Facing pressure from barn owners to skip radiographs for cost savings

I was at a stable last week where the owner asked me to shoe a horse without taking new x-rays, even though the last set was from over a year ago. He said the horse seemed fine and it would save him money. I've seen this a lot, where clients think they can cut corners on diagnostics to keep costs down. One side says we should always insist on proper imaging to avoid hidden issues like bone changes or abscesses. The other side argues that building trust means sometimes working with a client's budget, especially if the horse isn't showing clear signs of pain. I personally worry about missing something that could lead to a bigger problem later. How do you guys deal with this? Do you always push for the full check, or do you adjust based on the situation?

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lopez.iris4h ago

Skip now, pay later (seriously). Dealing with this pressure is part of the job, but giving in sets a bad precedent. Old images miss new issues (like abscesses or bone changes). I always push for new x-rays because hidden problems can blow up fast. It's better for the horse and your reputation in the long run. Building trust means being honest about needs, not just cutting costs.