I'm not asking you to agree with me.
There's nothing authoritarian in expressing my opinion.
Eventually, it's not me who outlaws or not, but our democratically elected representatives.
And you wouldn't know what Marxism or Fascism are even if they poked you with a stick and called you Marta, so please, spare me.
See, this is the right question. Thanks DarrinS.
There's plenty of reasons why:
- HSA's go straight against the social redistributive spirit of insurance. Insurance is a big pool of money, that includes people with more risk and people with less risk. The people with more risk use more of the insurance and the people with less risk help cover some of those costs. At some point, the people with less risk will gradually become the people with more risk, and will use the assistance of a new generation of low risk people. Rinse and repeat. Now, HSA's are obviously most attractive to young, healthy people. The low-risk people. If you take them out of the equation, you end up with a much more expensive insurance for everyone else.
- HSA's tax benefits are basically negligible to the poor, which also turn out to be most likely the uninsured persons. They just don't make enough to benefit from the tax breaks.
- HSA's are no different than other investment and are subject to market risk. Market crash? There goes your healthcare savings, just when you needed them to help you pay for that hearth attack.
- HSA's don't really control costs. They just shift the cost from the insurer to the patient.
- HSA's do absolutely zero to increase access or reduce the number of uninsured.
- HSA's actually induce people to delay or avoid getting needed care, or to skip medications, because of the cost.