Of course this could just be due to my current project being particularly favourable, hence my interest in start-up ideas to try once it ends...
But the "free" healthcare makes it a tough decision.
Personally I wouldn't want to work in the US right now. The worker protections are practically non-existent (advantageous if you own a company but if you work for one, not so much).
Health care has always been problematic in the US but I suspect by your comment you mean that you don't like that you have to have it now. Not having insurance would be an insane level of risk to put on your family (especially when coupled with the risk of a start up). One of the bigger mistakes the US did with health care IMO was letting companies pay it for the employees. That creates a terrible lock in incentive and removes health care from the person's budget so when you do wish to try something else (e.g. a start up) you're not prepared for the sudden jump in expenses.
Personally, I realized that (a) I can't live with the idea of working at a big corp until I retire and (b) if I wish to remain married and connect with my kids (you only have 10 years!) I don't have the time to do this on the side. Given those two truths I decided to lock in our expenses (i.e. making more money doesn't help my goal if we just spend it) and switch to consulting. As a consultant I make enough that I can periodically take 6 months off to give my start up ideas another go. If the business gets some traction then maybe I can stay off longer than 6 months. And as a consultant I don't have to "quit" when it's "working sabbatical" time.