The last time Blue Cross of Nevada bothered to offer a quote for premiums, they wanted $1,500 a month, a $20,000 annual deductible, and would pay 80% of all medical expenses up to a maximum of $100,000 -- for my lifetime. That was in 2001. So, when the fortunes of fate offered the opportunity to become a Spanish Resident I hired the best Dyke-on-a-bike attorney in BCN, filled out the appropriate papers and have been thrilled to pay the 38-42% income tax on business income charged to our little Sociedad Autonoma every year.
Whenever I fly back to the States, I pay 350€ for every 30 days I'm in the USA to a private EU insurance company to cover me for catastrophic coverage AND to get me back to Spain.