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So are all of these health risks related to not spaying and neutering really as common as it always sounds they are? We aren't nearly as aggressive about spaying and neutering in Germany and when I was shadowing our vet there, the majority of animals were still intact, especially the males. It isn't at all expected of you to spay/neuter as much as it is here, where many people automatically look down on you for not doing so (not saying everyone does, but I have met a lot of people that do).
I think part of it is is how rampant the overpopulation and "backyard breeder" problem is here. These animals are very rarely being kept intact to breed responsibly...and if they are, they most often have responsible owners to come along with them.
As for the whole behavior thing...many owners refuse to pay for appropriate care for their animals in the first place, or they complain/whine/yell about it. You think you'll have better luck convincing them to utilize a behavior referral (that will require a lot of work on their part, and quite a bit of money)? Many would rather get rid of the dog.