they're pointing out that the US is insanely stupid when it comes to healthcare and retirement. the stuff we do in this country is so much extra work/effort/cost and all of it comes at the worker's cost.
they were being sarcastic.
Or, very smart for the establishment.
> the stuff we do in this country is so much extra work/effort/cost and all of it comes at the worker's cost.
The GP described tax optimizations for the highest earners. The idea that they would be better off in Europe is plainly ridiculous.
My reading was that nothing of that applies in Europe. No earning 6 figures, no way to invest pre-tax or in any other tax advantaged way, no way to optimize healthcare costs, early retirement unlikely.