he hello, jack otter. what does that mean? push down health care costs is they would force doctors and hospitals to become much more efficient. high deductible plans mean that everything up to $1,200 for an individual, $2,400 for a family is out of your pocket to help you pay for that you set up what's called a health savings account. pretax money goes straight from your paycheck into this account. companies will often match it. that's a lot of money. but again the the idea is that you'll be more careful with it because you know that that money can stay there and grow over time almost like a roth ira for medical expenses. no taxes going in. no taxes go inging out. for young, healthy people, it's a pretty good idea. you know your medical bills probably won't be very high. if they are, you've got essentially this thing to fall back on. otherwise leave the money in there. my advice would be leave it in there for 30 40 years. when you retire fidelity is now expecting you will have aa quarter million dollars of health care costs ou