
21/07/2025
My job will forever be in the crosshairs of money versus ethics. It’s the age-old dilemma of veterinary medicine anywhere you look – small animal, mixed animal, equine, or food animal – but the answers are different for each sector. That’s how I see it, because like it or not, farms are agricultural businesses and livestock are valued assets. On a budget pie chart, there’s a slice for animal health care, and only a sliver of that slice is for vet work. My practice is intentionally built to operate within the client’s budgetary pressure while still valuing my time and my operating expenses. Raising animals comes with a duty to ensure their health and happiness. How useful would I be in carrying out that mission if my clients can’t afford services?
I work with a tech who is also a farmer, like myself. Recently we were wrapping up two piglet hernia repairs and talking about our individual motivations for these surgeries. We wondered how other farmers or vet teams would have proceeded. The second piglet’s hernia was just cranial to the prepuce, and as the hole began shrinking on its own, it entrapped and strangulated two loops of small intestine. The repair was not simple, and three inches of small intestine were almost dead. The piglet wouldn’t have survived the weekend without emergency surgery. The first piglet had a scrotal hernia. There was no life-threatening bowel strangulation, but the farmer would not have been able to castrate the piglet without likely evisceration.
As piglet #2 grunted his way out of anesthesia and re-entered the waking world, I wondered how often farmers wouldn’t do it, due to sunk costs. Maybe they calculate what they’ve already put into the piglet and chalk it up as a loss. To both of us, it was clearly worth the cost to provide these piglets with comfort and stability, especially when you consider market price at market weight should return the investment. Sure, surgical risks weigh heavily on that prospective return. Some would say it is “worth it” to breakeven, some would criticize the choice to operate at all, and some would say there’s an ethical duty to operate even if there was a guaranteed loss. What would you say?