Many more "expenses" than just health insurance. Retirement, health insurance, business insurance (e.g. E&O), federal/state/county taxes, accountants (you need one), lawyers (perhaps), etc...that $200K/year salary dwindles fast (assuming you can maintain that year after year).
Don't know if the equivalent exists where you live, but in France you can work with a contractor that does all the administrative work and just pays you a salary. You don't have to worry about accounting, tracking payments, business insurance, health insurance, retirement, etc. as you technically don't own a business, but you're still a freelancer, choosing who you work with, for how long, at which rate, etc. You have a salary without having a boss. I've used this system a few years ago, pretty cool.
Many more "expenses" than just health insurance. Retirement, health insurance, business insurance (e.g. E&O), federal/state/county taxes, accountants (you need one), lawyers (perhaps), etc...that $200K/year salary dwindles fast (assuming you can maintain that year after year).