I do on a semi-regular basis. I used to do it only when something wasn't available otherwise, but, well, now I also do it when there's a special offer on a book I might want (am curious about, but not enough to have bought it before) - like $0.99-$2.99 for Americans, while it's still $12 for me otherwise.
And after realising that, say, if I pretended to live in Austria instead, the overwhelming majority of ebooks in my Amazon.com wishlist suddenly turned $3-4 cheaper, I've been having a hard time buying with my actual address. As the owner of a Wi-Fi only Kindle (i.e. I don't see that I'm costing Amazon any particularly massive Whispernet transfer fees), I don't much appreciate that $2 Amazon surcharge.
If geo-restrictions didn't exist, I'd never have got the desire to look into how I could circumvent them, and would probably still be paying much higher prices for everything... it's definitely been a slippery slope.
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