Earlier quoted context omitted.
Americans who are able to get jobs in the tech industry do not have to worry about expensive healthcare, at all. The US is very much a tale of two countries - but people here making a lot of money have a great quality of life.
Even if you're in a comfortable situation, you have to worry about friends and family, and ensuring your children will have similar careers. When raising children, it just feeds into the rat race.
Again, it's better to be rich in the USA than in Europe, but it's way worse to be poor.