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If the collector actually removes the item, then it will improve your credit/score.
The other response is incorrect. There is no such law that items cannot be removed. It is the credit bureau policy to not remove legitimate negatives -- not the same as being illegal. Most collection agencies now comply with the credit bureau policy and pay for delete agreements are far and few.
If your credit cards are in default/collections, paying won't improve your score. You also won't get a pay for delete agreement. The damage is done and remains for the balance of the 7 year reporting period. You may as well negotiate settlement for as little as possible.
On the other hand, if these are open, active cards that you are carrying balances of more than 30% of your limit, paying off the balances will improve your score. But pay off the medical debt first as that will get that item removed.
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