Simile, because its comparing with "as"
I actually agree with the other person - I believe the correct answer is: <span>Without proper hygiene, dogs can become matted and sick, just the same as any human being.
The author's claim is that Americans should start taking better care of their dogs, by washing and grooming them more regularly. The reason why they should do that is stated in the sentence I would choose as the correct answer.
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The answer for this question would be true.
