> With an American tech salary of $200k/yr, I can pay for all of that (health insurance
Even if you can pay for it, doesn't mean you can get it. Pre-ACA, I knew people who had the levels of income you're talking about (and higher) who couldn't buy health insurance on their own at any price.
Some of them could get insurance through employer groups, assuming they didn't want to retire, assuming a given employer wanted to hire them, and assuming a given employer wanted them in a given risk pool. What they couldn't do was buy insurance on the individual market.
We're apparently about to return to those days.
See:
http://www.nytimes.com/2011/02/20/opinion/20Dubinsky.html
http://www.slate.com/articles/business/the_dismal_science/2012/03/pre_existing_conditions_the_real_reason_insurers_won_t_cover_people_who_are_already_sick_.html
I'm also not anxious to take giant salary cuts, but there are times as I get older that the logic of establishing a floor even if it means lowering the ceiling seems to make more sense.