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Pay back whom? If you receive a settlement for an injury and you have medical bills you have to pay those bills related to the injury and it is a good idea to put any remaining funds leftover into a special account in case you get future bills for that injury. Many people go and buy a house or a car with the settlement money and then later on when they need the money to pay for injury care the money is gone and they are in real trouble. Medical insurance carriers will not pay for injury care when you have received a settlement to pay for that injury care. So be wise.
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