US has huge internal markets - I would see this as the main benefit. Otherwise than that, if you make an actual good product, know marketing and are not terribly dependent on US VC money (which is hardly the only source of capital) I fail to to see the problem.
Sure, there are laws for holidays and such but that does not limit business, IMO, only the amount of arbitrary power employers have over their employees. It does not limit global market opportunities in any way.
It would be harder to launch a service like Uber though that tries to take on entrenched incumbent local players. Target global b2b or consumer markets and the problem goes away.
All of this is my personal understanding, and I might be wrong. If so, then please educate me with countering facts.
Most of the big business in Europe is either 1. American 2. state owned or 3. companies founded before before WW1. It's almost impossible to launch a company with a growth rate compared to that of Uber in Europe. You would get kocked down by taxes and regulations before you know it.
I'm in Norway. There is public health care. Sometimes there is a wait, sometimes not. You have the option to pay for private care, if you want. But I'm never going to have to worry about not being able to afford care. This alone makes a huge lifestyle change. Not just for me: But for children and lots of other folks as well.
In addition, some caveats of care are much better here. You can choose the cheaper but better outcomed care option. For example, they send a nurse out to someone's house up to 6 times a day before someone is eligible for a nursing home. Even if you live in a secluded spot on a mountain or island. Why? It is cheaper and folks tend to live longer this way.
I'm pretty sure the market is filled with unregulated niches that don't require you to shift the balance of the universe to be successful.
Yes, US seems to be winning in terms of environment which facilitates the rapid growth of paradigm shifting companies. I did not claim otherwise - I merely countered the proposal that it would be counterproductive to try to do business in Europe altogether. Not as inducive to growth is a different thing from disabling profitable companies altogether.
I'm hard pressed to quantify the quality of public healthcare. Patient outcomes are a different thing than what the service feels like. I agree, it's sometimes painstakingly hard to find good healthcare but in my experience that applies to both public and private as equally - the more rare the condition, the harder it is to find a helpful diagnosis and a plan to proceed.
The professional capability of the tending doctor is the most critical factor. I've met outstanding professionals in the public space and private clinic doctors who have been sloppy and unattentive - and vise versa.
Of course, if budgets strain, the quality of care decreases.
It is hard to take somebody serious who lumps together all countries from Europe. May I ask in which one you live?
