FWIW, I pay way less than that for health insurance an an annual basis. Even if two members of my family faced catastrophic health issues, my maximum out of poc

FWIW, I pay way less than that for health insurance an an annual basis. Even if two members of my family faced catastrophic health issues, my maximum out of pockets is less that 15% of my income. I am a reasonably high earner, though nowhere near the 1%. Lower income Americans have extremely generous subsidies on health insurance and medical providers often have programs to reduce or completely write off medical expenses of people who can not afford them.