One thing that's hard to understand from the outside is that almost nobody actually pays those mind-blowing $60K/year tuition prices. US universities charge on a sliding scale based on the applicants' families' ability to pay.
For an extreme example: Harvard's tuition is nominally $60K per year, but for families earning $200K or less it's $0. Many prestigious universities follow similar patterns resulting in a large percentage of students paying no tuition, the middle ground of students paying some fraction, and a small number of students from wealthy families subsidizing everyone else.
For those who don't attend the prestigious universities with large endowments, average in-state state-run University tuition is under $10K, though again a large percentage of students receive some form of aids or grants to bring that number down even further.
That said, it's entirely possible or someone to go out and sign up for bad investment private university with no aid and rack up $300K of debt by graduation if they're not paying attention to anything, but it's a myth to think that everyone does this.
The average US college student graduates with around $30-40K debt depending on whether they go public or private, which isn't all that hard to pay off when our wages are already significantly higher than other countries. We're especially lucky in tech where our compensation differential relative to other countries more than makes up for the cost of university education.
(I don’t mean to belittle your comment about universities which is factual and helpful. I’m just pointing out that US education system is just as fucked up as the US healthcare system the OP is talking about.)
Even people in the US don't understand why those $200K hospital bills aren't real.
Insurance providers (including government programs) have a fixed limit for what they pay for procedures. They pay min(billed_amount, allowed_amount) so providers don't want to risk leaving money on the table by having billed_amount < allowed_amount. To ensure this doesn't happen, they bill an arbitrarily high number with the expectation that insurance will lower it down to some much smaller number.
So every time you see posts on the internet where people talk about their "$200K hospital bill" they're always talking about that arbitrarily high value. If you have to pay cash for some reason, they will reduce the value to the cash pay amount which is in line with the insurance paid numbers.
Nobody ever pays those high hospital bill amounts.
An FSA really has nothing to do with an HSA.
If you have a FSA I strongly suggest that you get an HSA instead.
https://www.fidelity.com/learning-center/smart-money/hsa-vs-...
I have the paranoid idea that they designed FSAs in such a goofy way for budget scoring and it drives me nuts.
Which should be illegal. It should be only HSA across the board. Its nonsensical that this is a thing.
I'd love an HSA, but I can't due to my plan (can't do a high deductible plan for $reasons).
I think there may be some loophole in setting up an independent HSA but I haven't looked into it enough, only recently heard of such a scheme
Heck my (prescription) meta ray bans were paid for in part with FSA funds.
Doesn't read that way to me.
So, yeah. Little bit.
"If you have a FSA I strongly suggest that you get an HSA instead."
Did you mean to reply to them?
My post does seem a bit weird after their edit but at least one person learned something.
More or less all high income earners who do not have a chronic health issue are better off choosing a HDHP paired with a HSA - especially if the company provides any sort of matching benefit. Keep that account as an additional retirement account and pay out of pocket for most healthcare needs.
Think of it also as actual insurance vs. a pre-paid health plan.
The math of course changes for folks who are not highly paid, or have expensive chronic health conditions that would result in maxing out the deductible each year.
You are likely thinking of a FSA which is use it or lose it.
In the medical context, the only contract in the picture is possibly between the medical provider and the healthcare management organization. It would be fine if providers only sent the fake bills to them as they're both willingly playing this perverse game.
But the problem is when they send their fake numbers to patients as if they're some kind of legitimate bill. Medical bills to patients are presented on a "cost reimbursement" basis - helping you cost them this much, so you are responsible for reimbursing them. By inflating the numbers 3-5x they are straight up lying about the costs they incurred. That's fraud.
Why do 41% of Americans have some form of medical debt?
https://www.kff.org/health-costs/kff-health-care-debt-survey...
Personally I think the government should get out of the business of these loans, fully fund state schools to make them all free, and let the private schools and the private banking market deal with the rest of it. We were going down that path in CA until Reagan killed it when he was governor. [1]
[1] https://newuniversity.org/2023/02/13/ronald-reagans-legacy-t...
https://en.wikipedia.org/wiki/Public_Service_Loan_Forgivenes...
IIUC, there was a bit of a scandal where the companies the DoE where paying to manage those 10 year forgiveness plans where giving incorrect advice and so a lot of people aren't going to qualify.
https://oag.ca.gov/news/press-releases/attorney-general-bece...
Of course we can blame them for taking $60k out for studying something that will never get them a good paying job, but these are 18 year olds. I was lucky in that my parents are immigrants and were like "absolutely not, this is crazy, go to the flagship state school and study science". I paid off my $24k in loans in a couple years. Many didn't take that path.
[1] Bloomberg archive link: https://archive.ph/IBuzw
As someone from a country (Sweden) that to a larger extent has decreased people’s reliance on their families, and grown the welfare state instead, it’s weird to think that your parents wealth or income should have any impact on things like tuition, once you’ve reached the age of majority
Once I finished high school, my parents had nothing to do with my business as far as any institutions were concerned, and vice versa. But uni was tax-funded and free at the point of use. And when they get too old to care for themselves, it will likely be the government supporting them financially, not me (unless I strike it rich first, in which case I suppose they’ll spend their sunset years in style)
I'm not saying the European system is bad. Certainly there's a lot to complain about with a system that asks 18 year olds to make life-defining decisions about both their career and their financial prospects. But the differences do go beyond whether or not you're on the hook for your tuition.
It seems like these are unrelated issues.
Does the wider freedom of choice in US education somehow cause college to cost more? Because more people want to go?? I don’t get it.
> Europeans solve these problems just by caring more about human values
Sweden has higher gross enrolment in tertiary education than the US, and a larger proportion of older students (people who go back later in life to progress their education or change paths)
I’ve heard that in countries like Germany people are often ”locked in” by choices they’ve made at an early age. There’s an element of that in Sweden too (more vocationally-focused high school programs may not give you all the courses that you need to enter all university programs), but that is not too onerous to overcome if you change your mind later (you can do ”foundational studies” to bridge the gap, or just sit exams to prove that you’re qualified)
Edit: but it’s maybe also to your point that universities have limited seats, just like everywhere. Maybe your high school grades or score at the equivalent of the SAT aren’t high enough to study mathematics at the top-rated institution even if you’re qualified, because there are too many people ahead of you. But you will be able to go to uni somewhere to study something
Also talking about Germany, unless things changed dramatically in the last few years, most natural sciences and engineering degrees don't require a grade point average.
This is such a weird excuse for bad policy. Making more money[0][1] somehow means its okay to saddle students with an average debt of $30-40 thousand dollars. A downpayment on a first home would be a much better use of that money, for example.
Really, the average US citizen is nickel and dimed to death with this sort of thing, from health insurance, to dental, to lots of other required but not accounted for as required costs (like cars and associated car insurance).
Not to mention, we have little safety net in the US, you're really going to hurt if you have a bad run of luck after job loss. No qualms in allowing people to become homeless as a matter of policy.
If someone were to ask me, I would say that we in the US have it completely backwards in respect to how the average citizenry is expected to live. Its not thriving, its constantly having some kind of lingering potential disaster to plan for.
[0]: which I sincerely wonder about the true veracity of this statistic
[1]: Don't forget too, that more and more struggle to pay their student loans each year and the trend has generally been that its getting worse, not better.
The implicit policy that student loans are an acceptable and benign form of debt for the average citizen. Everything said after is predicated on this idea.
I don't think thats good policy.
This is not true at all.()
You quote tuition at the school with the highest endowment in the country. The college cost situation is absolutely still high at the less endowed second tier, and “ordinary” (non-generational wealth, two full time earner) families are paying full price.
() Except in the sense that “almost nobody” goes to any of these schools, comparing to the 50k enrollment at large public institutions.
This is an extremely important point that keeps getting ignored. People keep comparing _public_ schools in Europe to _private_ schools in America.
To further your point, just about every place has a community college where you can do the first two years of your education for about half the price of the state school. The total tuition for this route (2 years at community college, 2 years at a state school) is going to average just under $30,000 for 4 years. Which is definitely in the "work your way through college" range.
And this is before any financial assistance, which the majority of students receive.
Foreigners talking about how crazy expensive college is in the U.S., but they're likely mislead by people who took out large loans to go to extremely expensive private colleges. There's an easy way to stop this kind of debt - don't allow federal loans for private institutions. But no one is really interested in stopping it.
Not necessarily the case. In Sweden private schools are paid for by the government, assuming they have been approved by the CSN (central agency for study-support(rough translation))
I don't know how that works in the rest of Europe, because I've never studied outside of Sweden. But in Sweden it doesn't really matter if the school is private or public. The only instance you have to pay yourself is if the school isn't sufficiently good to pass muster.
Also, again in Sweden at least, but possibly other parts of Europe as well, the tuition isn't effectively $0. The government will pay any student enrolled in higher education a monthly support. Back in my day it was 10k SEK per month (roughly 1000usd), no strings attached. Not sure how it currently stands but I imagine it hasn't changed much.
This money is meant to ease the burden on students, so that they can put more focus on studies.
"Working your way through collage" over here means you'll have a 20% job to pay for your cost of living minus the 10k SEK mentioned above.
The difference in cost of study is quite real, even taking your comment into account
Granted, none of the top universities in my country even makes it to the top 500 in the world, so maybe this isn't a completely fair comparison? Actually, it's expensive by some other EU country standards - public schools in France and Germany, including PSL (ranked 28th in the world) and TUM (ranked 22nd), are free for all EEA applicants, with some nominal yearly registration fees (amounting to $1k in total for a 4-year degree). A more expensive school, like ETH Zurich (rank 7 in the world), is $4500 total for a 4-year degree if you're a Swiss citizen or EEA citizen with a Swiss work permit; it's triple that for an international student.
So yeah, when we say "university is crazy expensive in the USA (and probably UK too)", we're actually talking about the $30-40k numbers you're looking at. $200k and so are almost inconceivable to us.
That's the cost over 4 years. Most people will be able to get financial assistance to help pay for that and you easily manage to make 30k (or less with grants) in 4 years to pay for school. People making below 35k per year are going to pay practically zero taxes. You can work about 15 hours a week making $10 per or full time over the summer to pay for that.
There's no need to take on any debt.
People in the US make considerably more money than those in the EU and, generally pay less taxes so there's a lot more disposable income available. I think people here prefer to be able to just get what they can pay for rather than hope the government will let them pursue the education they want (there are aptitude tests and quotas in some EU countries).
It's not really better ir worse, it's just different.
Sure, if you're a brilliant young mind and can get into Harvard and qualify for assistance with your tuition, you're set for life, basically, in a way no EU university can match. But for the vast majority of the population, the outcomes are significantly better with the EU system.
Also note that the gigantic tuitions at US universities are actually a relatively recent phenomenon (and a similar thing happened in the UK). Even in the 50s and 60s, tuitions were much closer to the current EU norm.
Of course, there is some room between these extremes, especially for unpopular subjects where you hardly even get enough students to fill up a professor's time. And in those cases, you'll also see that EU systems will essentially accept anyone. Typically, for uncompetitive universities and subjects (majors), the only condition is to have passed (gotten at least 50%) for the local equivalent of the SATs - a very low bar.
I went to a 2nd tier in-state school 20 years ago and even that cost 10k a year by the time housing, food, and books, were paid for.
Plenty of people who can barely avoid it end up paying a large chunk of $.
While healthcare is brought up all the time this is usually ignored. The idea of parents saving a 'college fund' for their child is something I only know from movies. It's such a strange idea that access to education would be something you either need to be able to afford or need to get a 'scholarship' for (another strange concept).
Like most things learned from movies, you're not getting the full picture. Most US universities charge on a sliding scale based on family earnings. For larger universities, tuition can actually be free depending on parental earnings. At the extreme end, some Ivy League universities like Harvard have $0 tuition for families earning less than $200K/year.
We also have community colleges and state-run universities with subsidized in-state tuition. It's still more expensive than free, but the tuition is in the range where as long as you're smart with your degree selection the ROI of getting the degree will more than make up for any loans you have to take on. That said, you can get yourself into trouble if you take out loans to study for a degree that doesn't translate to a job.
(By way of policy bona fides: I'd strongly support forgiving student debt for all for-profit schools, but would oppose forgiveness for degree-holders from universities, which would be a sharply regressive policy).
https://www.admissions.illinois.edu/invest/tuition
This claims $21k per semester:
https://cost.illinois.edu/Home/Cost/R/U/10KP0112BS/15/120258...
Directly from the page:
> Illinois Resident
> Tuition & Fees: $18,046-$23,426
> Food & Housing: $15,184
> Books & Supplies: $1,200
> Other Expenses: $2,500
> Total: $36,930-$42,310
I literally looked at the exact school you used in your example and you are just wrong
Shortly later
I also think you might have to ask around to find a student paying full price for books.
And which today must be read via internet archive
https://web.archive.org/web/20200404172130/https://likewise....
Basically explaining to Armenians at home why their relatives who moved to America don’t send better remittances back home despite their $X pay rate. Here’s why …
Ha! I wish. It's not free. You will pay the same that Americans pay for Uni over your life many times over since tax rates in the EU are really high. Healthcare isn't exactly cheap either.
And everything you wrote is just the result of decades of prosperity that are now coming to an end. This will be a shock for many.
That's very subjective, and I would rather have my freedoms instead of your/their liberties, thanks!
Also, please don't tell me you live in a major city/vote Democrat/are probably white with a savior complex.
I already know.
I wouldn't be surprised if this changes in the future, I am talking about the period of my life to date.
And what they're saying is that this isn't just an indication of how awesome the US is compared to other places, but also of how averse Americans are to learning other languages compared to other people.
Americans in general don't speak as many languages as Europeans because they already speak arguably the most useful language. I've lived in 20 countries, and in every single one for them I've been able to find someone who speaks English. People are so ingrained with the need to know the language that I've actually met people who are embarrassed about their English talking to me in their own native country.
If you grew up speaking Greek, Romanian, or even something like Italian, this absolutely would not be true. Maybe you could find a person or two to talk to, but definitely not dozens casually in everyday situations. So you have to learn multiple languages by necessity. And since European countries are so small, close together and all have their own languages, you also end up picking up your neighbors languages.
No. Yours is uncharitable because it has got nothing to do with how many languages you speak. This is not a multiglot competition. The only point being made is that someone with a fair amount of American exposure will have a head start emigrating to America compared to say an American to Latvia. Or France. Or Germany. Just on the language front in isolation/alone.
> Americans in general don't speak as many languages as Europeans because they already speak arguably the most useful language. I've lived in 20 countries, and in every single one for them I've been able to find someone who speaks English. People are so ingrained with the need to know the language that I've actually met people who are embarrassed about their English talking to me in their own native country.
Here’s an alternative explanation. These people were so gracious and willing to communicate with you, a foreigner, that they were flustered and embarrassed that their command of the English language did not allow them to express themselves as clearly as they could. Or maybe they were really just embarrassed to have insufficient command of the Master Language, I don’t know, maybe your version is correct.
> If you grew up speaking Greek, Romanian, or even something like Italian, this absolutely would not be true. Maybe you could find a person or two to talk to, but definitely not dozens casually in everyday situations. So you have to learn multiple languages by necessity. And since European countries are so small, close together and all have their own languages, you also end up picking up your neighbors languages.
For someone having lived in twenty countries you seem as wordly as a North Dakotan having travelled abroad three times. All to Winnipeg.
I was referring to this specific part of the comment I replied to: "Americans are averse to learning languages as opposed to other people". My response is a very accurate explanation of the reasons why this is a) an unfair way of looking at things, and b) not unique to Americans. What aspect of my response is uncharitable? I'm not saying things should be one way or another, just explaining how they are.
"Here’s an alternative explanation. These people were so gracious and willing to communicate with you, a foreigner, that they were flustered and embarrassed that their command of the English language did not allow them to express themselves as clearly as they could. "
The situation I described has occurred to me more then once, even after I tried to communicate in the local language. English speaking is a flex in a lot of the world and poor English is embarrassing. The desirability and prevalance of English may upset you, but it is objectively true. You can get English teaching jobs and find plenty of English speakers all over the planet. The same is not true for any of the other languages I mentioned in my post.
"For someone having lived in twenty countries you seem as wordly as a North Dakotan having travelled abroad three times. All to Winnipeg"
Lmao, why are you so angry? I grew up in Australia and south east asia.
Okay that’s fair. I glossed over that part.
> The situation I described has occurred to me more then once, even after I tried to communicate in the local language.
Your interpretation of the chain of events perhaps.
One person goes to a country and meets kind strangers. “Wow, these people are nice to strangers”. Another person has the same experience. “Wow, these people must love me or X attribute.”
> English speaking is a flex in a lot of the world and poor English is embarrassing. The desirability and prevalance of English may upset you, but it is objectively true. You can get English teaching jobs and find plenty of English speakers all over the planet. The same is not true for any of the other languages I mentioned in my post.
I’m very upset that I speak English fluently. It really inconveniences me. fs
> Lmao, why are you so angry? I grew up in Australia and south east asia.
Do you know what a comparison is? I did not call you an American. There’s no reason to take offense.
If you go to a place that views western culture through a looking glass and is trying to learn English to progress to a better point in life, English is cool, speaking English is cool. Not saying that is a good way for things to be (or that literally every person you will meet will have this mindset), but that is how it is for a significant portion of people.
"Do you know what a comparison is? I did not call you an American. There’s no reason to take offense"
I'm not offended, but your remark was a) clearly intended as an insult and b) demonstrated that you were likely stereotyping me on a very particular way, which runs completely contrary to my actual experience with these matters.
> > In Spanish, the Diccionario panhispánico de dudas (English: Pan-Hispanic Dictionary of Doubts), published by the Royal Spanish Academy and the Association of Academies of the Spanish Language, recommends the genderless term estadounidense (literally United Statesian)
https://en.wikipedia.org/wiki/Demonyms_for_the_United_States
> , but to clarify what I mean
You’re restating your point while not responding to the point that OP brought up.
The reverse is not true. European nations aren't very immigration friendly by comparison. On top of that, the US government, assuming you keep your citizenship, does not make it easy to live abroad. US government tax policy for citizens who live overseas is much more aggressive than any other western country, from what I understand.
Combined with the fact its alot harder to go the other way, and the US government does a fair amount to discourage it, I'm not shocked more US citizens aren't moving to Europe.
[0]: At least before Trump returned to office, I'm unsure how much of this has changed.
> The US has for a western country, relaxed standards for immigration
My comments will only concern skilled migration, e.g., you are a computer programmer or something STEM'ish and you want to work in a different country.First, let's start with the "Anglo-American sphere" (my term): US/UK/CA/AU/NZ. Of those five, US is the hardest to get a working visa for skilled individuals. The rest are "points-based" system where you can apply for a working visa even before you have a job (95% sure about this -- pls correct if wrong). They are much more friendly. Also, the rules are simpler, clearer, and applied more consistently.
I know much less about other OECD-level (and G7-level) nations, but anecdotally, overall, the process is much more straight forward compared to the US. What the rules say, the rules do. Not so much in the US where they randomly delay or reject applicants without good reason. (Also: Google to find horror stories of what happens when you lose your job in US as a foreigner who does not have PR. Fucking nitemare.) You hear this much less in (to name a few): Ireland, UK, France, Germany, Belgium, Netherlands, Denmark, Norway, Sweden, Finland. (I don't hear as much about Portugal, Spain, and Italy, but quality of life looks awesome!) All of those countries are wealthy, highly developed and have excellent quality of life. All of them welcome skilled migration and have clear programmes (you can Google about them) to get a working visa. Again, strictly anecdotal: The US immigration system is much more adversarial compared to all of the other countries that I mentioned. Oh, and I forgot to add Japan: After PM Abe changed the rules, it is way easier these days to get a skilled worker visa in Japan.
Last point:
> European nations
I see this over and over again on HN. I want to repeat: Europe is enormous -- like continent-sized -- with ~50 countries. It doesn't say much to say "in Europe". Are we talking about Belarus, Albania, Germany, or Italy? All of them are culturally and economically much more different than anything in the US (comparing US states / regions). Immigration/healthcare/public school/public safety/retirement all looks very different in those nations. Advice: It's better to say something like: "the Nordics" or "Benelux" or "GBR/FRA/GER/ITA" (the four economic giants of Europe). The best comments are when people comment about specific European nations, like "I lived & worked in Belgium for 7 years and this happened."This circumvents the original predicate, which did not have such a limitation. I know many countries have priority / helpful pathways for STEM career individuals as well as capital investors, but that wouldn't apply to everyone.
Even the US has very different pathways to citizenship depending on various factors. Last time I looked into it as research in depth, there alot of common limiting factors across Europe. Their policies are much more strict once you dive into the nuance.
That said, the US immigration landscape is extremely lopsided, thats a fair point.
>Europe is enormous -- like continent-sized -- with ~50 countries.
I realize, though as a US citizen I also realize that when most US citizens say this, they mean a much smaller contingent of countries, rightly or wrongly. I'm sure Europeans dislike how loose we use the term, but as a US citizen, it usually means cold war boundary countries, so Germany and what was considered western Europe before the iron curtain fell. Thats been my experience. People also generally forget about Portugal and a few island nations. Its a safe bet most people mean the Nordics, France, Germany, the UK, Netherlands and Denmark most of the time, conceptually.
However to be specific, France, Germany, Switzerland, the Nordics, all have strict general requirements to have a path to citizenship. I don't think the average US citizen would be able to meet them.
That alone is enough to put most people out of grasp of doing this, for a multitude of reasons, of which not having the capital is only part of the equation, as you would also need to have a suitable investment on the other side to put said money, not a promise. I'm sure there are other nuances involved too.
Thats before the fact that the cost of a house in California would price most people out of the equation to begin with.
If 50% of Americans spoke Polish by the shake of a wand, I bet there’d be more Americans in Poland than Poles in Poland.
I could see that the appeal of Ireland can be increasing and Poland sounds cool. I'm not saying that the USA is great, it has tons of problems.
UK numbers yes, though maybe gloomy weather plays a role? Just kidding. That said, Brits are slightly more likely to move to Spain than US despite it being a tiny country in comparison and not necessarily easier to move to after Brexit.
Spain, not sure. It’s tricky to compare since non immigrant Spanish speaking population in US is probably significantly lower than Spaniards speaking English. But yeah, you probably have a point on that one.
Spain’s entire population is 48 million.
I have never met an American that migrated to Spain.
What language do you think Germans and Spaniards use to do commerce with each other? There needs to be a common language, there’s no bandwidth to learn all languages, so due to historical and modern reasons, English prevailed.
Re Australia, Australians have highly preferential options to move to US which is not reciprocated.
In software the money difference you still end up ahead of where you would be on an equivalent salary in the EU. Also last time I was considering a move to the EU job market was weaker than the US. Also you still need to get all the necessary work visas which aren’t automatic. Even as a dual citizen I can’t just show up to work at a company in the EU.
People only live in one unvarnished (more or less) reality at a time. Americans live in America and get told stuff about “Europe”; Europeans live in Europe (or their respective countries if we want to get anal about it) and get told stuff about America. Only a very very small number of people get to live in multiple places and for long enough stretches of time to be able to compare them pretty fairly.
In what kind of dream reality do people come to have such perfect (I’m being hyperbolic) information about other places that they then are able to base their move-or-not decisions on? This is just not reality. People know what their own place is like. They “know” other places through propaganda, mostly.
But Americans are so propagandized that you have to teach them about their own propaganda.
Many (most?) European countries have private healthcare systems. Switzerland has it and offers some of the best healthcare in Europe and in the world. Similar systems work great in many other European countries as well. The problems with American healthcare are not because it's market-based, it's because how that market is managed.
Some other countries have public universal healthcare. It can work well, but it requires a high-income country with both wealth in abundance and significant government efficiency. It only truly works well in Scandinavia so far. This is not "socialist healthcare" as some will dubiously claim, it's sort of the opposite, which is why it works.
University isn't near as big of a problem. That's not something the blindsides you like health care expenses. Nobody is making you spend $300k on university. Got my engineering degree at a public university for ~$100k in total and had it paid off 5 years after graduation. But a $195k hospital bill is something I'd never be prepared for. Nobody chooses to go to a hospital.
There are still reasons why high university costs can be a problem. Teachers, for example, don't get paid near enough to be able to cover university costs in a few years like I was able to. But becoming a teacher requires just as much investment.
But even then, the cost of college loans is far more manageable for even teachers than an unexpected $195k visit to the hospital. University cost is a problem in the US, but I don't think it's comparable to the problem we have with health care costs.
Not to mention, I also gave the example of the tuitions for a Swiss university, and Swiss salaries are typically at least comparable to US salaries, even in CS.
The full time tuition rate at the university I got my engineering degree from is currently $11k /yr. I can't imagine that's even 10x a typical EU university - let alone 100x.
My local community college's full time tuition is currently $5.8k /yr. Either way it's a lot of money, but lets not exaggerate things too far. We're worried about affordable access to education here - not getting everyone into Harvard.
Let's say that's unfair, since the state pays your tuition (though this is the common experience for most French students!). In Amsterdam, one of the best universities in the world, TU Delft, charges €2k/year tuition. Your tuition was less than 10x this, true, but not that far from that. Also, for a common 4 year bachelor's degree, that's €8k in total - your $100k total is more than 10x this.
Again, it's too much. But it's not comparable to emergency medical bills without insurance.
Is it? I pay 13.5% of my income as healthcare 'tax' for public healthcare. Overall, it is cheaper than US healthcare (as a percentage of GDP), but individually it is still a significant expense.
Yes, in USA you get much more money, like you said 2x~5x, but then:
University is expensive as fck. Health care is expensive as fck. You have 5 days of paid sick leave per year in most companies. You have 10 days of paid holidays per year in most companies.
In contrast, in Europe: University was cheap or free. Healthcare is cheap and universal. If you are sick you are sick, either the company or the health insurance pay. You have between 20 and 30 days of paid holidays.
This is why quality of life in Europe, is so superior. And again, I am saying this as a non-European.