Health Legacy Coin
A nonprofit health savings coin for the care insurance denies — and whatever you don’t spend, your family inherits.
Insurance pays for a surgery and denies the dental implant that makes it useful. It covers the diagnosis and excludes the hearing aids. The denied care is real care, and today there is no good way to save for it: premiums vanish whether you use them or not, and ordinary savings accounts carry no focus, no negotiated prices, and no plan.
The Health Legacy Coin is a concept paper proposing a different instrument. It is published under Adrian Szczechura’s name to put the idea on the record and get it criticized — the point is getting the name and the idea out there, not personal profit, which is why the nonprofit form is deliberate.
How it would work
- Sold only by a nonprofit, dollar-backed: $1 in is $1 of eligible care, held in segregated reserves. It supplements health insurance; it never replaces it.
- Two doors to eligibility: a catalog of commonly excluded care, and the denial rule — any service your insurer formally denies becomes eligible when you submit the denial letter.
- Phase 0 covers dental implants and hearing aids — both routinely excluded (Medicare excludes hearing aids outright), and hearing aids complete the save-to-spend loop in months rather than years.
- Spendable only on health bills, paid directly to verified providers at negotiated or reference prices. Individuals cannot sell the coin or cash it out.
- Inheritable: at death, your named beneficiary keeps the balance for their own health costs — or sells it back once, 75% to the heir and 25% to the nonprofit, where it funds care for families who can’t save enough. Unlike premiums, something remains to pass on.
Read the paper
The full concept paper (v0.1, November 2026) is public. It includes the honest hard parts — the open regulatory questions around insurance classification, money transmission, and tax treatment — and it ends with a call for collaborators: people who know health finance, nonprofit law, or provider networks and want to poke holes in it or help build it.
Read the paper on GitHub Download the paper (PDF)
Status
This is a concept paper, not a product launch and not a token sale. Nothing is for sale. The paper is the timestamp and the invitation: critique wanted.