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The vet is engaged in fraud - and if you say silent, you are aiding and abetting it.
(Disclaimer, I have been fired several times for standing up against corruption, so I do know the risk of whistle-blowing. But I have to live with myself first and foremost.)
If I were in your place, I'd start looking for a new job right away while documenting the fraud. Then I would inform the regulatory authorities. I'd probably tell owners of ill pets to take their animals to a different clinic if it were a life and death situation - althought this would most likely result in immediate termination.
You are in a tough spot. But the biggest risk for you is to be associated with something that is corrupt. Don't let the jerk ruin your reputation.
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