I work as an engineer in America and yea.. that’s totally not how the math works. Healthcare expenses are largely covered along with the much higher pay and lower taxes. I think my out of pocket cost last year was negative after hsa contributions from the company.
If you're productive and then get sick and get fired for being sick, by the time you die of lack of access to healthcare you had become poor. So you see, nothing bad happens to the good useful people!
You have cobra coverage until you go get another job, which is something you absolutely have to do regardless. If you have an hsa, you’ll still have a bunch of money in there, too.