These US healthcare systems are effectively scams. Yes in theory they can save you money, however in theory there is no difference between theory and practice, while in practice there is.
What’s funny is that, if you’re rich enough to take advantage of it, the advantages that it provides are kinda small potatoes, especially considering the BS paperwork they require.
That is true. But if you are rich enough to take advantage of it, you aren’t necessarily handling your own finances personally. This doesn’t mean you are a billionaire, merely a <10millionaire or “middle-class” as the Democrats would say. The same people who were clamoring for pell grants for entrepreneurs who operate a business in a disadvantaged area for 3 years. Or the people who can afford to “run” a non-profit while they are attending Harvard or whatever.
Basically if you don’t need it, it’s trivial to benefit from it.