<prompt> Human: Ive been paying my medical bill to the best of my ability for in small payments each month for a number of years now, Its never been on my credit report but yesterday I received a letter stating that they were writing off my account and to NOT send any more payments... Ive read that Writing off doesnt mean Im free of the debt... but the dont send payments part confuses me? Do I still pay or what?  <response>: I dont know your financial situation or location, both of which would impact this, but you may have received what is known as presumptive charity. 