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What’s stopping big tech from running their own plsfix pages like this and pocketing the money?

In practice this would be premium plans that include some form of special treatment.

1. Bad PR and everything that comes with it (e.g. the kind of unwanted attention from politicians that's bad for business)

2. Payment fraud (which also would be a huge issue on this site if it was to ever take off).

1. Paytofix. All proceeds go to charity. 2. 2FA + identity verification

Premium for the 'no ads' tier, of course.