Oh, it is difficult to overstate just how broken the system is until you've experienced it and a more sane alternative (my daughter was born here in the US and

Oh, it is difficult to overstate just how broken the system is until you've experienced it and a more sane alternative (my daughter was born here in the US and I'm Canadian). However, from a lifestyle perspective of a great programmer it's a non-issue. Once a person has an H1-B it is trivial to change companies. So even though technically you're tied to an employer (visa + healthcare), in a city like SF where a great programmer can get a job in a day (literally), it's a total non-factor. But seriously after experiencing the american healthcare system a couple of times the only phrase I can use to describe it is "pure evil". I can pay my way out of that pure evilness, but it is evil that 99% of people can't. So I can totally understand if you don't want to be a party to that system for moral reasons, but that's a lot harder to be consistent about.