Despite the grand plans of those in charge of stimulating us back to prosperity, the economy is still struggling. Like a salmon
making its way upstream against all odds, the goal is in sight — provided you can look forward a dozen years. You may recall
my projection made in this column in 1997 that the poopoo would hit the fan by 2008 and that we would spend 15 years in economic
Everyone was excited by April's report of a 3.6 percent surge in consumer spending. It was the strongest increase in spending
in the last three years but fell short of what's needed. What most people don't realize is that to get out of this recession
— the longest since the 1930s — we need prolonged spending increases of 7 percent to 9 percent for at least five quarters.
A 3 percent rise just maintains the abysmal status quo, compensating for population growth but creating no new jobs. We are
stuck at 9.7 percent unemployment, and many of our clients are afraid to spend any more money than necessary.
The economist's math is simple. A 3 percent increase in spending keeps unemployment from rising. To decrease unemployment
by 1 percent, we need an additional 2 percent increase in consumer spending. A 9 percent increase in spending gets unemployment
back to a more normal 7 percent. We can live with that; we can live well with that. So if each of us increases our spending
3 percent to 9 percent more, the economy will stabilize. Oh, did I mention that these numbers are only valid if we don't lose
it all to tax increases?
So, let's get real. Our only hope is to do more with less. That's what America has always done in times of stress. We tighten
up our staff. At this point, most of the practices that can still pay their bills are already at a 1.6-staff-member-per-doctor
ratio. And we negotiate prices with vendors, so we can sell at standard fees but pocket more. That increases productivity
but puts more and more of the burden on remaining staff members.
It's likely that it will be 10 or more years before we get back to pre-2007 economic levels. The question now is, "Where do
we go from here?"
The satellite solution
Despite the economy, veterinary medicine is chock full of opportunities for those who can be creative. One of the best solutions
for veterinarians who are highly invested in large facilities with major overhead is to create outlying satellite clinics.
Veterinarians at these smaller clinics — no more than 20 minutes from the main hospital — vaccinate and treat routine maladies.
Patients are funneled from the satellite clinics to the main hospital for major diagnostic and surgical needs.
Satellite clinics blunt a rival opening a full hospital in a desirable neighborhood — generally a better economic area than
the main hospital. And with satellite clinics, you are perfectly positioned for expansion when better times return. One of
the major veterinary facilities in the country started as an expandable four-doctor facility with four satellite clinics.
The secret to success at the satellites is to fight the temptation to build up equipment and staff and increase your overhead.
A staff of one veterinarian, one technician and one receptionist/technician in 500 to 700 square feet is the most productive
One or two exam rooms with an otoscope and ophthalmoscope will suffice. Necessary lab equipment includes a microhematocrit
centrifuge and glucose, BUN and urine test strips. All other lab work should be sent out. You'll also need a stainless-steel
prep table that can double for a minor surgery table as well as a couple of surgical packs, injectable anesthetics and a backup
oxygen tank. The autoclave remains in the main hospital. Of course, your state may have particular requirements. But because
your pets won't be staying at the satellite overnight, the zoning is usually much less restrictive.