Earlier quoted context omitted.
Maybe I'm missing something, but HSAs seem to me to usually only be available if you have a high-deductible health insurance policy. That can be OK if you're 25 and very healthy, but for many other people is a high risk.
HSAs are a no brainer if you can afford to spend the out of pocket maximum. Either you pay the insurance company more in monthly premiums for a lower deductible, or you pay a lower monthly premium and invest the difference in an index fund and you keep the returns. Which grow tax free in an HSA. Your probability of having a healthcare expense does not change based on the type of insurance you choose (high or low dedu…
Best case scenario, spend all your health care with cash. Let the HSA grow as long as you can. Reimburse yourself for a decades worth of health care spending when you need the cash.