Great video Michael love the math, great way to look at it.

Great video and interesting perspective. What if you have pre-existing conditions or have cancer? Or a long-term disability that requires care all the time? Then I suppose the universal healthcare is probably a better deal for those people.

Paying out of pocket when necessary may be the cheapest solution long term depending on the country you're in

How would you compare the quality of healthcare in Portugal to let’s say Bulgaria?

The 30 min consultations, are they recorded so that I can refer going forward to crystallise any of the advice given?

As usual, you are not even in the right paradigm! 1) So the phone rings, and Doug my tennis buddy answers. Its Alberta Health wanting to know if he would like to come in for an appointment. "What the hell for?" "You told us that your shoulder hurts… " "That was TWO years ago. It does not hurt anymore!" 2) My mother developed a bit of an eye problem, probably connected with her diabetes. My brother the doctor made a quick call, she jumps the queue, and gets to see a specialist the next day. 3) My colonoscopy gets done by the Head of the Department at one of the best hospitals in Guadalajara, where I now live. Without doubt, he has told the junior doctors: "Cash business is my business! You guys can do the government work." 4) Russians used to be able to get potatoes, as many as they needed, for a fixed monthly payment. The Ruskies were feeding them to the pigs and making vodka with them. Economists know little, but the little they know, they know extremely well. And they know about "free goods", which feature zero incremental price. They can PROVE using curves and math, that "free goods" will be over-consumed, and bringing demand into alignment with supply involves Queueing and Personal Connections.
Therefore, Free Healthcare actually has negative value. Mostly, you get the queue while you suffer, and maybe die. Plus shoddy bureaucratic care on top, unless you have money and/or connections. And worse, Excess Mortality is up significantly, especially in highly vaccinated societies, almost certainly because spike proteins are poking holes in the endothelia of vital organs. So the queue gets longer, and the value of Free Healthcare decrements further. There is nothing in your video that hints at any understanding of these issues! Are you a bloody accountant? You certainly think like one! (Personal disclosure: PriceWaterhouse CA, 1982)

Thank you for this amazing video Michael! Do you mind mentioning which insurance you take in UAE? Thank you!

whatever healthcare is offered to you the end result is you must die between 60 to 90.death is inevitable and accept reality'
70 perecen health conditions improve with time. sooooo much texes……………

In Canada, the healthcare system is like the VA healthcare system in the US (second rate vs the good hospitals..I’m in the field) and when you get older, they ration some care (cancer after 75 = no surgery). I’m Canadian too and have aged relatives in Canada. There’s a good reason South East Asia has health tourism (much cheaper than the deductible on my U.S. insurance and good enough). Don’t let loosing the “free health care” boogie man stop you from moving. It’s a false argument. People who get the free health care always make it sound better than it is to justify why they pay more than 50% of their income in taxes.

Putin everything into context

Portugal has some of the best rated hospitals in the world. I would suggest going there.

Geo-arbitrage health care (i.e. permanent medical tourism) is totally different than being bound to one country's system. In the latter case, maybe Switzerland (or Singapore) is a good compromise between taxes and outcomes, for high earners at least.

There's also lifestyle factors to consider. Even with its old population, Italy always comes out near the top for health outcomes. The cultural focus is on family, healthy lifestyles, & preventative care. If you have special medical needs, however, Italy's system may be a nightmare. That may be the only case where the U.S. system is better.

As always Michael, thank you for the great content. I think some viewers expect country specific detailed analysis, and perhaps miss altogether that your valuable points and offered metrics are, in fact, generalizations based largely on your experience with a wide variety of clients.

Clients that can often times allow their fear and lack of information to distort "perceived benefits and cost" with reality.

Your US example is a great one. One of our family's larger concerns when evaluating renunciation was the provision for medical care, especially catastrophic scenarios (trauma, cancer, coronary, etc). We discovered and exercised options that provide excellent protection at a lower cost.

Your metrics is an excellent starting point for anyone to begin evaluating true cost/benefit analysis, rather than allowing unreasonable fear or presumptions to drive their decisions.

Thank you again for all your valuable content, Michael. We look forward to speaking with you again. Peter & Family

The Western population is getting fat and old. The healthcare systems, nationalized or regulated, are starting to fall apart.

There’s a good book about UK’s NHS “This is going to hurt”. Sadly the conclusion is throwing more money at the problem.

Wherever you go, the best thing you can do is to fix your sleep, your diet, and exercise.

In Latin America healthcare cost is up 40% y/y

I started to check the market, and found that a lot of companies charge extra for simple pre-existing conditions. If you've serious conditions like after a transplant, I doubt they'll even accept you as a client. The US is a disaster as to health care. So the best bet would be a country with a good, low-cost general health system like France or Spain and optimize taxes etc there. A low tax is worthless if the country's health care will kill you.

It's around 12 thousand a year for essentials health care in Dubai by the way, also you leave out of the calculation if you lose your insurance you die in a lot of countries but not those with universal health care, you are also paying it forward to help your society you live in, apart from your inaccurate numbers in western countries with universal health care you are paying for that either way and it is also subsidized by the government to an extent as they still use public hospitals, just private rooms etc for operation and long term treatment. 🙂

Theres no such thing as a free lunch!! For comparison I'm paying just under 300 CHF/mo. for a high deductible plan in Switzerland. Taxes are low here and I'm satisfied with the situation.

Do you know an insurance that helps you with infinity banking and also covers international travelers (nomads) also for not US person?

Watching someone's experience once, I learned that a whole lot of countries simply send you home to die if you need kidney dialysis past a certain age. Where in the U.S., for all kidney patients they automatically put you on medicare or medicaid, and there is no upper age limit.

The USA doesn't have insurance – at these prices, it's simply "pre-paid medical care."

Not sure what free or cheap healthcare is worth, but in my opinion this is the number one obstacle to recruiting quality people into a small business.

Fix your video title Michael! :)))

Free healthcare isn't free.