Part of that is also how in our car-centric society, our public transportation sucks. And biking is unsafe in many places— even spots that have bike lanes. Everything is too far way, so you can only get there by car. Everywhere you that is close is either unsafe or actually impossible to bike to, unless you’re lucky. And if you wanna take the metro or bus, it’s slow af, unreliable, and in many places has very few stops and runs infrequently.
And then the lack of people using public transportation only leads to more cars on the road which makes the problem even worse! More lanes, more land used for parking lot deserts, etc.
Nowhere to go, no way to get there, nothing to do.
Because life is priceless, and the life of the cat you care about should be priceless to you. When you get a companion animal, that’s what you sign up for. And if you’re not willing to go the distance to take care of your pet when they are sick, you shouldn’t get a pet.