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If cash and Bitcoin are the same why would anyone ever use Bitcoin?

Bitcoin is pretty much digital cash, with all the same advantages and disadvantages. Cash just can't be sent digitally.

So, not the same, in an enormously significant way?

Yes, it's not the same in the specific qualifier that I explicitly mentioned. Digital cash. Don't be dense.

That difference is the entire point of the comment thread, though - the reason ransomware thrives on Bitcoin, but not on cash.