These types of jobs come with the best health insurance.

I'd be surprised if most people at microsoft paid more than $100 a year in health expenses.

Microsoft, just like everyone else, has a High Deductible plan. As American healthcare plans go, it's fine, but if you need to go to the doctor at all expect the first few thousand to come directly out of your pocket/Health Savings Account.

Conversely, they contribute a certain amount to HSA every year. So, depending on how much one needs, it's quite possible for none of it to have come out of your pocket.

Google and Microsoft both give you $1000 in your HSA to offset that. If you don't use it, you get to keep it. Deducitbles are $1400 now, so still you pay max $400 + 10% of how much you go over till $2800. So around $540. Which isn't bad at all.

Conversely the employer and employee national insurance contributions for my salary are over £22,000.

What is that the converse of? Parent post was talking about deductibles, not premiums.

Premiums are about $12K for singles and $25K for families.

FANG aside, Americans make more than any other country in the OECD on median, after adjusting for healthcare and education benefits and government transfers.

https://data.oecd.org/hha/household-disposable-income.htm

Your deductibles and HSA contributions will be lower than my National Insurance contributions yet alone the employer ones and considerably so.

As a “high” (by UK standards not US ones) income earner in the UK the “cost” of your health insurance/benefits would be considerably higher than the cost in the US but the benefits won’t be dependent on your continued employment.

The reality is that the compensation in the UK/EU is overall rather pitiful especially when you account for the higher taxation and the employment costs to the employer are much higher which is one of the main reasons for the lower salaries rather than the employers don’t need to cover benefits.

For a taxable salary of £115K which is on the higher end of what you can get in the U.K. these days the employer NIC is £13,885 that’s 10% contribution on top of the salary alone the employee is then pays over £6000 in contributions also.