Oh I'm European so I know both sides. The US healthcare system is a mess, with the for profit system and all the insurance companies, not to mention high costs. The fact that more money is spent on healthcare in the US but health outcomes are worse than in Europe is pretty damning. Had a friend who was a doctor from Australia say she had to leave because although the pay was way better the system just sucked so hard dealing with insurance etc and having patients who couldn't afford their care. Also people are not friendlier in Boston, you'd want the Midwest or south for that. Just search this sub for the many posts about "why is it so hard to make friends here".