My thoughts on pet insurance haven't changed for a long time.
My insurance of choice is healthy food, good exercise, an excellent credit rating and faithful deposits to a savings account in an amount equal to what a pet insurance company would charge me in premiums.
People always seem to come back with the idea that "no one ever puts the money away", but I don't understand it. If you can reliably pay the bill every month, why can't you take the same amount and put it in a savings account instead?