4 Sales of MSAs under the program have been tepid. In order to succeed, the MSA companies must convince Congress to expand the market. As Santorum raises money for his next race, in November 2000, he has every reason to keep plugging MSAs on behalf of his donors. Patients' Bill of Rights Act, which would remove a number of restrictions on MSAs. 7 Overview Medical Savings Accounts work on a different principle from traditional health insurance plans.
Traditional plans spread risk.
A large number of people pay into a plan in exchange for the assurance that all their medical bills will be covered if they are unlucky enough to fall ill. Some people have greater medical needs than others. By sharing risk and expense, everyone knows that they will get the care they need when they need it. MSAs, in contrast, operate on the notion that individuals should be responsible for their own medical bills. People save money in a special tax-free account, which they use to cover doctors' bills.