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by jleyank 143 days ago
Well, it's fully possible to be self-insuring in these areas. Prescription assistance is probably the one significant benefit as physio, mental health and the like can be of limited reimbursement (judging from what I've seen).

The key issue is that the core of one's health insurance is not dependent on the employer or even being full-time employed. This provides tremendous flexibility. And I suspect not having things like pregnancy being seen as preexisting conditions is a big win for parents-to-be.

Age or low-income (I think) provide provincial or federal assistance independent of employment also. Medical expenses are also far easier to deduct on taxes in Canada vs. the US.

2 comments

Doesn't it seem likely that tax treatment has more to do with this than benefits? People are reading this like YC isn't investing in companies HQ'd in Canada, but there's no evidence of that! I look at a set {US, Singapore, Cayman} and what I think is "this is about taxes". Maybe especially tricky for YC since such a huge fraction of their portcos are pre-revenue.
The key question is whether they make non-US-ians move to the Valley to participate. Or, rephrasing, leave their home country to move to whichever piece of YC is cutting the check.
Again: there were 4 countries, total, in the standard YC deal terms. Now there are 3. There are many hundreds of YC companies headquartered overseas.

The standard move in this situation is that you form a US Delaware C Corp and make your HQ a subsidiary.

Delaware vs. Cayman for LatAm startups: https://news.ycombinator.com/item?id=46686745
You are correct but I think you missed the point of the post I was responding to, which was claiming that employers don't need to worry about paying for health insurance for employees in Canada, which is inaccurate.
You can get by without private health insurance in Canada. This is not the case in the us.