The Association Blog

More than 900 veterinarians were surveyed on access to care, and here’s what they had to say

Fifty million pets in the US live with people who lack access to veterinary care. In response to this crisis, PetSmart Charities teamed up with Gallup to better understand what’s driving these challenges.

Between September 9 and October 5, 2025, Gallup surveyed 933 practicing veterinarians who provide care for companion animals. The results of the survey have been recently published in a new 15-page report, State of Pet Care Study: Veterinarian Perspectives on American Veterinary Care. Following are high-level takeaways, and be sure to grab the full report here.

Cost is the largest barrier
A vast majority of veterinarians—94 percent—say that clients’ financial considerations sometimes (56%) or often (38%) limit their ability to provide care. Respondents cite cost as a reason clients decline treatment at least twice as often as any other factor.

Most veterinarians are aware of the Spectrum of Care approach, but fewer practice it regularly
Nearly nine in 10 veterinarians (88 percent) say they are familiar with the Spectrum of Care approach, a practice that involves tailoring treatment recommendations based on a patient’s medical needs, the client’s circumstances and the capabilities of the veterinary team. However, 18 percent said they begin with recommending the most medically advanced care and adjust if the client expresses concern; the majority of veterinarians (92 percent) somewhat or strongly agree that trying something, even if it isn’t the ideal option, is better than not doing anything.

Declined care has practical and emotional consequences for veterinarians and their staff
When clients decline to pursue recommended care for their pets, it takes an emotional toll on veterinarians and staff. Veterinarians also recognize the impact declined care can have on the wellbeing of pets’ families; 88 percent say the emotional impact on the pet’s family is an important concern.