Agreed on the private equity firms shit, I've worked at 2 such hospitals and they've been hell. They're most assuredly not passing those increased prices along to the employees in form of wage increases, I'll tell you that.
Also, that tooth extraction is a choice to use as a comparison. I've never had to be anesthetized for my extractions, but good luck doing that on an awake dog, so of course costs are going to be high. Anesthestizing you for your dentistry would cost way way more than it does now, and certainly more tgan your dog's.
This is fantastic story, like Giamatti's easily good enough that he could have just asked, but the idea was so big in his head that it just seemed like a total pipe dream from his perspective. I genuinely cannot wait to watch him.