I will admit that the distinction between a "regular dog" and "emotional support dog" is hazy. It's not a black or white issue, but more of a spectrum-type situation. There's a great deal of overlap, and really no definitive answer to that question. While I wouldn't quite agree with your suggestion that ALL dogs are 'emotional support therapy dogs' by default, I understand where you're coming from.
It's basically a matter of individual perception.
You may think it's silly for people to carry their dogs around everywhere, and in many cases I would agree. Like I said, the system can certainly be abused. Some people just love their dogs; others want to show them off in public; some might use the dog as a way out of awkward situations (similar to how many people use their phones these days).
There are countless "illegitimate" reasons for someone to "need" a therapy dog, but what I fail to understand is what you find so 'disgusting' about this whole thing (the article you posted in particular). I didn't even get any impression the girl was being publicly obnoxious with her dog—she clearly just loved him. And if the dog helps with her anxiety, awesome. If not, and it's just a "regular" dog, then who cares? As long as the dog is well behaved and not aggressive, why shouldn't she be able to keep him?
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