Whether you agree with George Bush or you don’t agree with George Bush, his push behind HSAs has got to be the best thing he’s ever done,” says Elenz. “But there have to be concessions around prescription drugs which won’t cut too harshly into premium savings. At the very least, you have to allow consumers to purchase drug discount cards. “”Of course, the argument could be made that consumers will begin to curb escalating prescription drug costs because it’s their dime, but that will depend on much more widespread HSA utilization, and that remains to be seen.