I think there is certainly some demographic influence as to importance/priority of vet care as well as varying interpretations of "affordable" and "access". Our primary service area is rural shelters where we see few owner surrenders due to an inability to provide for basic needs but many surrenders when an illness has progressed into an issue that will require thousands of dollars to treat, if it can be treated...very aggressive tumors, improperly healed bones, ruptured eyes...etc. I suspect those who claim treatment isn't affordable to the point of surrender could have chosen a wellness check and early intervention instead of beer and lottery tickets. We frequently hear the "access" excuse with unplanned litters even though there is a low-cost spay/neuter clinic <30 mins away ("that's too far") and a semi-monthly transport through the local humane society ("leaves too early", "pick up too late" etc). While the owner surrenders we see may not be for basic needs issues, given that most animals enter the facility as strays, it's not possible to say if they were abandoned due to an inability to provide for basic needs. I realize these generalizations may sound harsh but with kitten & puppy season already in full swing here, no meaningful decrease in intake over a 5-year period, 80% of intake reliant on rescue for survival and the recent removal of a tumor that weighed 8 lbs (taken off a beagle!?)...yes, an 8 lb tumor taken off of a 20 lb dog...I am much more concerned with the animal suffering than I am about the feelings of neglectful owners. (Yes, we are working on some humane education program development... without attitude..LOL)
Separately, I attended a conference where a presenter discussed this issue in detail as it related to her service area, Brooklyn NY. See her program, map and demographic detail here: http://beyondbreed.com/ruff-riders/
#Medicine,SurgeryandSterilization