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It's not terribly hard to start a clinic, but it just makes sense to consolidate, and it doesn't make much sense for anyone who's not a vet to start one (because of the relative pricing power of vets). But it's not bad for vets to be able to exit to PE after they have established the clinic.

And after consolidation PE can make better deals with vendors (from pharma to insurance networks to maintenance).

(Of course exorbitant rise in vet costs shows there's room for more vet clinics, but it's mostly a side-effect of a lot of rich people spending a lot on their pets.)



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