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Story summary
- Republicans advocate high-deductible health plans and health savings accounts as alternatives to expiring ACA subsidies.
- These plans impose substantial out-of-pocket costs before coverage begins and contribute to Sarah Monroe's debt of over $13,000.
- Critics, including Democrats, argue that HSAs primarily benefit wealthier individuals and do not address rising premium costs.
- Proposals to expand HSA access exist, but skeptics doubt they relieve burdens for low-income ACA enrollees.
