I don't know about the recent laws but you might be required to carry health insurance or pay an extra tax. my wife's plan is an HSA type plan but they pay part of the deductible as well.

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one thing I learned in old age is take care of your body and don't wait for a doctor to tell you to lose weight or do something about your bloodwork. Many of the thresholds for problems are too high and lots of stuff is just BS to get you to pay for prescription drugs