In the US, someone like a programmer would get their health insurance paid for by their employer as additional compensation on top of their already much higher salary. The vast majority of Americans either get health insurance through their employer or are retired and are eligible for Medicare. Employers on average pay 82% of premiums for a single person, leaving on average $1,200 paid by the worker. For someone like a programmer, it’s common for employees to pay the whole premium. When you look at US salaries, that additional compensation is on top of the reported salary. So although health insurance is very expensive, you’re mostly not paying it out of the reported salary.