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> what's stopping the company from playing some ads for users tiers platinum and lower?

Any sane government

Have we had one of those this millennium?

Do you imply we had one a 1000 years ago?

And yes, we currently have quite a few sane ones, especially in the EU. None of them is perfect, but it's definitely the most humane it has ever been by a long shot.

I imply that I don't know enough about world governments before 2001 to have an opinion on how sane they were.

No, the ads played by medical devices will be entirely self-interest: they will whisper in your ear that it’s time already for your next colonoscopy, and that 988 is available for your crisis, and your 2FA login code is as follows… and remember that flu/COVID vaccines are now available, and don’t forget your PCP appointment that is coming in 23.5 hours! Also you have an outstanding balance of $300,000 so please blink thrice to debit your checking account.

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