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by KiranRao0 1621 days ago
As a Canadian living in the US, here is my experience:

Advantages

  - Higher Salaries (as a SWE, but similar for friends in other high skill professions)  
  - Faster, more accessible healthcare 
  - Easier access to COVID vaccines/boosters
  - Access to more products/services
  - Amazon has everything
  - Better credit card perks
Disadvantages

  - Actually using healthcare is expensive
  - Losing my job is insanely scary (losing healthcare) 
  - Way more advertisements (billboards, credit card offers, drug ads) 
  - Banking is way more fragmented
  - The wealth gap is visibly wider (rich areas are slightly nicer, poor areas are far worse)
2 comments

> Losing my job is insanely scary (losing healthcare)

While this might be unusual, as I understand it, nothing really prevents you from getting your own insurance. Even if your health insurance premium were to cost $1000/month (which it likely doesn't), if your pay bump would be > $12k/year (+ tax) by moving as a SWE (which it probably would be), you could still go without a job for a whole year and still maintain your insurance. It would obviously be infeasible for someone in a profession with much lower income, but from what you said it sounds like it would be an option.

It has been a while since I've lived in the US, but I think it is completely possible to pay $1000/month for health insurance. For a single person, a family is more. Employers subsidize your insurance, after all. I was paying couple hundred a month for two people - subsidized - and that was years ago. A family plan was even more.

Even then, you have to have money to use it. On top of the insurance premiums, you'll have to pay a deductible. You'll probably pay $3000 (more or less) before the insurance even starts to pay anything, and then you'll have to pay a few thousand more before things start being free.

Prescriptions probably won't count towards these totals. If you are lucky, you will have good coverage. If not, you might be out a few hundred a month for a single drug. Depending. I mean, people have been rationing insulin.

> It has been a while since I've lived in the US, but I think it is completely possible to pay $1000/month for health insurance.

I just looked on healthcare.gov, and any plan that is comparable to a plan an employer would give you costs over $900 a month in premiums alone. The plans start to get "good", if you can call them that, at $1k. The last time I used COBRA, my premiums were $2k.

Oh, for a family it can definitely be more; I was citing numbers for a single person. For a single person it depends on your age I think. If you're young then it doesn't need to be anywhere near that high, but it of course gets higher as you get older.
It'll be barely below $1k for a single person, no matter the age, and it'll be considerably worse than employer-provided insurance. Young folks generally cannot afford health care, even with insurance.
Most Canadians would have to leave if they didn’t have another job anyway for visa reasons. Those 60 days would be difficult though. I’m assuming non-US citizens or PRs can’t use COBRA?
Partially. Depending on the Visa, Canadians need to leave within n days. However, it's extremely easy to re-enter as a visitor (B-2) and stay for 6 months.

Canadians are eligible for COBRA if they've earned income within the year. https://theea.org/wp-content/uploads/2014/08/Whenisanemploye...