The case for medical savings accounts

H. D. Jampel
Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, MD, USA.

The debate about health care reform has centered around managed care and its ramifications. Medical savings accounts (MSAs), on the other hand, have been relegated to the background of the congressional discussion of health care reform. Conservative Republicans have advocated MSAs, whereas they have been denigrated by many liberals. The Clinton administration has threatened to veto any legislation that includes MSA provisions. I believe that MSAs are in general poorly understood by physicians and deserve closer attention. This article will explain what MSAs are and how they work. The advantages of MSAs will be discussed and examples of MSAs in action will be provided.