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As for vaccinations: her response is, cats lived for thousands of years without vaccinations, why do they need them now?
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Ooohhh you're jumping into trouble now... Humans have lived millions of years without vaccines. Why is it then that hundreds of people cross the border into Canada for a flu shot in mid-fall? Your friend is just giving another excuse for not opening her wallet.
And the $45.. I'm sure there are reliable, honest vets that are cheaper than that, but you would have to
shop around to find out. I would rather a crappy vet charge me $15 for a consult than not go at all and watch my cat die, screaming and moaning in the comfort of my living room.