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I think you might have some misconceptions. The difference in take home pay for devs is quite large between the US and Europe and you can still get insurance with pre-existing conditions in the US with an out of pocket maximum much smaller than the difference in pay.

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The difference in home pay from a developer in Europe and one in Italy is already very large.

Crossing the border from Italy to Europe means 2-4x the salary. Crossing from Europe to North America means another 2x (or more, it depends)

Where do you think Italy is?

In the 1960s

I meant from a developer in European Union "not in Italy". I'm Italian, I'm aware of where Italy is

Working as a developer in NL, Spain, Germany, Poland, are all vastly different propositions and involve very different salary ranges.

Of course!

I'm pointing out that if you cross the border, it is easy to find dev jobs that pay a lot more than italian jobs. Salary in Italy have been stagnant for over 10 years (more now. Haven't looked at the job market in a while). At the time, it was 30k gross vs 70k for positions in Germany (and some 90k too, i assume those were outliers).

A few of my friends moved to Iceland and hit those salaries (and more) without troubles

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