HSA accounts should be made available to ALL Americans regardless of the type of health insurance plan they have.
Currently the IRS restricts HSA accounts to those “covered by a high-deductible health plan (HDHP).”
Like an FSA account, HSA’s allow pre-tax dollars to be set aside for covered medical expenses. HOWEVER, unlike an FSA these funds
(1) do not have a “use-it-or-lose-it” requirement; and
(2) the funds can be invested into the market and, like 401(k) contributions, can grow and take advantage of compounding.
These accounts positively impact those who have them immediately (in the that the contributions reduce taxable income) and in the future (access to funds for medical emergencies, private pay healthcare options, etc.)