Dr. Nathan Peterson, DVM, DACVECC, takes us straight into one of the most uncomfortable questions in veterinary medicine: are we sometimes prolonging suffering, and what does that do to our teams? In this episode, Dr. Andy Roark and Dr. Peterson unpack medical futility, moral distress, and veterinary burnout in a way that feels both honest… Read More
Perspective
The Enshittification of Vet Medicine
Dr. Peter Weinstein, DVM, is asking a question many veterinary professionals feel but rarely say out loud, is veterinary medicine slowly losing its soul? In this thought-provoking conversation, he breaks down the concept of the “enshittification cycle,” and how corporate pressures, rising costs, and unrealistic client expectations can pull focus away from patients, teams, and… Read More
The Secret, Dirt-Cheap, Good-Outcome Treatment Your Vet Isn’t Telling You About Doesn’t Exist
I’m hearing a growing number of Access to Care advocates in veterinary medicine argue that the “spectrum of care” should include treatments that pet owners find affordable and ask for, even if veterinarians are uncomfortable recommending them. The fact that some pet owners want to do things their veterinarian might not be excited about is… Read More
Tucker, Dutch, and Private Equity
Dr. Emily King, DVM, founder of All Star Veterinary Clinic and veterinary social media educator, joins Dr. Andy Roark to tackle a growing tension in veterinary medicine, the public narrative that vets, corporate groups, and private equity are driving up costs while telemedicine companies promise cheaper alternatives. After a high-profile interview featuring Dutch telehealth’s CEO… Read More
Everything Is Gross and They’re Doing It Wrong
Dr. Sarah Boston, DVM, DVSc, DACVS, boarded surgical oncologist, author, podcaster, and stand up comedian, joins Dr. Andy Roark for a candid, funny, and slightly unhinged conversation that started with a text message and turned into a full blown existential check on veterinary medicine. Ever feel like the system is just a little… off? From… Read More
What Will Veterinarians Put Up With?
One of the most disappointing trends I saw in 2025 veterinary medicine was the transition of some private equity-backed practice groups from their initial, positively-framed missions to strictly “extractive” models. This change was usually marked by a drastically reduced focus on patient care, firing of medicine-focused executives, aggressive cost-cutting measures, and a push for a… Read More