> This happens in India all the time with King Cobras and I know they can't afford 46,000.
Your larger point notwithstanding, it's important to remember that overall cost of living in India is lower as well. So hospitals are inherently cheaper to run.
The prices may well rise somewhat, but demand for veterinary care is always going to be much more elastic. As much as people love their pets, they will also eventually decide it's not worth the cost.
I think there are lots of factors that collectively contribute to the price disparity—some cultural, some economic, some systemic. It's not black and white.
Your larger point notwithstanding, it's important to remember that overall cost of living in India is lower as well. So hospitals are inherently cheaper to run.