Vol. III · No. 22Friday, May 29, 2026Independent · Reader-funded
Est. 2024 · A Quarterly on Capital & Conduct

Coin & Compass

A journal of money, markets, and the math nobody teaches you in school.
← Back to The Ledger
Taxes

The HSA Is the Best Account You're Underusing

Triple tax advantage, no required distributions, and at 65 it functions as a stealth IRA.

By Iliana Ferreira · February 10, 2026 · 7 min read

Contributions are deductible, growth is tax-free, withdrawals for medical expenses are tax-free. No other account offers all three.

If your cash flow allows, pay current medical expenses out of pocket and let the HSA invest aggressively for decades. Keep the receipts; you can reimburse yourself at any future date, including in retirement.