if you are a good pet owner you won't ask/ demand for your pet to be sedated without bloodwork or for any unnecessary reason. If services were refused, people would just go down the street to a "cheaper" office and really get what they pay for. Unfortunately pets are considered property in the state of NC and their owner can do with them what they want. If you care about your pet you would not put them in the postitioned to be harmed because you are concerned about price. That statement goes both ways. I have told many people about how dangerous anesthesia is and especially if recommendations for bloodwork are ignored and they just get an attitude- once they find out it costs money refuse the option. Before you categorize vet techs just try to be one. Bet you can't hack it.