Earlier quoted context omitted.
Vancouver is more expensive than Seattle.
.... maybe the ACA is changing that, but it used to be true only as long as you did not need non-trivial healthcare services.
Even significant health costs per month are ignored in a corporate environment in the US, though small startups may be different. For entrepreneurs, health care costs would matter before the company was large enough to have figured out benefits.
Any startup employees\founders willing to comment on how health insurance is generally handled at US startups?