I have a rescued yellow lab that will be 9 in February. She has heart disease and hypothyroidism. The meds she had to take for the heart disease damaged her kidneys. Now, we have to take her to the vet monthly for a mini-panel of her kidney and liver function. With her health problems, we would not be able to afford her ongoing care. The only thing I wish they would do differently is cover some pre-existing conditions after a certain time - like 6 months to a year.