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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/"><channel><title>Evelyn Barbour-Hill's Groups Activities</title><link>https://www.vetsurgeon.org/members/ebhvet</link><description>Recent activity for people in Evelyn Barbour-Hill's group</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Would welfare-based insurance cover solve the price problem?</title><link>https://www.vetsurgeon.org/f/non-clinical-questions/31361/would-welfare-based-insurance-cover-solve-the-price-problem</link><pubDate>Mon, 11 May 2026 16:14:18 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:04b40add-ef56-43bb-bd38-74fdb2a12ecf</guid><dc:creator>Arlo Guthrie</dc:creator><description>&lt;p&gt;Sharing a post here that I put up on Linkedin and wondering if anyone here has any thoughts:&amp;nbsp;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;As if we needed it, &lt;a href="/b/veterinary-news/posts/survey-finds-82-of-uk-pet-owners-worried-about-rising-vet-bills" rel="noopener noreferrer" target="_blank"&gt;more research has found pet owners are worried about rising vet bills&lt;/a&gt;. What&amp;#39;s more, the results are startlingly similar to another study published in the Veterinary Record a few weeks ago. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;At that time,&lt;/span&gt;&lt;span class="_836eec6c"&gt; &lt;/span&gt;&lt;a  target='_blank'  class="d7aa8400 _7d2088df" href="https://www.linkedin.com/in/joshua-stern-19402b334/"&gt;&lt;span class="abd68f3e"&gt;&lt;strong&gt;Joshua Stern&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;span class="_836eec6c"&gt; &lt;/span&gt;&lt;span&gt;argued that this kind of data does not indicate a systemic problem, just an &amp;#39;unmet need&amp;#39;, which can addressed by emphasising the breadth of treatment options available. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;He also said that I should write a solutions-based article which explains how vets could continue advancing care whilst simultaneously bringing prices down. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;I continue to disagree&amp;nbsp;with the idea that this is primarily a communication problem rather than a systemic one.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;If large numbers of owners repeatedly report anxiety about affordability, across multiple studies, it becomes difficult to argue that the issue exists only at the level of consultation-room communication.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;And I&amp;rsquo;m not convinced that simply emphasising the breadth of treatment options, aka contextual care, fully solves the problem either. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;Because unlike getting the fridge repaired, there&amp;#39;s a lot of emotion attached to the dog, and people will always want more treatment than they can afford, and resent it when they can&amp;#39;t.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;What&amp;#39;s more, people make rational, logical decisions about their fridge. If it cost &amp;pound;500 to replace, they won&amp;#39;t spend &amp;pound;600 fixing it. The same is not usually true of the dog.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;Joshua argues &amp;mdash; and he is not alone in this &amp;mdash; that I am wrong to talk about a &amp;ldquo;rational&amp;rdquo; limit on spending, and that I am simply projecting my own view of what constitutes rationality.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;But society clearly does make judgments about proportionality in healthcare spending, whether we admit it or not.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;If someone spends &amp;pound;30,000 treating a 15-year-old dog, many people would regard that as disproportionate. A billionaire may view it differently, but the earlier research suggested owners themselves place the limit far lower than modern veterinary medicine increasingly assumes &amp;mdash; somewhere well south of &amp;pound;3,000.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;It was suggested that I write an article which shows how vets can continue advancing care whilst bringing prices down. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;I don&amp;#39;t think that&amp;#39;s possible. Advancing care whilst bringing prices down seems oxymoronic. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;I think the solution may lie in offering a lower, more affordable standard of care, perhaps based more strictly on the welfare needs of the animal, and supported with an appropriate level of cheaper insurance cover. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;In&amp;nbsp;other words, shifting cheaper insurance from&amp;nbsp;simply&amp;nbsp;offering&amp;nbsp;less comprehensive financial protection&amp;nbsp;to supporting a consciously different model of veterinary care &amp;mdash; one focused more on welfare thresholds than maximal intervention.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;Of course that doesn&amp;#39;t restrict those who want the highest clinical standards for their dog. But the cost of that should not come from the premiums paid by low-income owners. &lt;/span&gt;&lt;br /&gt;&lt;br /&gt;&lt;span&gt;Just a thought!&lt;/span&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>anyone using Vetoquinol&amp;#39;s &amp;#39;Phovia&amp;#39; system for wound healing?</title><link>https://www.vetsurgeon.org/f/clinical-questions/31369/anyone-using-vetoquinol-s-phovia-system-for-wound-healing</link><pubDate>Tue, 26 May 2026 14:21:35 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:9b796436-d958-443a-b5cb-3af00bb0f4c6</guid><dc:creator>ian bates</dc:creator><description>&lt;p&gt;Hello all,&lt;/p&gt;
&lt;p&gt;Opinions / experience welcomed please  &lt;/p&gt;
&lt;p&gt;&lt;/p&gt;
&lt;p&gt;Thank you&amp;nbsp;&lt;/p&gt;
&lt;p&gt;Ian&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>