We offer care credit for just this reason and we DO help a lot of needy families with sick puppies when it is a life threatening thing how can you turn someone away? We get cases like that sometimes and Ive even offered my own money to help but usually my boss bless his heart will always help and usually count it as a loss. but some situations its just hopeless and a waste of money. It sounds harsh but sometimes people need to come to the realization that if they can not afford a really expensive procedure and the outcome is most likely going to be bad they may have to make the hard decision that maybe putting them to rest is better. If the pet is young and there is hope that is one thing, I would go into debt 100X for my dear dogs but If it was to prolong their life for a few miserable months I would make the difficult choice.