I guess the 100k or even 200k, or 300k starting meme finally died at a time of record inflation no less.
Average-case tech workers certainly do not get several mandatory weeks of PTO. And the co-pays on their healthcare are also quite often "meh" (specifically, well short of 100 percent).
Yes but COBRA can cost upto 102% of the cost which was mostly covered by your employer before. Now that you are laid off, you have to pay the whole thing (sometimes employers are nice to still cover when they lay you off but mostly they don't). For a family of 4, it can easily be $2500/Month depending on the state you live in.
If you are making >$250K year, an extra $2500/month is not a significant bump. Especially as it is temporary while you are between jobs. Temporary could even be a year or longer.
Factor that cost into your emergency savings and draw down when you need to. You still end up massively ahead of a developer outside the US.
I am not endorsing the US system - it is objectively garbage. But the point is that the pay difference more than makes up for the downsides in healthcare.