US is very different than Europe, because you pay from your own pocket for a lot of things (eg healthcare) that are state sponsored elsewhere. Also factor rent in NYC/SV
Btw a large reason why the US spends more on healthcare than other countries is research & development.
where you can keep your employer coverage for 18 months while you find a new job.
https://www.healthsystemtracker.org/chart-collection/health-...
Someone earning $200k doesn't really need to worry about that kind of thing.