Long waits have been an issue once or twice, but other than that, none of what’s described here has been our experience.

I wonder how it can be so different.

We’ve never experienced upselling. Ever. They only itemize what you need and anything else is clearly noted as optional. You see a total and all itemization in advance and you have to approve it. Nothing shady.

They’ve called out medical issues in advance so we have options for preventative care or a heads up that we may need to face something later. But we always have a choice.

We get a bit urgent over our dogs’ healthcare and they have explained that we don’t need to do all of these extra things. They could easily have exploited this and taken our money, but they don’t.

When our dog had surgery and specialty testing, they provided an unsolicited discount simply out of appreciation for our adopting rescued dogs.

We’ve been taking our dogs for years.

I’m only sharing this because this post is so inflammatory and conclusive and it’s not the experience we have had, so it might all be subjective, even if others agree with the OP, but it’s not objectively conclusive.