[1] https://www.canada.ca/en/revenue-agency/services/tax/individ...
[2] https://www2.gov.bc.ca/gov/content/taxes/income-taxes/person...
[1] https://www.canada.ca/en/revenue-agency/services/tax/individ...
[2] https://www2.gov.bc.ca/gov/content/taxes/income-taxes/person...
[3]: https://en.wikipedia.org/wiki/Sales_taxes_in_British_Columbi...
[4]: https://en.wikipedia.org/wiki/Sales_taxes_in_the_United_Stat...
The ACA is effectively an extremely large tax on the middle class.
And yes, if you get a significant amount of care, the out of pocket can be several thousand.
Anecdotally, my tech-industry employer (disclosed in my profile) offers only one health plan. Always $0 employee contributions for the employee and dependents and no more than $200/month for the employee's partner.
For in-network: $0 deductible, 0% coinsurance, copays are either $30 or $50 for office visits, $250 copay for ER, and standard $15/$40/$75 tiers for drugs. Out of pocket max is $3k for individual / $7.5k for family.
Given the $0 deductible and 0% coinsurance, it would take a very high number of office visits (at least 60 for individuals or 150 for families) to hit the out of pocket cap. For healthy families, it's fairly difficult to spend more than a few hundred dollars on health care (dental/vision plans are similarly generous).
An interesting example the legal documents provide is pregnancy. The stated cost is $12,800 but the expected out of pocket cost is $60.
Sales tax is 12% (5% federal, 7% provincial) on most products; basic groceries and rent are the most significant exemptions. Federal payroll taxes are 10.2% (pension) + 3.8% (unemployment) on the first ~$55k. BC has a 1.95% payroll tax (nominally earmarked for health care) with a small-business exemption.
Canada has payroll taxes too, so you'd need to add those in as well.