Even people who have followed personal finance for a while confuse them with the<br />more popular health care flexible spending account, which — unlike an H. S.A.<br />— does not allow you to invest the money and spend decades watching the earnings compound.<br />Grants or tax credits would land directly in individual accounts, and people would use the money to purchase insurance.<br />It wins the complexity award, in that it combines Roth I. R.A.s (which people already have trouble distinguishing from their regular I. R.A.<br />cousins) and H. S.A.s (confusing on their own) into a whole new thing called Roth H. S.A.s.<br />But there’s one thing they do know for sure: They want a whole lot more of us to have health savings accounts.<br />Finally, you pay no taxes when the money comes out, as long as you use it on a long list of health expenditures.<br />There’s a great deal to like about these accounts, which you can open<br />and contribute to only if you are enrolled in a health insurance plan that has a pretty high deductible.
