Health care in the US is effectively a corporate tax and should be labelled as such.
If you want to compare the real costs and benefits of starting a business you need to compare like for like, which includes all national, state, and privatised taxes and other indirect costs.
When you include those the reality-based answer is that the US fares relatively poorly.
Which is why the US has a more aggressive VC sector. Whether by accident or design start-ups are forced to look for outside funding far earlier, and bootstrapping is far harder.
The result is more of a monoculture that chases unicorns and less of a vibrant sector of independent small and medium businesses, some of which will grow into unicorns naturally.
If you want to compare the real costs and benefits of starting a business you need to compare like for like, which includes all national, state, and privatised taxes and other indirect costs.
When you include those the reality-based answer is that the US fares relatively poorly.
Which is why the US has a more aggressive VC sector. Whether by accident or design start-ups are forced to look for outside funding far earlier, and bootstrapping is far harder.
The result is more of a monoculture that chases unicorns and less of a vibrant sector of independent small and medium businesses, some of which will grow into unicorns naturally.