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Would Medicaid savings accounts work?

It will be interesting to see Gov.-elect Sam Brownback's proposals for overhauling the state's Medicaid program, especially if they include allowing Medicaid participants to have health savings accounts, as he mentioned this week. HSAs can help control costs by encouraging citizens to be more careful with their health care spending. But the concept may not work very well with lower-income citizens, who don't have extra money to put in the accounts.