Wait weeks to see a GP, long waiting times to see a specialist or for treatment, rationing of access to technology like MRIs, and a risk of dying in a hospital car park or corridor, or being killed by an overworked A&E doctor.
Don’t get me wrong, the NHS is great, I love that Boris Johnson got more or less the same care in St Thomas’ that a homeless person would have received (perhaps a bit better).
But on an individual level, the FB engineer in US certainly has better care available to them than one in the UK.
The company pays half the cost of excellent healthcare and the remaining payment is very affordable. Maybe in the case of a very serious long term illness you might go bankrupt, in which case the NHS these days is also not as much of a guarantee as it used to be.
The risk to reward ratio is acceptable. Most healthy young people with talent are far better off working in the US and saving enough to retire at 45 years old. I say this as someone who would like it to not be true having loved living and working in the EU and UK for many years. But the numbers do not add up. It's especially sad because it results in brain drain. The saddest part of it is that there is no reason Facebook can't afford to pay the Dan Abramovs of the world the compensation they would get in the US. I'd like to better understand why the gap is so big.
Free at the cost of a significantly larger portion of his salary in tax for his entire life.
That's accurate. But what surprises me is how much in demand software engineers are globally and how little they get paid in most countries. It doesn't make any sense to me that Dan Abramov could more than triple his salary at Facebook just by being employed by the US branch. The value he provides to the company would in no way change.