On way the American government disincentivizes hiring Americans: If I hire a remote US employee, I have to pay payroll taxes, their healthcare, and may deal with multi-state nexus issues. If I hire a remote foreign employee, there are no employer side payroll or tax issues.
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I agree that Germany is atypical and tax evading countries are more typical. But i don't think the overall tax burden is less in Germany even though healthcare specifically is cheaper.
