That quote is about a person with a million dollars in wages in the highest income tax state and it doesn't factor in payroll taxes which contribute to the tax

That quote is about a person with a million dollars in wages in the highest income tax state and it doesn't factor in payroll taxes which contribute to the tax wedge on income. The tax wedge for a single worker with no children earning the nations average wage in 2019 was 49.4% for germany and 29.8% for the united states [0]. That's not to say government provided healthcare is incompatible with lower taxes as there are other countries around the US tax wedge rate with government healthcare but germany is not a good example of that especially for the average person. [0]: https://taxfoundation.org/publications/comparison-tax-burden-labor-oecd/ https://taxfoundation.org/publications/comparison-tax-burden...