this post was submitted on 24 Jan 2025
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To be fair it’s not actually a subscription but a “strongly suggested donation”. Just one with financial penalties if you don’t pay it and ever get an ambulance ride.
What makes it extra fucked up is the housing system in the USA (and many places) means that most people don’t own their homes and a large amount of people move frequently.
As a result they are completely unaware of this because often the notice that it even exists is mailed out either to property owners based on tax records (meaning renters don’t get notified), at least where I live now. People I know here who live in apartment buildings or even my next door neighbor who rents his house had no idea because they don’t get the begging letter every year
Depends on locale though, where I used to live (which was far more urban and densely populated) they just mailed it to everyone but then it just came randomly addressed to “resident” and looked like junk mail. But then they got apartment complexes and stuff. That’s how I first found out, I got it at my old apartment (funny enough a few weeks after I used an ambulance for the first time in my life and had gotten a bill for like $1700 for a 7 minute ride with some medical care but that was over a decade ago. I did have decent insurance at the time too)