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your aunt needs to make the decision after talking to the vet. It's a very personal decision. There is Carecredit, that is a line of credit for medical bills, if she wants to apply for it.

Personally I look at what the quality of life is, and what the prognosis is afterwards. On an old dog, I wouldn't spend a ton of money if the dog doesn't have a good prognosis. I'd keep him comfortable, and when that isn't possible I'd give him a kind euthanasia.
 
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