tmtomh
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Where's the incentive to work harder and earn more in that?
Contrary to popular belief among us Americans, the total tax burden - federal income tax, federal Social Security and Medicare payroll taxes, state and local income (and property) taxes, and so on - is not necessarily lower in the US than in a lot of European countries. Putting aside any political debates or questions, it's simply a fact that a portion of taxes paid in European countries (and Japan, and others) covers healthcare costs that American must pay out of pocket. Again, this not - or at least should not be - controversial; it's simply a fact and you can conclude whatever you want from it.
And to look at it another way, the tax to GDP ratio in the US is higher than in Ireland - in other words American taxes are higher relative to economic output.