No one wants you to be destitute, marjifay. And no one wants you to be denied the surgeries you had because of rationing/long delays. But neither does anyone want an untenable 'solution' that destroys all that makes this country different - so unique, not only in the world now, but
ever.
Health Savings Account: This does not mean you save your money and pay cash for all your medical care. Employers either match what you put in or give you a voucher for the account, probably equal to what they would pay for your premiums.
For instance: I was self-employed for quite awhile, but at the last place I worked the director told me that the agency was paying 33% over and above my salary for my benefits. The pension plan was 5% of the package and, because of Social Security, it was very expensive, but not very good. So he suggested that the agency set up a pension account for me and they would match whatever I saved into it, up to the 5% they would have spent under the old plan. This was essentially a savings account; I owned it; and when I left the company, that money was paid to me. I could choose to keep it in a separate account and continue to add to it - essentially paying into my own retirement.
With a Health Savings Account this money is used to purchase your own insurance plan - to pay for your premiums - with insurance companies freed up to compete fully with each other (we have so few options in NY with gov. regulations that they essentially get together and set prices!); you choose the deductible, riders, basic insurance that suits your needs; if you want one that your employer’s medical voucher doesn’t quite cover, you pay the difference; if it covers more than your premium costs, you use that extra to pay your deductible, medical supplies, medical devices (unlike this health care act which will tax medical devices – which, come to find out, includes toothbrushes!) etc.; but you never have to give up your plan;
these insurance plans move with you wherever you live, wherever you work; you
own them (not like the gov. COBRA which people with modest incomes were not able to afford on their own); so you can’t be caught with a ‘pre-existing condition’ because you don’t have t switch plans just because you change jobs and your new employer doesn’t offer coverage from the company you were in at the first job.
That was the complaint about pre-existing conditions: you might work at a company for twenty years, then have to change jobs. When you change jobs you often have to change insurance companies so any condition you are being treated for – or that shows up before the waiting period is over – is considered ‘pre-existing’ and the new company didn’t want to cover it, because you hadn’t been paying premiums to them. Besides, you are starting the new plan at an older age and that affects the cost of your premium as well.
Money put into a Health Savings Account was not to be taxed. And if you accumulated money in it and passed away, it was considered part of your estate and could be passed on to an heir. Businesses could still use the medical vouchers as incentives to attract employees, the employee has full choice of his/her own health care, and the government is not saddled with you as a ‘unit of service’ they get stuck with.
Sorry this is so long - I just didn't have time to shorten it. I do hope it is clear?