Tax burden in those areas (all-in, including federal, state, and city) reaches 50% at the highest tiers, but 50% of $200k+ is a lot of money. Health insurance

Tax burden in those areas (all-in, including federal, state, and city) reaches 50% at the highest tiers, but 50% of $200k+ is a lot of money. Health insurance for bigger companies is usually very good, with about you paying around $400/month out of pocket for your family with a low/no deductible plan. That comes out pre-tax, so the true cost is lower, depending on your tax bracket. The end result is that insurance ends up being significantly less than 1% of your income at that level. That highlights the main problem with health care in the US, which is that your quality of care depends entirely on your employer.