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Well, I spent the money using the American healthcare system. Because my insurance sucks so much that I often get shafted with huge bills. One such recent one was learning I had to get hearing aids out of pocket as my plan had no coverage. That is why my HSA is gone.
That’s unfortunate: it definitely sucks both that hearing aids are inordinately expensive and that they’re not usually covered. I assumed from reading your post that it was more intentionally spending down and abandoning the account