Earlier quoted context omitted.
I don't buy it, due to first-hand & second-hand experiences of friends and relatives I have in the US. Let me give you one example: my friend(and at the time business partner)'s wife got cancer in the US. It was fairly "mundane"/common cancer that got treated and everything was alright at the end. He was working as a software developer (normal employee, not self-employed - our venture was a side project) with the afo…
If I had cancer in the US a $65k bill really isn’t bad. Consider in the US taxes are typically In Germany (if I recall) it’s closer to 50% taxes so $50k a year. Presumably you can expect cancer once or less, but effectively you only need ~4 years of income to make up for that $65k bill in the US. Not bad at all. Obviously that differs based on income, but you can a see how (for many people in the US) the system works…
Now to compare cost of living - let's say you wanted to compare Berlin vs SF, for similarly ridiculous housing markets. A quick search[0] suggests that living in Berlin costs nearly half as much - Berlin's $65k is more like a San Francisco $130k.
Now the downside is that you're not actually going to get paid as much in Berlin - maybe $68k as a senior software developer, as opposed to $135k-ish in SF. Plugging these numbers into a couple of actual quick tax calculators rather than using the averages, the Berliner makes about $41k, while the worker in San Francisco makes about $87k - although these are both without going through an accountant to massage the numbers. After our magic divider, that's a difference of about $2.5k.
Perhaps the US allows an accountant to massage the numbers more than Germany, but honestly, as someone currently in Germany, that doesn't pass the smell test.
So all in all, you wind up with $2.5k a year over the Berliner with which to cover everything that Germany's system does. And this is one of the best case scenarios - a high-salary tech worker with good benefits. For everyone else in the US, their quality of life and access to effective healthcare is likely to be significantly lower.
[0] https://www.numbeo.com/cost-of-living/compare_cities.jsp?cou...