medication and getting more and more comfortable with it, more and more powerful chemicals are available, over-the-counter, and i don t know what my patients are going to do. and i wanted to have that discussion with my patients. where they come into my office and we talk about what they should have, and they use, a health savings account, which is a tax deductible account, to decide what to buy. it is a very smart way of doing medicine, over ten million people in the u.s. are using these flexible savings accounts and it is putting them into direct jeopardy and we are renaming it the unaffordability care act. bill: you can walk in and use cash but using the flexible spending account is where it applies, is that tylenol, arcs leave. it is tylenol, aleve, it is all allergy medication and cold medications, stomach medications, prilosec, zantac,