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04.23.2008 5:11 pm

Congress is underhandedly undermining health savings accounts

St. Louis Post-Dispatch

Unfortunately, members of the US House of Representatives have once again shown that they do not trust individuals to make the right decisions for themselves.  The members of the House have shown their reactionary instincts in moving the US economy to state control.  They are just determined that no individual should have any individual choice in the US.  Instead, they want us all to become completely dependent on the government.  The House of Representatives, in an appalling bit of Orwellian legerdemain, have included a provision in a newly passed bill a provision that serves to undermine health savings accounts (”HSAs”).  I a bill (HR 5719) entitled “Taxpayer Assistance and Simplification Act” they include a provision that seeks to do anything BUT assist taxpayers or make their lives simpler.  Instead, this provision seeks to complicate one of the better innovations of recent years that help individuals get a handle on their medical expenses.  HSAs have been an important new tool that employers have been able to use to assist with their social desire to provide robust medical coverage for their employees.  Instead of seeking to assist with that desire, statist legislators instead seek to put up administrative roadblocks and hassles to make sure that employers and their employees will just throw up their hands and submit to the plan that all medical benefits be controlled by the federal government.  HSAs are an important new method of providing affordable health care coverage.  A recent survey found that 27 percent of new plans were purchased by individuals who previously did not have health insurance.  HSAs are already heavily regulated and have numerous controls in place.  Nevertheless, they are designed to permit the individual owners of the HSAs to have control over where, when, and how those funds are expended.  It is simply amazing that Congress would add new requirements that would limit the availability of this new option for affordable health care coverage without careful study. The provision seeks to make it mandatory to have additional substantiation of employee medical expenses before getting reimbursed from their HSAs.  Non medial expenses are already subject to income tax and a penalty.  Yet, this provision seeks to include this provision as an income generating proposal.  That is clearly absurd.  It would lose income as those penalties for non medical uses would be lost.  In addition, it is a veiled attack on the entire idea that individuals can and should have a say in how their funds are used for medical expenses.  Those unrelenting statists in the House seek to undercut those abilities at every opportunity.  The provision is unnecessary and has not been studied. Current law provides that amounts that are withdrawn from HSAs that are not used for qualified medical expenses are taxed at the account owner’s marginal tax rate as well as an additional 10 percent tax.  There is no evidence that current tax penalties are not working so further study is required before any legislation is considered. The provision should be considered separately on its own health care policy merits.  A significant change in health policy such as this that could affect the health care coverage of millions of Americans should be considered on its own merits — after congressional hearings – not as a revenue-raiser in unrelated legislation.All Americans who believe the power of the individual to think and be responsible for himself should be encouraged to write to their legislators before this appalling bit of legislation becomes enacted. Jay M. KirschbaumChesterfield

5 comments

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I’m not a scholar on grammar, but paragraph separation may keep this from looking like a rant.

— eagle scout
8:09 am April 24th, 2008

HSA’s will provide the same tax-breaks for coverage purchased in the individual market as for employer-sponsored coverage. This will lead many employers, particularly small businesses, to stop offering coverage to their workers on the assumption that all workers could purchase coverage on their own…But many workers would be unable to purchase adequate coverage since insurance companies are free to vary individual premiums. Many workers will be priced out of the market with high deductibles - or even denied coverage completely….Good luck if your over 50.

MIT economists Johnathan Gruber estimates the Bush’s proposal (HSA’s) would increase the number of uninsured by 600,000. Healthcare in America is a profit-driven industry… HSA’s represent a step backward in an effort to reduce the number of uninsured…..

Congress isn’t undermining healthcare in this country….The profit-driven insurance companies are undermining our need for healthcare reform.

— Garrison
11:16 am April 24th, 2008

Waaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa!!!

You cry more than a 3 month old baby Garrison. HSA’s are a great option for many people that don’t have access to insurance through an employer. Because HSA’s promote personal responsibility, I can see why you are against them.

— Amazedbythelunacy
12:52 pm April 24th, 2008

HSA’s on the whole are not awful, but there are some real concerns about them. The high-deductible insurance plans associated with the HSA’s often have restrictions or limitations that don’t really make them effective for some individuals or families — this can be fixed with proper minimum standards & regulations. Another potential problem is the possible disincentive for preventative care, medical screening, and early intervention. Unless some basic visits are covered, many people will avoid using out of pocket (or out of HSA) cash for these visits. They may simply wait too long or take unnecessary risks by not getting early care. This would, of course, negatively impact health care & cost containment overall. Consumers would definately try to avoid costs, but only for the short-term. Very few people are able to imagine health-care “budgeting” or actuarial assessments over a long period of time.

— Dr Mom
2:06 pm April 25th, 2008

We already have a record number of individuals withdrawing from their IRA’s and 401K’s in this Bush economy….What makes anyone think people will save their HSA money for a sick rainy day?

— Garrison
4:14 pm April 25th, 2008