[lotsofpulp]

The maximum out of pocket expense for 2021 is $17k or so for a family, and even in CA, maximum premiums should be ~$25k per year for a family of 4, maybe closer to $30k if parents are age 55+.

At a million dollars of salary, that is not going to make a difference to anyone, especially because most of the $30k premiums will be paid by employer, so you are left spending $20k out of pocket maximum including your portion of the premiums.

I would just add $15k for a single person / $30k for a family to tax expenses to compare relative taxes for an employer person in US vs EU.

[CalRobert]

I never argued anything different, though million dollar pay is very, very rare.

[lotsofpulp]

I was trying to give an idea of what horrific deductible would be. Probably less than $5k per year, and out of pocket maximum less than $10k even for a family. Healthcare expenses are not material to employees of tech companies…as long as they remain employees.