The Spectrum Of Care In Horses - The Horse's Advocate Podcast #156

The model for training veterinarians is broken. Horse owners complain about the cost and the outcome of advanced procedures and diagnostics. Young veterinary graduates quickly become disillusioned, experience declining morale, and elect to leave the profession. The veterinary crisis is real and is occurring mostly in the horse and food animal care. As horse owners, the decline is affecting all but the elite horse centers; rural horse owners are either struggling to choose or decline expensive care options, facing ineffective or nonexistent care providers, or losing their horse prematurely.

This podcast looks at the December, 2025 Journal of the American Veterinary Medical Association, Supplemental Edition, which focuses exclusively on a new concept in veterinary medicine: Scope of Care (SOC). Veterinary colleges are incorporating into their pedagogy (the art, science, and profession of teaching students) the idea of offering a broad selection of care, including different costs and outcomes. This approach effectively removes the time-honored tradition of providing the "Gold Standard" of care as the only option for horse owners.

While on the surface, the offer of less costly care for horses by veterinarians appears to be a win for horse owners, it masks the fact that horse practices are failing. Declining morale among young veterinarians and owners' loss of confidence in these vets is a double punch; the result is fewer horse veterinarians charging more for diagnostics and procedures that are not scientifically compared to other, more traditional treatments.

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