Medical saving plans are a completely waste of time, you can blow through the entire saving plan in one small operation and then you have nothing for years waiting to save up enough to get some other problem taken care of.  Deducting medical expensive is almost as worthless if you do not make enough money to deduct anything plus if you are rich you benefit the most from tax deductions.  All the issues you talk about are just Fox News conservative dribble that has been talked about for years and do not solve the problem.