Hosted email often comes as part of another service, such as web hosting or Infrastructure-as-a-Service (IaaS). Since that means there will be many extras available with these services, it's inescapable that you'll be paying for those extras in some way. Purchasing them usually means a slight uptick in that per-user price. Many businesses find that, once they're done selecting all of their needed "optional extras," their end price can often reach as high as $10 or more per user. This can start to add up for larger teams. It's somewhat like buying cable service: sometimes you need to pay for the channels you don't want to get the couple of channels that you need. There is also the old adage that "you get what you pay for" when it comes to quality. This is almost always true when considering an email host.
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I find it really annoying that people who used to check their email regularly, now leave large intervals between accessing their messages. This seems to be a social media thing where they’re all busy putting up their lunch pictures etc. etc. up for ‘everyone’ to see. Unfortunately this behaviour seems to be spilling over to the less conscientious in their work activities and they seem to be treating digital mail with contempt in some cases. Guess it’s back to paper mail and ‘snail’ delivery – not that that always gets the attention it deserves.