Andy Laperriere makes the case for Health Savings Accounts combined with high-deductible health insurance policies.

more than 10% of the cost of a visit to the doctor — $40 billion per year — is wasted on paperwork. Most of these costs would disappear if patients paid for their doctor visits directly (with a debit card, for example), which would be the case for most consumers who choose high-deductible plans with a health savings account.

For Discussion. What might keep HSA’s from becoming mainstream?