> In both Germany and Switzerland, health insurance is mandatory and not employer-based - so you cannot simply say "no". In fact, in Germany you pay much more than in US as a share of your income, especially if your income is at least like 30% more than a national median: 1000+ EUR is a minimum per person per month (probably higher today). It doesn't cover dental care - you will pay in full - that's why many people travel to Turkey, or Eastern Europe, or to Baltic countries - just to take some dental care - which is extremely expensive in any German speaking country - we are talking about multiple months of your income after taxes.

By that definition someone making the equivalent of $100k in Germany could be “worried about healthcare”. And in many countries with public healthcare, people are worried about paying for access to better private healthcare.

So by the metric of “worrying about healthcare access” almost no one is above the poverty line.

There are people in the US making $100k who are genuinely worried about healthcare access. Say someone who retires early at 55 and has enough savings to provide $100k income but is 10 years away from Medicare. But acting like it is at all remotely normal for a single person making $100k to lack healthcare access or to be “living in poverty” by any objective measure is absurd.