old woman in a hospital corridor for 18 hours was not the type of care that anyone should be expected to tolerate. In fact my cat receives better treatment from his vet.

This is not the first time I've seen the point raised about veterinary care being better than health care for humans. And you don't have to compare veterinary care to health care under socialized medicine to see the difference, although it becomes particularly glaring if you do.

Under our "system" of veterinary health care, there's generally little or no wait, they're invariably friendly (because you could always grab your dog or cat and take it to another vet), and as to the prices?

Let me give a personal example. My old dog Puff once swallowed half a tennis ball he had flattened, and it opened up like a parachute inside his small intestine. This formed an insurmountable blockage, and necrosis set in. Without immediate emergency surgery, Puff (by that time in horrible agony) would have been dead in a day or so. He was cut open, the foreign object removed along with a three foot section of intestine (the two severed ends being anastomized together) and after a couple of days at the vet I took him home, where he fully recovered without complication.

The bill for all of this? Nine hundred and fifty dollars.

$950.00

Now, this was some time ago, and today it would be more. Probably close to a couple of grand.

But imagine how much it would cost if a boy were to swallow something he shouldn't have and it lodged in his small intestine and had to be removed. I shudder to think of the possible bill for emergency surgery and two days in the hospital, but I think you'd be lucky if it cost less than $20,000.

Why?

The instruments, the drugs, the surgical techniques, sterile hygiene, intravenous lines, and post-operative support, all of these things are basically the same. True, the boy would not be placed in a four by six cage during his stay in the hospital, but a bed in a room is not all that complicated.

What accounts for the huge difference in price? A lot of people say it's the liability insurance, but is that all there is to it? It's not as if there's much difference in the degree of education between an MD and a DVM. (And it's actually harder to get into vet school than it is to get into med school, so if there's an issue involving brains, the vets might win.)

It strikes me that there is a giant, overarching difference between veterinary care and regular medical care, and that is that the former is barely regulated by the government, while the latter is so regulated that even now -- without socialized health care -- many doctors feel as if they spent most of their time being bureaucrats. Is that it? I'm sure my vet kept records for Puff, but I'd be willing to bet they consisted of little more than a couple of paragraphs summarizing the diagnosis, the procedure, and his recovery. And I'd also be willing to bet that for the same procedure on a boy, if all of the records were all printed out they'd be a stack of documents inches thick.

I realize that people will say I am silly and comparing apples and oranges, but it wasn't that long ago that the complex education and licensing as we know it simply did not exist. When they weren't cutting people open, "barber surgeons" cut hair and shaved faces.

But you don't have to go back to the 18th century. A close friend who died a few years ago had a copy of a bill she received for the birth of her son in the late 1940s. Including delivery, hospitalization, and maternity care, it came to just over two hundred dollars. Even if we correct for inflation, there is simply no comparison between the prices then and the prices now for medical care.

While I realize technology has added many tools to the medical arsenal since the 1940s, the same tools have been added to the veterinary arsenal, so that can't be all there is to it. I have not seen any vet bills from the 1940s, but I am sure that a cursory examination would reveal that the rate of increase has risen in a normal manner that we would expect, while the rate of increase for human medical care has skyrocketed. (Of course, in those days, far fewer people had health insurance. Might the "blank check" from the big pocket have something to do with it?)

Should we allow vets to treat humans? Why not? If a woman can consent to an abortion, why can't I consent to having a veterinarian cut a tennis ball out of my intestines?

Why can't we be consenting adults?