Comment by Retric
4 days ago
In a hypothetical universe with different laws people would make different decisions, like abandoning the US. But you’re asking about medical conditions which rarely apply and laws that don’t exist. That’s not a failing of FIRE for the vast majority of people.
Further FIRE doesn’t mean crap if you get something serious and die at 23, that’s just the reality of human existence.
People didn’t abandoned the US before the ACA was the law in 2011-2012. And if there were an influx of US citizens to foreign countries, I can guarantee you other countries wouldn’t be as welcoming.
There are plenty of conditions where the difference between life and death is being able to get health care
Some did. The US expat community has been quite large for decades.
Most people didn’t do FIRE style early retirement while dealing with pre existing medical conditions. There however was plenty of expats pre ACA who very much left the country for early retirement.
US healthcare is ruinously expensive but on average it’s not particularly good if you’re in the income bracket where 1/4 million over a few years is a serious issue.
There is absolutely no significant number of Americans who left without ties to other countries. I find it rich that Americans who leave the US call themselves “ex-pats” instead of “immigrants”
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