I suspect that people "set the price" to suit the person, its done in all dealerships. When my old old dog had his jaw broken and when for the first time in his 14 years he visited the vet I asked for a quote and to simplify things I said " if its over the top he`s coming back home with me"
Vet knew what that was meant to be and knew I wasn't some histrionic 'save at all costs person'
Job done, it certainly cost me as he was well worth it but not to the point of being gouged.
I will bet that the quote would well have been higher if I was a sobbing wreck.
I cant speak for every vet (or practice) and certainly not every situation but honestly, this has never happened on my watch. The bill is dependent on work done. That in turn depends on what the client wants after discussion about what is appropriate and possible in any given situation. A lower bill is simply reflective of less work done, fewer diagnostics chosen and fewer medications prescribed, often due to a simpler/less severe issue. A higher one comes about from a more complex problem requiring more work to be done and more medications. Sometimes a lower bill is indeed reflective of someone not having as much of a budget to spend and this often represents a compromise from so called "Gold Standard" but a higher bill should never be the result of exploiting someones emotional state.
Does this feeling of price gouging come about because people feel that they have not had value for money from a visit to the vets?
Take a hypothetical situation with a car and the garage:
Concentric slave blows, car has 90,000 on the original clutch. Mechanic strips it diagnoses and advises needs a slave and "Gold Standard" would suggest that a clutch kit is fitted at the same time (possible fluid contamination, highish mileage etc)
Would this be seen as upselling? Gouging? or simply responsible advice from a professional, avoiding potential extra labour costs down the line? For arguments sake, mechanic doesnt mention fitting a clutch kit as he doesnt want clients bill being any higher than absolutely essential. 3 months later clutch goes and needs all the labout again to change the clutch now!
Was the mechanic incompetent? disingenous? or simply doing it as cheap as they can?
Please do not infer any tone from this post in any way. I just really want to understand why there is such a vehement resentment of the veterinary profession and why vets are just seen as money grabbers! There are a host of professions where the money comes a damn sight faster and easier than being a vet!