Don't forget the possibility of refusing to identify yourself. Without an identity there is no way to bill you. So you just leave and the hospital has no way to contact you. This is the path taken by many, especially the poor.

That would be interesting data to take a look at. I assume most use lemmy similar to myself, where you mostly scroll through all federated instances and don't pay attention to the source unless necessary (except lemmygrad). But I'm open to being proven wrong.

In many cases I think that it's still worth it. Even if someone does not engage in good faith, we can still explain ideas in accessible ways not necessarily for the benefit of the post office to which you are replying, but for the benefit of onlookers. I've heard discussions at length, especially in the context of twitter, that making arguments for the audience is an effective strategy at convincing people who may be on the fence.

No even if the only thing we can communicate is that we are not unthinking drones paid by the CPC, this can go a long way in promoting an interest in Marxism.

Others being said, I think anyone is perfectly justified in not engaging with trolls simply because it's not your job and you don't want to do it.

These people remind me of Americans that insist that they don't have an accent.

There are some guitar shops that are worker own co-ops. Some of them will even make custom pieces if you can afford it. It's not the best solution but much better than guitar center. You could maybe go there to try out some models and then try ordering online. The only ones I know of are local so I'd rather not link.