When Aimee Thompson graduates from Washington State University Veterinary College in May 2025, she will not be heading to a bustling city or a thriving suburban clinic like many of her peers. Instead, she will return to her roots in rural Nevada. For Thompson, this is not just a career path but a calling deeply rooted in her heritage.

“I’ve always had a deep attachment to veterinary medicine. My family has a cattle ranch, and I am sixth generation. I was raised around animals,” says Thompson. 

She is one of a dwindling number of veterinarians choosing to enter rural animal practice. Between three and four percent of new veterinary graduates pursue careers focusing on livestock or food systems. In 2022, more than 500 counties in the US were facing severe shortages of food animal veterinarians, some with no vet service at all.

Thompson’s hometown of Tonopah, Nevada is part of a 23,000-square-mile area she says the USDA has identified as a veterinary desert. The only time vets came to the Thompson ranch was for preventative care. 

In regions like these where agriculture is the backbone of the economy, the absence of veterinarians can spell disaster. Thompson remembers having to trailer their horses to a vet. “If the veterinarian 1.5 hours away couldn’t treat the issue [typically colic],” she says, “we were not in a position to seek advanced care [colic surgery] due to it being another four- to fivehour drive. Typically, it would end in euthanasia,” she says. 

Fewer vets on the ground means fewer eyes to catch early signs of disease in livestock. Early detection is critical in preventing disease outbreaks, such as the 2015 bird flu that killed 50 million turkeys and chickens in Midwest states. It also heightens the danger of zoonotic diseases, which can pass from animals to humans. There is a danger that as these shortages continue, preventative care—which includes deworming and livestock vaccinations—will not happen. The ripple effect of inadequate veterinary care in rural communities, according to a report commissioned by the Farm Journal Foundation, has the potential to affect an estimated 3.7 million livestock-related positions.

“We are worried about our capacity to identify as well as respond to diseases, whether that is endemic disease and/or foreign animal diseases,” says Dr. Rosslyn Biggs, DVM, and director of continuing education and beef cattle extension specialist at Oklahoma State University (OSU) College of Veterinary Medicine.

One of the driving forces behind rural vet shortages is that starting salaries are not always compatible with vets who work in urban centers. According to the Bureau of Labor Statistics, veterinarians in rural areas earn between $61,470 and $73,540 a year—roughly half of what they could make in a city.

“Salaries in the rural, large, mixed or food animal space,” says Biggs, “have been historically lower than those in urban or other segments of veterinary medicine.” This difference makes it difficult for newly graduating vets. In 2023, for example, 83 percent of veterinarians graduated with an average student debt of $185,000.

The Veterinary Medicine Loan Repayment Program (VMLRP) through the USDA Food and Agriculture Institute (NIFA) is designed to help more food animal and public health veterinarians relocate to those rural areas facing veterinary shortages. The program will pay off up to $75,000 of each veterinarian’s student loans if they practice in an area designated as being short of vets for a minimum of three years. Since the program’s inception in 2010, it has helped more than 795 veterinarians. 

Need, however, has outstripped VMLRP’s ability to respond. The bipartisan Rural Veterinary Workforce Act could change this. The legislation would end the federal taxation the USDA is currently required to pay on behalf of the award recipient. This could potentially free 39 percent of the allocated money for the VMLRP, creating significant funds for new recipients. This bill was introduced into Congress on June 23, 2023.

But will it be enough to stem the tide? More than just monetary considerations—the life of a rural vet isn’t easy. “It’s hard work. It is long hours,” says Biggs. 

When Thompson graduates, she will begin a contract with a veterinary clinic in Elko, Nevada.

“Part of my contract is that I get to do outreach to areas that don’t have veterinary care,” she says. Twice a month, she will travel long distances to remote communities and provide vet services. This can, for many vets, be isolating and another reason they are deterred from entering into rural practice. Thompson credits her upbringing with making her prepared for these challenges.

“I grew up learning how to navigate without resources, coming from that background has prepared me the most,” she says. 

According to the American Veterinary Medicine Association (AVMA), 45 percent of vets practicing in rural areas are more likely to leave if they come from an urban background. Those that choose to return to urban practice say lack of time off and family concerns played a factor in their decisions.

A shortage of vets in rural areas also means a lack of mentorship for graduating vets. In essence, no one guides young vets through the practicalities of rural veterinary life.

This is something Thompson herself identifies as important. “Eventually, I would like to set up in a rural area,” she says, “but I definitely need that mentorship coming out of school.”

At OSU, things are slightly better than at other veterinary colleges. In 2023, 25 percent of OSU grads entered large or mixed animal practice, while the national average historically fluctuates between 10 and 15 percent. It is something upon which the college is hoping to build. Currently developing a Center for Rural Veterinary Medicine, the goal, among other things, is to provide that much-needed early guidance. The current vision for the program includes a service component in underserved/rural regions as well as outreach programs to mentor youth to help them prepare for and develop an interest in food medicine veterinary practice. The Integrated Beef Cattle Program for Veterinarians has already proven to be invaluable as part of the larger vision for the center. “Twenty vet students with interest in beef cattle practice are paired alongside 20 veterinarians who have some experience in beef animal medicine,” says Biggs.

Another solution, according to Thompson, is to create more opportunities for youth to be exposed to livestock, and have ranchers, farmers and vets come to speak to school-age children. “When I was in school,” she says, “we had an agriculture day in which we’d go out with the local 4H club and they had animals and would teach us handling and proper care. We got to interact with the animals, particularly livestock, and got a little more comfortable with that.” 

Eighty percent of those interested in rural veterinary care have had a significant history of livestock exposure, says Thompson. 

Still, Biggs acknowledges that being a rural vet is not easy. For one, you are going to get dirty. “But,” she says, “being in rural communities and serving farmers and ranchers—there is no better work.”