How so? Healthcare? FIRE seems much more attainable in the US
It's just that "normal" housing in the US is what's only attainable to the very rich and only because they inherited it, in most of Europe let's say: even 1% won't be able to buy an equivalent of median new US single family house, in EU - that 1% probably owns a similar or somewhat better house but simply because they bought or built it generations before.
But if you compare the price of the SAME sized house to the average income, the situation is opposite. U.S. is the 3rd best after Oman and Saudi Arabia. It's just that Americans are not satisfied with houses even twice the size of what people in many rich countries are happy with.
https://www.numbeo.com/property-investment/rankings_by_count...
Price per square foot is not a very useful metric, because neither utility nor construction costs scale directly with the size of a house. A 3000 square foot house is not 2x as good as a 1500 square foot house, and it should not cost 2x as much to build. Roughly speaking, walls are expensive, while making the rooms larger is cheap. And bedrooms are cheap, while bathrooms are expensive.
Well, in Germany health care is affordable in terms of cost. However, while 20 years ago you just went to a doctor when you were sick, these days you will wait hours and hours even at your family physician's crowded waiting room. You need a specialist? 6 months if it's something serious like a cardiologist. If you're on private health insurance, alright, only 3 months.
I don't know if this is specific to Germany, or similar in all of Europe.
But that is a change many people notice that I speak with.
They are then finding out that for profit businesses have no interest in re-hiring all the workers they had before the pandemic, because they didn't lose as much business as they saved money in salary, so everyone is just running a skeleton crew that they overwork.
Meanwhile the data I find for emergency room visits are that there's barely been any increase in percentage of the population that visited an emergency room since 1997.
Companies are spending less on services and letting us just suffer because we don't have better options and YET AGAIN dumb Americans for some reason blame the government for completely independent companies making self serving choices?!
Shortly before Obamacare I went to the same variety of specialist in that closer city. I called on a Monday and was in to see him on Thursday morning. Now, the three closest clinics to me have no doctors at all between them, just nurse practitioners and physician assistants. If your condition isn't on their short script you get an appointment in six months with a different nurse, or directions to the emergency room. I'm not claiming this is the general experience, but my experience has vastly enshittified.
The specialist nurse that took me six months to see? He ordered a test and scheduled me to come back and discuss it with him in another six months. Maybe I'll get another five minutes of his time then.
Basically, if you want really good healthcare, you need to live in or near a very large city. (Albuquerque is not a very large city.)
Another thing that's probably changed in the US is larger healthcare companies taking over doctors' practices and enshittifying them to increase profits. Doctors are happy to sell because they're getting close to retirement, and/or tired of dealing with all the administrative hassle on top of actually being a doctor and caring for patients. I've read about this type of thing greatly affecting veterinary care in the US too.
As another commenter said, there’s been an exodus of specialists from rural areas. This is a global phenomenon, not limited to the US.
In the U.S. I can see a midlevel the same day by paying $200 for an annual membership in a mass-affluent pseudoconcierge practice plus $800ish for the appointment+labs, the $800 may be partly or entirely covered by insurance depending on how the conversation goes with the "provider". I have to wait several months if I want to see a real doctor outside of an emergency room. 6 months is about right for seeing a specialist with a preexisting relationship, might need a little more lead time for an initial consultation.
Much easier in Europe, go work in Switzerland or some high paying country then go retire in a low cost area with healthcare.
Could it be that moving to a place with high salaries means that job market is more competitive with higher bar to entry, with more stress, and CoL and housing is proportionally higher so once you factor in housing, healthcare, childcare expenses etc you realize that unless you scored some FANG job that pays orders of magnitude more than the local median, you're more or less at the same wealth point as in the lower CoL locations?
Feels like the solution is to find the place when you can earn more than the median there and not just blindly move to the most expensive places in the world hoping that will make you rich.
Language barriers, mostly. USA doesn't have those, that is the biggest difference I'd say, language barriers is such a massive hindrance to movement even if you are legally allowed to.
Even if the work language is English you still have to live with all the signs etc being in a language you don't understand, and learning a new language is a massive undertaking.
However if you don't care about that then it is really simple. And lots of people are doing just that, people spending a few years working in a high wage place isn't uncommon at all.
Not to mention people tend to not move asmuch in europe compared to the US, and people like to stay close to their community and families in my experience.