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I guess a visit to the vet is a bit like taking a flight (is that too on-topic for this thread?). Different people place different value in different fare types/classes. Some willing to spend more for premium cabins, others looking for the cheapest fare, and others decide that the fare is too high so they will not travel. Similarly, some only purchase return tickets while others stick to one-way tickets.
For me, other than for routine visits like check-ups and shots, I am always prepared for a vet visit to be a one-way ticket, with a return journey being a bonus. Multiple thousands of dollars for canine knee surgery exceeds my personal threshold of justification. But I understand that for some people that type of expense may be incurred as part of the journey, just as I would not pay cash (or credit card for the points) for a first class ticket to Europe, but I understand that many people do. We are different people with different thresholds and priorities. Its not a matter of who is right and who is wrong - just different.
For me, other than for routine visits like check-ups and shots, I am always prepared for a vet visit to be a one-way ticket, with a return journey being a bonus. Multiple thousands of dollars for canine knee surgery exceeds my personal threshold of justification. But I understand that for some people that type of expense may be incurred as part of the journey, just as I would not pay cash (or credit card for the points) for a first class ticket to Europe, but I understand that many people do. We are different people with different thresholds and priorities. Its not a matter of who is right and who is wrong - just different.