Why is Trupanion so expensive?

I got pet insurance prices for my dog and I'm shocked with the cost Trupanion is quoting me. Trupanion was asking me for about $150, while all the other companies were closer to $50-$60 a month. Does Trupanion cover way more than other companies? From what I've seen, coverage isn't that different. I was leaning toward Trupanion because I liked the direct pay feature for vets, but I don't think I can justify paying three times as much for it!
 
There are probably lots of reasons but one of the bigger ones in our opinion is that they are the only pet insurance company that is traded on the stock market, so they have investors who expect quarterly growth on their investments. This investor focus makes it hard for them not to raise prices regularly.

They also spend way more than anyone else on the vet channel to develop and promote their product with vet customers. This costs a lot of money to maintain a program like this.
 
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