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	<title type="text">Peter Rugg | Vox</title>
	<subtitle type="text">Our world has too much noise and too little context. Vox helps you understand what matters.</subtitle>

	<updated>2019-10-17T17:14:06+00:00</updated>

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				<name>Peter Rugg</name>
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			<title type="html"><![CDATA[The big business — and questionable effectiveness — of mass shooter trainings]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/the-highlight/2019/10/10/20905029/newtown-castillo-parkland-school-shooting-alice-training" />
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			<updated>2019-10-17T13:14:06-04:00</updated>
			<published>2019-10-17T13:14:50-04:00</published>
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							<summary type="html"><![CDATA[Kendrick Castillo, an 18-year old student at STEM School Highlands Ranch in Colorado, was watching The Princess Bride in his British lit class when classmate Devon Erickson, one of two armed shooters &#8212; both students at the school &#8212; entered the classroom in May brandishing a handgun. Castillo charged at the shooter, attempting to wrest [&#8230;]]]></summary>
			
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<img alt="" data-caption="A law enforcement officer secures a hallway during a regional active shooter training drill at Deering High School in Portland, Maine, on May 18, 2019. | Derek Davis/Portland Portland Press Herald via Getty Images" data-portal-copyright="Derek Davis/Portland Portland Press Herald via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19270568/GettyImages_1147759602.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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	A law enforcement officer secures a hallway during a regional active shooter training drill at Deering High School in Portland, Maine, on May 18, 2019. | Derek Davis/Portland Portland Press Herald via Getty Images	</figcaption>
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<p>Kendrick Castillo, an 18-year old student at STEM School Highlands Ranch in Colorado, was watching <em>The Princess Bride</em> in his British lit class <a href="https://www.buzzfeednews.com/article/amberjamieson/colorado-stem-school-shooting">when classmate Devon Erickson, one of two armed shooters</a> &mdash; both students at the school &mdash; entered the <a href="https://www.denverpost.com/2019/05/08/kenrick-castillo-victim-stem-shooting-highlands-ranch/">classroom</a> in May brandishing a handgun. Castillo charged at the shooter, attempting to wrest the weapon from him. Two more students followed his lead. They managed to disarm the attacker, but not before Castillo himself was shot twice. He died at the scene, the day&rsquo;s only fatality.&nbsp;</p>

<p>This fall, 30 miles away, a security consultant in Golden, Colorado, at a school Castillo never attended, put the boy&rsquo;s <a href="https://www.latimes.com/world-nation/story/2019-09-17/active-shooter-training-mass-shootings">name</a> up on a chalkboard as an example of heroism in the face of death.&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19270495/GettyImages_1175587668.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Douglas County Sheriff Tony Spurlock, right, addresses John and Maria Castillo, the parents of slain STEM School student Kendrick Castillo at the Cherry Hills Community Church in Highlands Ranch, Colorado, on May 29, 2019. | Andy Cross/MediaNews Group/The Denver Post via Getty Images" data-portal-copyright="Andy Cross/MediaNews Group/The Denver Post via Getty Images" />
<p>As school shooting incidents<a href="https://www.vox.com/2018/12/10/18134232/gun-violence-schools-mass-shootings"> continue to rise</a> &mdash; in 2018, more than 55 people were killed by&nbsp;gun violence in schools; the previous high, in 1993, was 40 &mdash; at least 42 states have passed laws requiring schools to train students and teachers for an attack.<strong> </strong>According to the<a href="https://nces.ed.gov/"> National Center for Education Studies,</a> a near-universal <a href="https://www.vox.com/policy-and-politics/2018/2/16/17016382/school-shooting-drills-training">94.6 percent</a> of districts offer a variation of shooter training. Some kids learn to run and hide as early as preschool. Others are told to follow in Castillo&rsquo;s footsteps and attempt to physically attack a shooter as a last resort.&nbsp;&nbsp;</p>

<p>Asking a child, or even a teacher,<strong> </strong>to overpower someone with a gun seems like extreme advice. But active-shooter training companies and security consulting firms like Denver&rsquo;s TAC*ONE, <a href="https://strategosintl.com/">Strategos International</a> in Kansas City, Kansas, and Medina, Ohio&rsquo;s ALICE Training Institute each teach a variation on this emergency response in schools. It&rsquo;s rooted in a<a href="https://www.ready.gov/active-shooter"> 2013 Department of Homeland Security guide</a> for dealing with active shooters that says &ldquo;adults in immediate danger should consider trying to disrupt or incapacitate the shooter by using aggressive force and items in their environment, such as fire extinguishers, and chairs.&rdquo; It&rsquo;s the &ldquo;absolute last resort,&rdquo; the guide warned, an option only if victims are trapped and desperate.&nbsp;&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19275538/US_SHOOTING_DRILLS_CHART__2_.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Javier Zarracina/Vox" />
<p>Joe Deedon, founder of TAC*ONe, has <a href="https://www.kunr.org/post/first-lesson-year-how-attack-school-shooter">said</a> the Castillo attack gave the industry confidence to instruct students to do what was once only asked of adults. &ldquo;It changed the game,&rdquo; he told the <a href="https://www.keranews.org/post/first-lesson-year-how-attack-school-shooter">Mountain West News Bureau</a>, adding that while some rural and charter schools had embraced fighting as a tactic, most districts were timid. But Castillo, who likely saved the lives of his classmates that day, became the ultimate argument that rushing the shooter &mdash; and with it, a whole system of largely untested methods &mdash; might actually work.&nbsp;</p>

<p>Active-shooter training consultants are still covered in the media as a dark novelty. Private security trade magazine <a href="https://www.campussafetymagazine.com/">Campus Safety</a> has a complete, still unpublished, 2019 survey of more than 1,200 schools, hospitals, and universities, which found 81 percent had either adopted new lockdown practices or upgraded existing policies and shelters, according to Robin Hattersley-Gray, the magazine&rsquo;s editor-in-chief.</p>

<p>Many &mdash; some flush with cash from <a href="https://www.justice.gov/opa/pr/department-justice-announces-more-70-million-support-school-safety-and-64-million-improve">last year&rsquo;s STOP School Violence Act </a>&mdash; have turned to active-shooter consultants to conduct drills. Though ALICE is the biggest company to offer such training for a price,&nbsp;there are dozens of smaller businesses following a similar model. Bookings of active-shooter trainings <a href="https://www.chronicle.com/article/The-New-Norm-for-Back-to/246990">are expected</a> to spike this school year, which began weeks after mass shootings in Dayton, Ohio, and El Paso, Texas, left 31 dead.&nbsp;</p>

<p>It&rsquo;s a case of an industry meeting demand. But for school districts, some of which are now mandated to pay for such training, the marketplace has grown faster than the evidence, and despite arguments that it <a href="https://www.nytimes.com/2019/09/04/us/politics/active-shooter-drills-schools.html">can heighten anxiety and trauma for children</a>. After more than a decade of mainstream practice and millions billed to public schools, there&rsquo;s a troubling lack of data backing a program taught to students at more than 3,700 K-12 students and 900 universities learning the ALICE way. Currently, that means fighting back.</p>

<p><strong>Every time a Parkland or Newtown tragedy happens,</strong> the national reaction is more or less the same: There&rsquo;s outrage, sadness, shock that we aren&rsquo;t more shocked, then demands for our government to do something &mdash; followed by the certainty that no one actually will. For now, regular mass shootings are&nbsp; a problem that we&rsquo;ve left the free market to solve. Schools under pressure to do everything they can to prepare for violence are inundated with training program options. <strong>&nbsp;</strong></p>

<p>Most classes hit the same beats. School staff members are taught to recognize escape routes, what a gunshot sounds like (and how it&rsquo;s often confused for something much more benign), and how to barricade doors. They learn seemingly esoteric survival trivia, like how the best way to break a window to escape is to smash the glass in the upper right-hand corner. Most schools do this once a year. But without a national database or set standards, it&rsquo;s impossible to say exactly how often drills are practiced or at what age they start. We know there are schools where children <a href="https://abcnews.go.com/US/safe-place-colorado-school-training-kindergartners-high-schoolers/story?id=65123554">as young as 5</a> participate.</p>

<p>Then there are more extreme drills. Take Raisin, California, where school superintendent Juan Sandoval worried that after a few years&rsquo; practice, the school&rsquo;s active-shooter simulation felt too routine. &ldquo;You have your security plan, you tuck it away, and it collects dust,&rdquo; he says. &ldquo;If there is not a spontaneous reaction, then we&rsquo;re not really preparing them.&rdquo; To solve this, he approved a plan in February 2019 to costume a school janitor with a mask and a fake gun to run the drill. It certainly provoked a spontaneous reaction: <a href="https://www.wkyt.com/content/news/Janitor-wears-mask-carries-fake-gun-in-active-shooter-drill-at-Calif-school-512676361.html">Local news later reported </a>that teachers were terrified and children sobbed.&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19270517/GettyImages_1147759620.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Law enforcement and first responders from Cumberland and York Counties participate in a regional active-shooter training at Deering High School in Portland, Maine, on May 18, 2019. | Derek Davis/Portland Portland Press Herald via Getty Images" data-portal-copyright="Derek Davis/Portland Portland Press Herald via Getty Images" />
<p>Sandoval stands by his reasoning. &ldquo;If we don&rsquo;t really test our systems to see what works, we are being irresponsible,&rdquo; he said, adding that teachers were warned in advance that the February&nbsp; drill would be different. He also says he believes that breaking protocol exposes flaws: The school&rsquo;s PA system set off an active-shooter alarm indistinguishable from the school&rsquo;s fire drill alarm, and running the alert through the phone system blocked the ability to call out. Now every classroom is equipped with a two-way radio.&nbsp;</p>

<p>Not every experiment has that kind of silver lining. Students in a Pennsylvania school district were<a href="https://wnep.com/2018/03/22/superintendent-says-students-are-armed-with-rocks-in-case-of-a-school-shooting/"> issued</a> buckets of rocks last year to defend themselves, which one anonymous student described as &ldquo;comical.&rdquo; Another school had someone dress up in stereotypical Middle Eastern garb&nbsp; to scare the faculty. Another school <a href="https://www.nbcnews.com/news/us-news/fake-blood-blanks-schools-stage-active-shooter-drills-n28481">splattered fake blood </a>on the walls. One Montana teacher sued <a href="https://helenair.com/news/local/lawsuit-filed-by-helena-teacher-says-shooter-drill-caused-hearing/article_228ec07e-d21a-5f44-b7c6-3fc6b4e01e6f.html">her district</a>, claiming a drill&rsquo;s gunshot simulations gave her tinnitus.&nbsp;&nbsp;</p>

<p>Though there are no rules saying law enforcement has to be involved in any of this,<strong> </strong>those interviewed for this story said that<strong> </strong>most districts reach out to their local police departments to coordinate the training even if it&rsquo;s a program designed by a third party like ALICE. This might help mitigate the teachers&rsquo; lack of tactical expertise, but can also go badly. In March, Indiana teachers said <a href="https://time.com/5556979/indiana-teachers-shot-execution-style-training/">they were bruised and traumatized</a> after being forced to kneel down and be shot &ldquo;execution style&rdquo; with plastic pellets as part of an active-shooter drill conducted by the county&rsquo;s sheriff&rsquo;s department. (The teachers were asked in advance if they wanted to participate in the exercise, and one of the reasons they went along was because they trusted the police officers administering the training.)</p>

<p>&ldquo;They told us, &lsquo;This is what happens if you just cower and do nothing. They shot all of us across our backs. I was hit four times,&rdquo; one teacher told the <a href="https://www.indystar.com/story/news/politics/2019/03/21/active-shooter-training-for-schools-teachers-shot-with-plastic-pellets/3231103002/">Indianapolis Star</a>.</p>

<p>The sheriff has since removed mock executions. But drills continue as schools increasingly need them to stay accredited.&nbsp;</p>

<p>&ldquo;We have drills for fires and tornados, but we don&rsquo;t set the building on fire and we don&rsquo;t tear the roof off the gym,&rdquo; says Keith Gambill, vice-president of the Indiana State Teachers Association. &ldquo;And yet we do have bad storms, a lot more than we have shootings, and we manage to keep the kids safe in those situations.&rdquo;</p>

<p>&ldquo;Schools don&rsquo;t have a lot of resources as it is, and we want to do the best we can. Where the state can come in is to help us vet some of these experts,&rdquo; he added. &ldquo;Help give us a sense of what to do.&rdquo;</p>

<p><strong>It&rsquo;s tricky to evaluate an expert in an industry</strong> that can&rsquo;t agree on its own best practices. When the police who sprayed Indiana&rsquo;s teachers faced criticism, they cited their ALICE certification, which stands for Alert, Lockdown, Inform, Counter, and Evacuate.</p>

<p>The ALICE Training Institute is the country&rsquo;s largest peddler of this model, which has been tailored for everything from churches to hospitals to city halls. Founded in 2000 by former law-enforcement officer Greg Crane in the wake of <a href="https://www.vox.com/2019/4/19/18412650/columbine-mass-shootings-gun-violence-map-charts-data">the Columbine high-school shooting</a>, it <a href="https://www.alicetraining.com/about-us/founders-forum/">offers</a> &ldquo;online training blended together with onsite, instructor-led demonstrations, practical scenarios, and evaluation drills.&rdquo;&nbsp;</p>

<p>It&rsquo;s also the model that tells students and teachers they should prepare, as an absolute last resort, to fight off the shooter &mdash; the &ldquo;C&rdquo; in the acronym. Evacuation should be the priority if it&rsquo;s possible, and locking yourself down is the second-best option. Still, if it&rsquo;s life or death, you&rsquo;re encouraged to go down swinging. Instructors like to endorse bravery by saying that most gunshot wounds are survivable. <a href="https://www.newsweek.com/gun-data-study-628651">This is true</a>, except when it comes to the assault weapons favored by mass shooters, <a href="https://everytownresearch.org/assault-weapons-high-capacity-magazines/">because their magazine capacity means they&rsquo;re capable</a> of firing more rounds at once, lending them a higher fatality rate.&nbsp;</p>

<p>According to the ALICE Training Institute, the group has trained more than&nbsp;one million people in every state and has thousands of certified trainers. While popular, the ALICE method still isn&rsquo;t dominant, though the exact market share of any method is as uncertain as its reliability.</p>

<p>In a statement released after the Indiana drill, the ALICE Training Institute, which was not present for the training, said one of the program&rsquo;s selling points is that it&rsquo;s easily adaptable to individual schools and it trusts local trainers to make the call. The institute did not respond to interview requests for this story.&nbsp;</p>

<p>For trainers, ALICE certification has the potential to be quite lucrative. The training program reportedly cost an Anchorage, <a href="https://time.com/4469968/alaskas-alice-student-school-shooter-evade/">Alaska</a>, school district $56,000 for its first year, plus $25,000 for each of the next two years of training renewal. In states that have legally mandated shooter training, thousands of districts who trust the ALICE standard are redirecting funds.&nbsp;</p>

<p>And there&rsquo;s virtually no evidence about its effectiveness. &ldquo;There&rsquo;s what you would call a paucity of data,&rdquo; says <a href="https://www.schoolsecurity.org/about-us/kenneth-s-trump-school-safety-expert/">Kenneth Trump</a>, a longtime critic of the program and himself a rival school safety consultant. &ldquo;Anything anyone tells you is anecdotal.&rdquo;&nbsp;</p>

<p>It doesn&rsquo;t help that many of the people associated with taking on a shooter can no longer speak for themselves. University of North Carolina Charlotte student <a href="https://www.nytimes.com/2019/05/06/us/riley-howell-uncc-shooting.html">Riley Howell was killed</a> rushing a mass shooter on campus in June, but, like Castillo, is credited as a hero. This summer, after shooting and killing two people, <a href="https://www.cbsnews.com/news/southaven-walmart-shooting-mississippi-suspect-identified-martez-abram-today-2019-07-30/">a gunman was taken out</a> by employees in a Southaven, Mississippi, Walmart, where active-shooter drills are performed regularly. The retail giant introduced mandatory training in 2015, and employees are <a href="https://www.reuters.com/article/us-texas-shooting-walmart/walmart-says-its-training-helped-save-lives-in-prior-incident-idUSKCN1UU0O7">required</a> to pass a computer refresher once every quarter.&nbsp;</p>

<p>&ldquo;There is still no national standard for this,&rdquo; says B.J. Bilbo, president of the National Association of School Safety and Law Enforcement Officials. &ldquo;There&rsquo;s no data. We are trying to organize something. We&rsquo;re in the process of polling schools across the country, but we&rsquo;re not there yet.&rdquo; The association runs <a href="https://www.vox.com/2018/7/30/17518970/school-shooting-solutions-safety">the National School Safety Conference</a>, which held&nbsp;its 51st annual meeting in July.&nbsp;&ldquo;You see some people at the conferences talking about their personal plan for school safety, and I&rsquo;m sure some do mean well, but whether a school should pay them, I can&rsquo;t say.&rdquo; (<a href="http://www.nassleo.org/conference51.php">The group</a> has its own ties to the emergency response industry, but none involved in shooting drills.)&nbsp;</p>

<p>Part of the reason for the lack of data is that until 2018, Congress had <a href="https://www.wired.com/story/cdc-gun-violence-research-money/">effectively banned</a> the Centers for Disease Control from studying gun violence as a public health issue by withholding funding.</p>

<p>ALICE certification also allows local trainers to pass responsibility up the chain, which can be attractive to school districts that want to avoid lawsuits. And here, the question of whether any of this actually needs to work doesn&rsquo;t really matter.&nbsp;</p>

<p>&ldquo;Say a shooting happens and you&rsquo;re sued for negligence,&rdquo; says Kenneth Trump, the ALICE critic. &ldquo;You don&rsquo;t want to go to court without that piece of paper showing that you tried.&rdquo;</p>

<p>Following the 2018 Parkland shooting, <a href="https://www.edweek.org/ew/projects/a-broken-trust/parkland-lawsuits-blame-district.html">Education Week</a> reported more than 100 pending civil suits were filed. No security companies were named, but those served included the school district, the shooter, the estate of the shooter&rsquo;s late mother, three separate mental health agencies, and the&nbsp;company that manufactured and sold the AR-15 used in the shooting.</p>

<p>It&rsquo;s also easy to get certified, as the institute offers an online course for those who can&rsquo;t fly to an on-site training and can easily be finished at home within an hour. It&rsquo;s like getting ordained. It&rsquo;ll cost you $30 online &mdash; it took a reporter for Vox about an hour to be certified &mdash;&nbsp;and you&rsquo;ll earn money with it if people take a leap of faith.</p>

<p><strong>Even if your district is opposed</strong> to telling students to fight a shooter, you might end up with ALICE training anyway. When <a href="https://www.miamiherald.com/news/local/community/broward/article225915980.html">14 students and three adults</a> were killed in the Parkland massacre, Floridians wanted to do something. State legislators overwhelmingly passed <a href="https://www.nbc-2.com/story/40353709/heres-whats-in-floridas-controversial-school-safety-bill">controversial school safety legislation</a>, which partly included expanding funding for school safety reviews in the state&rsquo;s 74 districts. One contract was awarded to SafePlans, a Florida-based business known for alert systems. The costs for a single school to consolidate preparedness and drill management with SafePlans ran as high as $65,000 for a year with a recurring annual cost of $41,000.&nbsp;</p>

<p>In July, after that contract was awarded, the ALICE Training Institute announced it was <a href="https://www.globenewswire.com/news-release/2019/06/04/1864268/0/en/ALICE-Training-Institute-Acquires-SafePlans.html">buying the company</a> for an undisclosed sum. SafePlans&rsquo; site now lists it as ALICE-certified.&nbsp;</p>

<p>Besides the cost of training, districts can also be hit by lawsuits. Iowa insurance company EMC <a href="https://www.pressherald.com/2015/03/15/lockdown-101-school-staff-join-in-active-shooter-training/">reportedly</a> paid out more than $250,000 in 2010 to settle claims by teachers injured in drills. The state legally requires training, though that law leaves all the details of what that training means to individual districts and offers no additional funding to cover the cost. Several have already reported partnering with ALICE certified police trainers to iron out the details.</p>

<p>&ldquo;This is not something provided in their budgets,&rdquo; said Iowa state representative Wes Breckenridge. &ldquo;They have to find the money on their own.&rdquo; Last year, President Trump signed into law the STOP School Violence program, which, among other things, <a href="https://www.justice.gov/opa/pr/department-justice-announces-more-70-million-support-school-safety-and-64-million-improve">provides some federal funding</a> for school safety training.&nbsp;</p>

<p>Meanwhile, students&rsquo; therapy services have languished in a state ranking 49th in access <a href="https://wqad.com/2016/06/15/new-study-puts-iowa-49th-in-nation-for-mental-health-services/">to mental health care services</a>. About 28 percent of mass shooting witnesses develop PTSD and another third develop acute distress disorder, according to the <a href="https://www.ptsd.va.gov/">National Center for PTSD</a>. &ldquo;Trauma from mass shooting is another area we really haven&rsquo;t figured out yet,&rdquo; says Sherrie Lawson, who survived the Washington Navy Yard shooting in 2013 and now works with the trauma support network Rebel Group. &ldquo;I remember going to see a therapist and how he told me he didn&rsquo;t know how to help me because there just weren&rsquo;t people like me to learn from. He didn&rsquo;t have the numbers.&rdquo;&nbsp;</p>
<figure class="wp-block-gallery has-nested-images columns-1 wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex"><img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19270601/GettyImages_1160286359.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="A woman stops to look at a memorial at the site of a mass shooting that left nine dead and 27 wounded in Dayton, Ohio on August 7, 2019." title="A woman stops to look at a memorial at the site of a mass shooting that left nine dead and 27 wounded in Dayton, Ohio on August 7, 2019." data-has-syndication-rights="1" data-caption="A woman stops to look at a memorial at the site of a mass shooting that left nine dead and 27 wounded in Dayton, Ohio, on August 7, 2019. | Jeremy Hogan/SOPA Images/LightRocket via Getty Images" data-portal-copyright="Jeremy Hogan/SOPA Images/LightRocket via Getty Images" />
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19270602/GettyImages_1161844634.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="Ricardo Alvarez pays homage to victims of a mass shooting at a makeshift memorial outside the Walmart in El Paso, Texas on August 15, 2019." title="Ricardo Alvarez pays homage to victims of a mass shooting at a makeshift memorial outside the Walmart in El Paso, Texas on August 15, 2019." data-has-syndication-rights="1" data-caption="Ricardo Alvarez pays homage to victims of a mass shooting at a makeshift memorial outside the Walmart in El Paso, Texas, on August 15, 2019. | Sandy Huffaker/Getty Images" data-portal-copyright="Sandy Huffaker/Getty Images" />
</figure>
<p>There are traumatic mental-health effects of the drills themselves, exemplified by the Oregon teacher who <a href="https://www.nbcnews.com/news/us-news/teacher-sues-oregon-elementary-school-traumatic-active-shooter-drill-n345631">sued the school system</a> after an active-shooter drill, arguing that she wasn&rsquo;t told about the drill in advance. It wasn&rsquo;t the first such suit either. In 2014, a Colorado nursing home worker <a href="https://www.wsj.com/articles/active-shooter-drills-spark-raft-of-legal-complaints-1409760255">sued her employer </a>after an off-duty officer hired for a surprise training flashed a gun at her. That same year, <a href="https://www.wfmj.com/story/25194533/man-injured-during-boardman-high-school-drill-sues-police">an Ohio teacher sued his district for $125,000</a> after a cop tackled him during a lockdown drill.&nbsp;</p>

<p>&ldquo;If anyone ever comes to you and wants you to give them a contract for this, get a written letter from your insurance carrier saying they&rsquo;ll cover [mental health],&rdquo; Kenneth Trump says. &ldquo;That&rsquo;s the best advice I can give.&rdquo;</p>

<p>Biblio, who comes from law enforcement and now co-owns a security consulting business, compares it to the post-natural disaster economy. &ldquo;It&rsquo;s like after Hurricane Katrina hit,&rdquo; Bilbo says. &ldquo;Every man with a hammer came here saying they were a contractor. They&rsquo;d tell people &lsquo;I&rsquo;ll fix your house. I&rsquo;ll get you back on your feet.&rsquo; A lot of them were legitimate contractors. A lot of them would run off with your money.&rdquo;</p>

<p><strong>Castillo&rsquo;s legacy is more </strong>than the way he died. A memorial <a href="https://www.denverpost.com/2019/09/29/kendrick-castillo-memorial-tournament-robotics-stem/">robotics tournament </a>has been organized in his name. He&rsquo;s received posthumous honors from both police and the Knights of Columbus. A petition to have him honored in the ESPY sports achievement awards has more than 75,000 signatures.&nbsp;</p>

<p>One of the students who followed Castillo&rsquo;s lead to restrain the shooter was senior Brendan Bialy. &ldquo;I want to make something very, very clear,&rdquo; he told the <a href="https://denver.cbslocal.com/2019/05/08/brendan-bialy-kendrick-castillo-stem-school-shooting/">Denver CBS affiliate</a>. &ldquo;Kendrick Castillo died a legend. He died a trooper. He got his ticket to Valhalla. And I know he will be with me for the rest of my life.&rdquo;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19270553/GettyImages_1147906471.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="Students and parents hold up phone lights during a vigil for Kendrick Castillo in the gymnasium at Highlands Ranch High School in Highlands Ranch, Colorado on May 8, 2019.&nbsp;" title="Students and parents hold up phone lights during a vigil for Kendrick Castillo in the gymnasium at Highlands Ranch High School in Highlands Ranch, Colorado on May 8, 2019.&nbsp;" data-has-syndication-rights="1" data-caption="Students and parents hold up phone lights during a vigil for Kendrick Castillo in the gymnasium at Highlands Ranch High School in Highlands Ranch, Colorado, on May 8, 2019.  | Helen H. Richardson/MediaNews Group/The Denver Post via Getty Images" data-portal-copyright="Helen H. Richardson/MediaNews Group/The Denver Post via Getty Images" />
<p>But it&rsquo;s possible that lionizing the actions of students like Castillo could be harmful, too. This spring, the <a href="https://www.nasponline.org/shooting-coverage19">National Association of School Psychologists</a> put out a statement warning not to encourage children to fight shooters. &ldquo;We have some concern, though, about the nature and tone of the extensive coverage of and related social media engagement regarding the students who lost their lives by physically engaging with the shooters,&rdquo; it stated. &ldquo;Without question, these young people acted selflessly and helped to save lives. They deserve to be honored and remembered. However, we caution against unintentionally glamourizing the extremely high risk of confronting an armed assailant head-on, particularly when it involves youth.&rdquo;</p>

<p>Castillo&rsquo;s father, John Castillo, told NBC News that the one time he talked with his son about the possibility of a shooter, he instructed him to run.</p>

<p>&rdquo;You don&rsquo;t have to be the hero,&rdquo; his father <a href="https://www.nbcnews.com/news/us-news/don-t-be-hero-dad-kendrick-castillo-teen-who-died-n1003476">said</a>.&nbsp;</p>

<p><em>Peter Rugg is a freelance journalist with work appearing in Vice, Rolling Stone, Atlantic, and Thrillist, among others. Follow his intermittent tweets </em><a href="https://twitter.com/petermrugg"><em>@petermrugg</em></a><em>.</em></p>
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			<author>
				<name>Peter Rugg</name>
			</author>
			
			<title type="html"><![CDATA[A sick pet, and an unthinkable choice]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/the-highlight/2019/7/16/20694851/pet-insurance-sick-dog-cat-pets-vet-cost" />
			<id>https://www.vox.com/the-highlight/2019/7/16/20694851/pet-insurance-sick-dog-cat-pets-vet-cost</id>
			<updated>2019-09-09T14:19:22-04:00</updated>
			<published>2019-07-25T07:09:17-04:00</published>
			<category scheme="https://www.vox.com" term="Health Care" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="The Highlight" />
							<summary type="html"><![CDATA[I was such a wreck that I can&#8217;t tell you what time I left my dog, Oscar, in the emergency room that first night. I know it was Memorial Day, because the first thought I had was that the banks were closed.&#160;&#160; Two weeks earlier, Oscar stopped eating. There was a vague list of symptoms [&#8230;]]]></summary>
			
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<p>I was such a wreck that I can&rsquo;t tell you what time I left my dog, Oscar, in the emergency room that first night. I know it was Memorial Day, because the first thought I had was that the banks were closed.&nbsp;&nbsp;</p>

<p>Two weeks earlier, Oscar stopped eating. There was a vague list of symptoms that pet owners fumble to describe before settling on &ldquo;just not acting right.&rdquo; I was waiting on a blood test, slipping him anti-nausea meds buried in peanut butter, and hand-feeding him kibble in the hope he&rsquo;d eat something. He&rsquo;d give my palm a disinterested sniff and turn away. So when I finally heard his steel dish clatter across the floor as he licked it clean of boiled chicken and plain rice, I was optimistic that he was on the mend. Then he collapsed on the floor. I carried him down to the car and then to the nearest 24-hour veterinary ER.&nbsp;</p>

<p>I was told Oscar had spleen cancer and hours to live, and, alternatively, that it could be a benign growth pressing on his intestines. For two days, I shuttled him between general vets and ERs for nightly monitoring, and at each step I was asked to pay in advance for services that had a coin-toss chance of keeping him alive even for a night. I ran up the following debts:</p>
<ul class="wp-block-list"><li>$1,378 for initial ER visit including radiology, 12-hour exam stay, fluids and scans</li><li>$1,349, ultrasound and biopsy</li><li>$182, back to the ER for another exam</li><li>$815, ER stay including overnight monitoring, IV drip, plasma, and blood filter</li><li>$137, general vet fee including histopathology</li><li>$1,455, general vet fee for hospitalization and transfusion</li></ul>
<p>It was only later that I could catch my breath and tally it all up. The urgent demand for split-second, life-or-death decisions had consumed me. The only thing I knew was that I couldn&rsquo;t live with myself if I didn&rsquo;t give Oscar a fighting chance.</p>

<p>And I didn&rsquo;t even have it that bad. Last December, I bought a year of pet insurance for about $350. Financial writers argue over <a href="https://www.consumerreports.org/pet-products/is-pet-insurance-worth-cost/">whether this is a good investment</a>. I say that if what you&rsquo;re actually buying is a way to avoid calculating the value of your dog&rsquo;s life, it&rsquo;s a bargain.&nbsp;</p>

<p>If I didn&rsquo;t have insurance, it&rsquo;s safe to assume my bill easily would have been $3,000 more than what I wound up owing. But the plan I&rsquo;d chosen only covered a portion of the costs and paid only in reimbursements after the fact.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/18313527/petedebt_inline.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Zac Freeland/Vox; Peter Rugg" />
<p>So I charged all $5,316 of it to vet credit services, whose applications the veterinary techs conveniently had on hand or were trained to help me navigate on my phone. This was presented as a gift, an immediate way to untie the vet&rsquo;s hands and let them get to work while Oscar&rsquo;s chances worsened with every passing second.&nbsp;</p>

<p>In truth, it&rsquo;s not so much a gift as an impossible choice. As treatment costs rise and in-house payment options quietly disappear, people are left vulnerable to catastrophic debts as the life of their pet hangs in the balance. The financial decisions made in these harrowing moments could haunt pet owners for years, regardless of whether their pet lives.</p>
<h2 class="wp-block-heading">The waiting room solution</h2>
<p>About Oscar: I adopted him as a puppy in 2009 in Kansas City, Missouri. His breed and birthday were impossible to know for sure as both he and his sister had been thrown from a moving car. The rescue people brought him to my house to see how we got along. He shivered, gazed deep into my eyes, and peed on my hardwood floor. Love.&nbsp;</p>

<p>The memory of it swirled 10 years later, as I took pictures of Oscar&rsquo;s bills to send the insurance company and thought about the people crying in that emergency room. They wheeled dogs in on stretchers, or carried them hanging limp in their arms, and every single one watching their pet disappear into the back was asked what they knew about low-interest financing. They thumbed through credit card applications on their phones like it was a matter of life and death, which I now understand that&nbsp;it was. No payment, no treatment.&nbsp;</p>

<p>Leigh Kunkel, who is finishing her master&rsquo;s in journalism at Northwestern, found herself facing a five-figure bill when her dog, Rutherford, was diagnosed with a brain tumor in 2017.</p>

<p>Leigh, who is also an acquaintance of mine, knew Rutherford needed help when the large-breed coonhound mix struggled to walk a straight line and keep his head up. But you can&rsquo;t treat without a diagnosis, which meant brain scans, which meant $2,500 down before the technicians would warm up the machine.</p>

<p>Then the real bills started. Radiation therapy was projected to cost between $12,000 and $15,000, which, for perspective&rsquo;s sake, is a quarter of the average American household&rsquo;s annual earnings. It&rsquo;s a sum weighty enough to give even relatively affluent Americans a lightbulb moment on how drastically their lives might&nbsp;be rerouted. Plans for a vacation, a house payment, a flight to see the relatives &mdash; all of that gone if you want to save a pet. Leigh worked two waitress jobs, and her boyfriend, Kyle, worked at a wine store.</p>

<p>&ldquo;We tried to talk to the oncologist about a payment plan, and they said it all had to be up-front,&rdquo; she says. The scans had maxed out their credit cards and drained their savings, so, still in the vet&rsquo;s office, they signed up for CareCredit.&nbsp;</p>

<p>CareCredit provides people financing for medical and veterinary bills, offering a way to foot the bill for appointments, but especially emergency situations or surgeries, by advertising zero percent interest that retroactively ratchets up to the double digits if the loan isn&rsquo;t paid back after a specific period.<strong> </strong>Along with Scratchpay, which offers to <a href="https://todaysveterinarybusiness.com/scratchpay-introduces-interest-free-client-financing/">pick up vet bills</a> of up to $10,000 with differing payment plans and interest rates, it&rsquo;s now a common way to finance veterinary bills. In fact, they advertise in offices of partnering vets, the pamphlets for CareCredit and Scratchpay conveniently set up on the receptionists&rsquo; desks. In the end, I used both to pay for Oscar&rsquo;s care.</p>

<p>Leigh was somewhat aware of the risks of getting credit on the fly. Not everyone is. According to a <a href="https://news.vin.com/vinnews.aspx?articleId=27819">2013 settlement</a> that ended a New York state attorney general&rsquo;s investigation into CareCredit&rsquo;s lending practices, &ldquo;Consumer complaints revealed that some consumers were led to believe that they were signing up for an in-house, no-interest payment plan directly with their provider. Others thought that they were applying for a line of credit with zero percent interest, while other consumers believed that the information they gave to their providers was being used to check their creditworthiness only, and was not an application for financing.&rdquo;</p>

<p>The federal Consumer Financial Protection Bureau, which <a href="https://www.consumerfinance.gov/about-us/newsroom/cfpb-orders-ge-carecredit-to-refund-34-1-million-for-deceptive-health-care-credit-card-enrollment/">ordered the company to pay $34.1 million in restitution to customers</a> that same year, determined some customers of CareCredit were apparently not aware that they were signing up for a high-interest credit card. CareCredit did not respond to requests for comment for this story.&nbsp;</p>

<p>&ldquo;People often do not understand what the deferred interest means, and when they&rsquo;re in a crisis, they&rsquo;re not looking at the fine print,&rdquo; says Chi Chi Wu, staff attorney at the National Consumer Law Center and author of its 2015 study, &ldquo;<a href="https://www.nclc.org/images/pdf/pr-reports/report-deferred-interest.pdf">Deceptive Bargain: The Hidden Time Bomb of Deferred Interest Credit Cards</a>.&rdquo;</p>

<p>Wu&rsquo;s research found that many people incorrectly believe the interest on certain kinds of loans &mdash; at CareCredit, sometimes as much as 26.99 percent &mdash; is charged to whatever balance remains once the teaser rate expires. What they fail to understand is that the high-interest rate starts adding up that first day.&nbsp;(Scratchpay guarantees no deferred interest, but the interest rate you receive could vary widely from someone else&rsquo;s, because it is &ldquo;merit-based,&rdquo; calculated by an individual&rsquo;s &ldquo;personal and financial profile.&rdquo;)</p>

<p>&ldquo;If you leave a single dollar on the balance, the second that introductory period lapses, the accrued interest crashes down,&rdquo; Wu says.&nbsp;</p>

<p>Had Leigh had a balance when that period ended, that interest would have totaled more than $4,000.&nbsp;&nbsp;</p>

<p>She was lucky. She and her boyfriend took on as many extra shifts as they could and wrote to charities for financial aid. &ldquo;We worked a lot those months. We paid it just under the wire,&rdquo; she says. And two years later, Rutherford is alive and active.</p>

<p>And if Leigh were unwilling to take on a loan, or if her credit were bad, it&rsquo;s entirely possible that Rutherford would not have gotten the same medical treatment. This month, a woman named Vivian Noell said <a href="https://www.hometownlife.com/story/news/local/milford/2019/07/12/woman-unable-pay-care-blames-milford-er-vet-animals-death/1715153001/">she had little choice but to euthanize</a> her injured 2-year-old pit bull when a Milford, Michigan, emergency clinic sought to set up a payment plan in advance. Noell worked part-time and didn&rsquo;t have $3,000 for surgery and stabilization fees, and said she would not qualify for financing such as Scratchpay. Still, she told Home Life that<strong> </strong>she was willing to go &ldquo;broke&rdquo; for her dog and offered an alternate payment plan to the vet. She says the clinic turned her down.</p>

<p>The vet&rsquo;s office has strongly denied her account, saying that it gave the dog stabilization treatment, that the prognosis was &ldquo;grave and poor,&rdquo; and that Noell could have gone into greater debt for a dog who might not have survived much longer.</p>
<h2 class="wp-block-heading">Rising costs of care</h2>
<p>There is at least one definitive difference between how care providers see your bipedal relatives and your family pet: There is no industry-standard term for the point when treating a person becomes so expensive that the family decides to stop fighting based purely on finances, and there are remarkably <a href="https://www.nytimes.com/2019/05/13/opinion/can-doctors-refuse-patients.html">few cases in which the medical community will not treat an ill person</a>. There is, however, a term for the financial event in which a pet owner&rsquo;s bank account collapses, and it&rsquo;s called the &ldquo;stop-treatment point.&rdquo; Vets surveyed by the trade publication DVM 360<strong> </strong>calculated this as about <a href="http://veterinarynews.dvm360.com/veterinary-practices-performing-more-euthanasias-despite-increase-stop-treatment-point">$1,704 in 2012</a>, almost twice the $961<strong> </strong>pet owners were willing to spend in 2003.</p>

<p>How did we end up spending so much more on our dogs and cats in such a short time? Consider that in the worst economic years after the 2008 financial crisis, the pet industry thrived. The American Pet Products Association estimated consumers spent about $50 billion on their animals in 2010 alone and predicts they&rsquo;ll pony up more than $70 billion this year. People might cut their grocery budgets before they deny their pets.</p>

<p>Spending on veterinary care has quietly been climbing, too. According to the products association, pet owners spent <a href="https://www.americanpetproducts.org/press_releasedetail.asp?id=191">$17 billion on veterinary bills in 2017</a>, a number that is expected to climb to just shy of $19 billion this year.<strong> </strong>Because pets are family, we want to give them a quality of care on par with what we believe people deserve. If there&rsquo;s a machine that can detect a cluster of cancerous cells before they metastasize, and it saves your grandmother&rsquo;s life, of course you want your furry best friend to have access to the same technology. Veterinarians are changing to capitalize on that demand the same as any other business would.&nbsp;</p>

<p>&ldquo;Vets did use to offer [payment plans] more in-house, but overall the medical costs of treating humans and animals have both gone up. Vets have to keep up with those costs,&rdquo; says Karen Leslie, executive director of the Pet Fund, a charity that helps pay for non-emergency medical services. &ldquo;There was a time when access to an MRI test was limited unless you were near a university or a teaching hospital, and now they&rsquo;re ubiquitous.&rdquo;</p>

<p>In the past decade, what was once a field dominated by generalists has become increasingly specialized and expensive. We now have pet-specific ER doctors, cardiologists, oncologists, neurologists, dermatologists, and ophthalmologists. If your pet is bougie, you can order their prescription specs from <a href="http://www.warbybarker.com/index.html">Warby Barker</a>. The trend shows no signs of slowing as long as specialists are at a premium. The American College of Veterinary Radiology had 70 job listings in August alone, 60 of which were for private practices.</p>

<p>Leslie asked that I not blame local vets for payment rules that are increasingly set by corporate ownership.&nbsp;(The Pet Fund&rsquo;s corporate sponsors include Scratchpay. &ldquo;We don&rsquo;t tell anyone to use them,&rdquo; she says.)</p>

<p>It&rsquo;s true that fewer veterinarians&rsquo; offices are owned by vets. A <a href="https://www.avma.org/News/JAVMANews/Pages/190715b.aspx?mode=full">2018 census</a> by the American Veterinary Association called market consolidation a trend, with only 9 percent of vets under the age of 40 reporting ownership of their practice in 2018, compared to 14.5 percent in 2008. Mars Inc. <a href="https://www.bizjournals.com/washington/news/2017/09/13/mars-inc-buys-800-animal-hospitals-for-9-1.html">made headlines</a> when it bought out more than 800 veterinary offices in 2017.&nbsp;</p>

<p>Known more for its candy, Mars has made <a href="https://www.mars.com/made-by-mars/petcare">pet holdings</a>, including popular food brands Iams and Pedigree, a major part of its business. It is also one of Scratchpay&rsquo;s biggest investors. When Scratchpay raised <a href="https://news.crunchbase.com/news/scratchpay-raises-6-4m-to-help-humans-pay-their-vet-bills/">$6.4 million in series A funding last year</a>, the charge was led by the Companion Fund, a pet-care investment group launched by none other than Mars Petcare. Mars did not offer comment despite multiple requests.</p>
<h2 class="wp-block-heading">“Despairing” calls for help</h2>
<p>Regardless of corporate ties, I doubt anyone who&rsquo;s gotten a check from the Pet Fund will say it does anything short of God&rsquo;s work. The requests at any animal charity are a slush pile of hopeless, Hail Mary pleas.&nbsp;</p>

<p>&ldquo;I get flooded with calls and emails and requests to call vets and tell them we&rsquo;ll help pay. I feel so helpless. The messages are despairing,&rdquo; says Sarah Lauch, founder and president of the <a href="https://livelikeroo.org/">Live Like Roo Foundation</a>. &ldquo;These are people on food stamps. They just want out of that hole.&rdquo;</p>

<p>Live Like Roo <a href="https://livelikeroo.org/">was started</a> after Lauch took in a pit bull named Roosevelt from Chicago Animal Care and Control in April 2015. The previous owners had surrendered the 6-year-old dog for &ldquo;issues urinating.&rdquo; &ldquo;Roo&rdquo; was diagnosed with terminal bone cancer that same month. To raise money for a bucket list send-off, Lauch started the hashtag #LiveLikeRoo, and the national reaction inspired her to form a foundation.</p>

<p>Roo died in September 2015 after a summer of car rides, ice cream, photoshoots, and viral fame, and his namesake organization launched a few months later. Live Like Roo expects to award $500,000 in financial assistance this year, mostly to owners in low-income neighborhoods. If an applicant is turned down, they&rsquo;re still sent a care package.&nbsp;</p>

<p>Like most pet charities, Live Like Roo started out helping with just a portion of expenses. Now they award fewer grants for larger amounts.</p>

<p>&ldquo;It&rsquo;s more effective. We were giving people $350 or $500, and it didn&rsquo;t put a dent in what they owed,&rdquo; Lauch says. &ldquo;Now if we work with you and you have a $2,500 estimate, that&rsquo;s what we give. Even people who have some money to throw around, most cannot afford to spend $2,000 right that second.&rdquo;</p>

<p>Stories about food stamps and bad credit run the risk of making it seem as if this is only a problem for the poor, or people so financially irresponsible they should never have taken on the responsibility of a pet to begin with. That argument only works if you ignore the numbers. According to a<strong> </strong><a href="https://www.federalreserve.gov/newsevents/pressreleases/other20190523b.htm"><strong>May 2019 Federal Reserve report</strong></a>, 39 percent of US adults said they didn&rsquo;t have the resources to cover a $400 emergency readily available.&nbsp;</p>

<p>And just like people delaying medical care until there&rsquo;s no choice, high costs are also keeping animals owners from seeking<strong> </strong>preventive care. Of the 23 million pets living with families below the poverty line, almost <a href="https://blog.humanesociety.org/2014/11/pets-for-life-mentorship-cities.html">80 percent have never seen a vet</a>, according to a 2014 post on a blog by Kitty Block, president of the Humane Society.&nbsp;&nbsp;</p>

<p>&ldquo;They have a choice,&rdquo; Lauch says. &ldquo;The choice is, do I keep the dog and watch it suffer knowing I can&rsquo;t do anything, or do I put it in the shelter to die?&rdquo;&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/18313556/Oscar_inline.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="Peter’s Rugg’s dog on a sofa." title="Peter’s Rugg’s dog on a sofa." data-has-syndication-rights="1" data-caption="" data-portal-copyright="Peter Rugg" /><h2 class="wp-block-heading">A small comfort</h2>
<p>I had far more options available than most do. My credit is solid, my income is steady, and my dog was insured. But Oscar James Rugg died two days after that first ER visit, with me petting his head. His insurance policy covered enough of the bills that my own balance is now just under the average stop-treatment point. A week after he died, his last vet sent a sympathy card: &ldquo;Take comfort in knowing that you did everything you could have done for him.&rdquo;</p>

<p>Working from home as a freelance journalist, I&rsquo;m unmoored. I didn&rsquo;t realize how much Oscar set the day&rsquo;s rhythm: Up in the morning to do his business, breakfast, pause for walk around noon, another at 5 pm. I keep expecting him to boom onto the bed with me in the middle of the night, and now I hate sleeping uninterrupted till morning because there&rsquo;s no 90-pound body to cannonball off the mattress at 3 am.</p>

<p>Friends have asked me what&rsquo;s next. Oscar wasn&rsquo;t the jealous type, and I&rsquo;m sure I&rsquo;ll get another dog someday. I&rsquo;ve been advised to try fostering when I think I&rsquo;m ready. My neighbor doesn&rsquo;t think I will be, since he lost his own pooch years ago and still hasn&rsquo;t gotten over it.&nbsp; &ldquo;Never again,&rdquo; he told me. &ldquo;It hurts too much. I won&rsquo;t put myself through it again.&rdquo;</p>

<p>That seems cold. There are shelters full of dogs who need a home, and if I&rsquo;m feeling tough, I&rsquo;ll scroll through the urgent calls for homes and rescue groups on social media. I&rsquo;d like to clear out some of that Scratchpay debt first. Someday.</p>
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