Because it gives me 2.5% cash back, which is basically free money.
It is not, thus, free money, at all.
It can be done. The UK and the EU capped fees at 0.3% for credit cards and 0.2% for debit cards
I instead chose to live somewhere it's capped at 0.3% and then I don't have to fuck around to get my money back after the fact. As an added bonus, I don't even know what a medical bill looks like.