I asked my vegan friend if they “swallow” and they said yes, because there was consent to do so. I’d go as far to extend that logic to breast milk being vegan too
If the former was for pleasure and is vegan, then surely the latter for nourishment is also vegan too. With the basis that both were consensual
You’ll probably need to provide more details about the premiums, deductibles, and out-of-pocket maximums of PPO vs HDHP, projected healthcare costs (at least your current year costs so far), and how much you are able to stomach for the cost now vs later
PPO might be better if you can stomach the premiums and hit your deductible early enough. HDHP might be better if you can stomach the higher deductible and reimburse yourself years down the line after your HSA has had some time to be invested and grow from its investments
It’s hard to say without concrete numbers and only going based off thoughts and feelings