Have you tried pill pockets? they are a treat with a hole in the middle, you slip the pill inside it and the cat doesn't even realize it got one. My cat is 21, and not in bad shape at all. She has hyperthyroid and is on medicine for that. Cats live a lot longer these days. Many cats that go to our vet have diabetes. It's not that huge a deal. I volunteer at the SF SPCA so have a lot of knowledge of cats. They can safely be put under anesthesia until at least 17 years of age. Gingivitis can be cured too.
I'm not trying to give you advice, it's your own personal decision on what you want to do with your cat. Sometimes there are vets who will accept less for their services. Sometimes there are people who will help you with her care.
Don't let her suffer. I know you love her and you won't. Whether that means taking care of her problems or putting her to sleep, only you can decide that.
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