Disclaimer: I have done no small animal vet work for the last 40 years (I'm pigdoc). So, when it comes to small animal, I'm strictly a buyer, like y'all.
What I see is all these mom-and-pop vet clinics getting sucked up into franchises. Then, the beancounters get their grubby mitts on things. Same thing happened with hardware stores. Labor costs have skyrocketed, because new grads are financing $200K of school debt. They can't work for peanuts like I did just out of vet school. Not to mention drug costs. Big Pharma used to front market development costs on spec, but not anymore. It's built into the price. If everybody is doing it, you can't lose.
When I got out of vet school in 1983, my first job paid $18, 800 per year and I had $6500 of school debt to finance. That's about $6 an hour. I had been making $10 an hour pounding nails the summer before...
I did private consulting for 12 years for Big Ag and Big Pharma. Big Pharma tries to crawl into your back pocket. They can be very persuasive with the bling (price/volume incentives). Consulting yields the greatest returns on your labor input. Hell, some days, I never put my pants on. And, it can be a huge tax shelter. But you're always the last to get paid, and it can be feast or famine between commissions. Nobody is giving you any bennies, either.
That's capitalism! Gotta love it.
-Paul