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our Health Care system is wonderful in so many ways but major problems remain millions are uninsured and costs keep Rising a big reason for this is that we as consumers of healthcare dont often know exactly how much our health care costs third parties like employers and the government are the ones who frequently negotiate and pay the bulk of healthc care bills why does it work like that in America well one major culprit is our tax code which gives workers a big tax break for health premiums paid through our Employers in many cases we pay high premiums get a nice tax break and leave it to our employers and insurers to work out how much to pay the doctor or hospital where we received care as a result patients and providers dont have as much of an incentive to think about the costs of their day-to-day Healthcare choices over the years there have been efforts to fix the tax codes backward incentives around 30 million American families use health savings accounts or hsas to save for their