Abstract

Medical savings accounts (MSAs) may, by introducing personal responsibility into individual decision making, reduce overall health care costs.’ This has attracted policymakers’ attention in the United States and in other countries. In fact, a mandatory MSA program has financed personal health care expenditures in the Republic of Singapore since 1984. Here we outline the operational characteristics of MSAs in Singapore and highlight the issues to be considered in any attempt to replicate such a program in the United States.

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