A bit of everything you say Auntieflo. Such a lot of interbreeding these days, often producing random, sometimes bizarre cross breeds (aka designer dogs) has brought a myriad of health problems to attention, especially the teacups and snub nosed types.
Like human medicine, there’s been huge advancements in identifying and treating (at huge cost) disease and illnesses that would have animals PTS without question years ago. The cost of this research and the equipment to treat animals has to be paid for and I believe it’s partly recouped through insurance claims.
Whoever would have thought an animal could undergo chemo? I hate to add, not always in the animal’s best interest.
It would take an extremely wealthy person, or a huge bank loan to tackle such treatment without insurance.
I also think that pets are considered an important part of the family these days - as a friend for the children, something to care for for a singleton, companionship for an older person or, dare I say, even a child substitute. I know a lot of young couples who have chosen to have a dog or cat before children are on the scene.
I also think that advertising pet insurance also has an effect on new owners - it’s inexpensive at first, then as the animal ages and premiums rise, people are too far committed to be able to cancel.
As I wrote upthread, we never had any of our dogs insured - we had 10 at one time! DH was perfectly capable of routine care, like trimming nails, administering meds we bought online both with and without prescription. However, we paid up to identify and treat some illnesses and operations as required and know we ‘saved’ over having insurance - but like all insurances, it’s a gamble. Despite our preference, DD1 had
insurance for her cat, which was never needed during his lifetime. DD2 has had insurance for both her dogs from buying them as puppies.
Sorry I’ve waffled a bit.