The spelling of the word "refused receive" may cause confusion for some individuals. It is important to note that the correct spelling is actually "refuse to receive." The word "refuse" is pronounced as /rɪˈfjuːz/ while "to" is pronounced as /tuː/ and "receive" as /rɪˈsiːv/. The confusion may stem from the fact that "refused" and "receive" are words that are commonly used in the English language. However, it is important to use the correct spelling to ensure effective communication.