Unfortunately this misses the difference in taxation vs. the US. You pay almost nothing for healthcare at any tech company and pay much lower taxes (both income and sales tax). So European offers are still much less competitive than the US.
A common criticism is that “but you get so much more for your taxes in Europe”. I have a counterpoint - you get the choice of what you want to buy in the US. I’d rather keep more of my take-home pay and do without certain services, or better yet choose the provider (and quality / expense) of such services if I want them. Somehow the bureaucracy in the US is still massive, so I can only imagine what far higher tax rat…
Not really in my experience. You get to choose between providers in your insurance network, but I've lost count of the number of times my preferred provider wasn't in my network. On top of that, the insurance company has to sign off on many diagnostic tests even when my doctor wants to do one.
I'm experiencing this right now with chronic pain associated with an old injury. My doctor wants to do an arthrogram, but my insurance won't approve it without doing a full course of physical therapy first and doing any kind of motion with this injury is excruciatingly painful. I have to literally suffer through 12 weeks of PT in order to get the imaging I need and I have what many would consider to be great insurance. I don't really have any (good) choices here. I can pay for the imaging out of pocket or continue to suffer. This is a uniquely American problem.