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The very unfortunate reality is that many people who own exotic pets don't take them to the vet until they are knocking on death's door. Sometimes even then they don't bother. Which means the demand for exotic vets just isn't there.
I get clients at our practice that drive over 2 hours just to get some basic care for their exotic pets. It's mostly an issue of demand but yes it's highly inconvenient for people to get their pets the help they need.