A man with glasses hugs his reddish-brown dog, resting his head on the dog's head, while the dog's eyes are mostly closed in contentment.

The Challenge

An estimated tens of millions of pets live with families who cannot afford basic veterinary care. When families lack access to veterinary services, pets experience unnecessary suffering, early mortality, and preventable illness—outcomes that ripple into human health and community well-being. Structural inequities and an economic model dominated by traditional fee-for-service practices further limit access, especially for underserved and financially stressed households.

A One Health Systems Response

The Access to Veterinary Care Coalition (AVCC), was established in 2016 to examine and elevate understanding of barriers to veterinary care in the United States. Millions of pets live in households that cannot reliably access veterinary services due to financial, geographic, and structural barriers—a challenge that affects pet health, human well-being, and community resilience.

A veterinarian in blue scrubs holds a large, fluffy grey Maine Coon cat while an owner's hand gently touches the cat's chest during a check-up.

AVCC Goals

The Coalition advances systems-oriented goals that support equitable access:

  • Develop, promote, and scale evidence-based interventions that expand access to veterinary care.
  • Anticipate and respond constructively to regulatory or policy changes that affect nonprofit and community-based providers.
  • Strengthen collaboration among veterinary providers, social service systems, public health agencies, and community stakeholders.
  • Support the profession with data, insights, and guidance to help all pet families access appropriate care.

Coalition Membership

AVCC membership and engagement reflect a multidisciplinary systems approach, including representatives from:

  • Private and nonprofit veterinary practices
  • Veterinary education and research
  • Animal welfare and advocacy organizations
  • Social service agencies
  • Public health professionals
  • Pet families experiencing access challenges
  • Veterinary social work and allied care sectors
A diverse group of professionals, some in medical scrubs and others in business attire, smiling and laughing around a conference table during a One Health Systems meeting.

In association with the University of Tennessee’s Colleges of Social Work and Veterinary Medicine, AVCC conducted a national study to identify barriers faced by pet families and insights from veterinary service providers. Results were published in Access to Veterinary Care: Barriers, Current Practices, and Public Policy.

Cover of a report titled 'Access to Veterinary Care' featuring a smiling boy in a white tank top and baseball cap holding a small, light brown chihuahua. Logos for Maddie's Fund and The University of Tennessee Knoxville are at the bottom.