The main difference between pet care and human healthcare in the US lies in how payments are made. While most people have health insurance covering the bulk of medical costs, pet owners are mostly responsible for paying the full vet bill upfront and out of pocket. Only a small minority of pet owners have pet insurance, and even with insurance, they often have to pay upfront and wait for reimbursement. Pet insurance typically does not cover pre-existing conditions and charges more for older pets, resembling the pre-Obamacare model of human healthcare.

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