92% of American had health insurance in 2023. Some people may have more than one insurance plans, thus the total number below is greater than 100%.
Of the subtypes of health insurance coverage, employment-based insurance was the most common, covering 53.7 percent of the population for some or all of the calendar year, followed by Medicaid (18.9 percent), Medicare (18.9 percent), direct-purchase coverage (10.2 percent), TRICARE (2.6 percent), and VA and CHAMPVA coverage (1.0 percent).
https://www.census.gov/library/publications/2024/demo/p60-28...
In the end someone who was working at Google in the Bay Area for 15-20 years can retire if they didn't have life style creep (which is different than cost of living). Not the case in Europe.
This has nothing to do with Europe. This is particular a tech thing
On paper, my employer pays me 72k per year. I net 36k of this after taxes and social insurances are paid.
Fun fact I learned the last time this topic came up, social security in the US pays more than German government pensions.
Basically, almost all places, particularly in the UK, have worse salary to cost of living ratios.