Try as we might, life is hard to predict — and so are our expenses.  Surprises happen, sicknesses turn up and health care expenses—well, they can change quickly.  That’s part of the reason the “use-or-lose” provision for health care flexible spending accounts (FSAs), which forces account holders to spend down their accounts by the end of the year or face losing the money, has been so unpopular. 

But, the times, they are a changin’ (hope the lyrical reference isn’t lost on folks).

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