HSA vs FSA is one of the most confusing parts of open enrollment—and choosing wrong can cost you thousands.

I have insurance. And I still pay $500 a week out of pocket to see my therapist. When my coverage changed, I had to choose between starting over or staying with the provider who helped me heal. That’s how the medical debt crisis works—not just through ER bills, but everyday care people can’t afford. Here’s what you need to know, and how to fight back.