A new Socialized Health Care Technique Calls for Inhabitants Command along with Impressive Registries.
In a nationalized medical care system, you need to know who is who – otherwise the system could never be able determine who is entitled. The structure depends on how the system is established and designed, but with a nationalized medical care system you will be tracked by their state where you reside and the way you move in a way that is unseen in America. The nationalized medical care system becomes a vehicle for population control.
If you leave the United States and are no further a resident of their state, even although you are a citizen and might maintain a driving license, you will have to report immediately if you wish to avoid the 13% medical care tax. I take advantage of the amount 13% as it is in Sweden to exemplify the specific tax pressure that is laid upon you for the nationalized health care.
Let’s say you moved and you do not want to pay the 13% tax for services you do not receive, can receive, or desire to taken right out of the tax roll. The mammoth entity has no interest to enable you to go so easy. You can become needing to reveal your private life – partner, dwellings, travel, money, and job to prove your case that you’ve the best to leave the general public medical care system and do not need to pay the tax. If you have to get an appeal, your information could be a part of administrative court documents that are open and public documents. As soon as you go back to the United States, you will be automatically enrolled again and the taxes begin to pile up.
Public universal medical care has no fascination with protecting your privacy. They desire their tax money and, to fight for the rights, you will have to prove that you meet the requirements to not be taxable. In that process, your private life is up for display.
The national ID-card and national population registry that includes your medical information is a basis of the nationalized medical care system. You will see where that is going – population control and ability to use the law and medical care use of map your whole private life in public searchable databases owned and operated by the government.
By operating an impeccable population registry that tracks where your home is, who your home is with, once you move and your citizen status including residency the Swedes can separate who are able to receive universal medical care from those not entitled. The Swedish authorities will know if you have a Swedish social security number, with the tap of the keyboard, more details about yourself than you can remember. The Swedish government has brought sharing of information between agencies to a new level. The main reason is very simple – to get medical care tax and suppress any tax evasion.
It’s heavily centralized and only the central administration can transform the registered information in the data. So if you wish to change your name, even the slightest change, you’ve to file a software at a national agency that processes your paperwork. This centralized population registry makes it possible to ascertain who is who under all circumstances and it’s necessary for the national medical care system. Otherwise, any person could claim to be entitled.
To implement that in the United States takes a completely new doctrine for population registry and control. In a American context that could require that every existing driving license must be voided and reapplied under stricter identification rules that could match not just data from Internal Revenue Service, state government, municipal government, Social Security Administration, and Department of Homeland Security but almost any agency that delivers services to the overall public. The key reason why a new population registry would be needed in the United States is the fact lax rules dating back again to the 1940s up before War on Terrorism, and stricter identification criteria following 9/11, has made a significant percentage of personal information about individuals questionable.
If America instead neglects maintaining secure records, determining eligibility for public medical care would not be possible and the floodgates for fraud would open and rampant misuse of the system would prevail. This could eventually bring down the system.
It’s financially impossible to produce a universal medical care system without clearly knowing who is entitled and not. The device needs to have limits of its entitlement. A cultural security number would not be adequate as these numbers have already been given out through decades to temporary residents which may not really reside in the United States or might today be out of status as illegal immigrants.
The Congress has investigated the cost of lots of the “public options”, but nonetheless we have no clear picture of the specific realm of the group that might be entitled and under which conditions. The danger is political. It’s super easy for political reasons to increase the entitlement. Politicians might have trouble being firm on illegal immigrants’ entitlement, as that could put the politicians on a collision course with mainly the Hispanic community while they represent a significant the main illegal immigrants. And so the easy sell is then that everyone that is a legal resident alien or citizen can join according to at least one fee plan and then your illegal immigrants can join according to a different fee structure. That assumes that they actually pay the fee which really is a wild guess as they are probably be able to get access to service without having to state that they’re illegal immigrants.
It works politically – but again – without an impeccable population registry and control over who is who on a national level, that is unlikely to succeed. The device would be predestined to fail as a result of lack of funds. If you design a system to supply the medical care needs for a population and then increase that population without any additional funds – then naturally it’d result in a lowered amount of service, declined quality, and waiting lists for complex procedures. In real terms, American medical care goes from being a first world system to a next world system.
Thousands, if not really a million, American residents live as any American citizen but they’re still not in good standing using their immigration even if they’ve been here for ten or fifteen years. A common medical care system will raise issues about who is entitled and who is not.
The choice is for an American universal medical care system to surrender to the fact there’s no order in the people registry and just provide medical care for all who shows up. If that is done, costs will dramatically increase at some level according to who’ll get the bill – their state government, the government, or the general public medical care system.
Illegal immigrants that have arrived within the last years and make-up a significant population would create a huge pressure on a universal medical care, if implemented, in states like Texas and California. If they are given universal medical care, it would be a pure loss for the system while they mostly benefit cash. They will never be payees to the universal medical care system as it is dependant on salary taxes, and they don’t file taxes.
The difference is that Sweden has very little illegal immigrants compared to the United States. The Swedes do not provide medical care services for illegal immigrants and the illegal immigrants may be arrested and deported if they need public service without good legal standing.
This firm and uniform standpoint towards illegal immigration is essential to prevent a universal medical care system from crumbling down and to keep up healthcare monitoring system using iot a sustainable ratio between those who pay into the system and those who take advantage of it.
The working middle income that is the backbone to pay into the system would not only face that their existing medical care is halved in its service value – but probably face higher cost of medical care while they would be the ones to pick up the bill.
The universal medical care system might have maybe 60 million to 70 million “free riders” if centered on wage taxes, and maybe half if centered on fees, that won’t pay anything to the system. We know that approximately 60 million Americans pay no taxes as adults add to that the estimated 10-15 million illegal immigrants.
There’s no way that a universal medical care system may be viably implemented unless America creates a population registry that may identify the entitlements for every individual and that would need to be designed from scratch to a top degree as we can not count on driver’s license data as the quality would be too low – way too many errors.
Many illegal immigrants have both social security numbers and driver’s licenses as they were issued without rigorous control of status before 9/11. The choice is that you had showing a US passport or perhaps a valid foreign passport with a green card to be able to register.
Another problematic task is the number of points of registration. If the registration is done by hospitals – and not really a federal agency – then it’s highly likely that registration fraud would be rampant. It would be super easy to trespass the control of eligibility when it is registered and determined by a hospital clerk. This supports that the eligibility must be determined by a main administration that has a vast use of data and information about our lives, income, and medical history. If a single registration at a medical care provider or hospital would guarantee you free medical care for life and there’s no rigorous and audited process – then it’s certain that corruption, bribery, and fraud would be synonymous with the system.
This calls for a significant amount of political strength to confront and set the limits for who is entitled – and here comes the real problem – selling out medical care to have the votes of the free riders. It’s apparent that the political power of the “free” medical care promise is incredibly high.
A guarantee that may not alienate anyone as a tighter population registry would upset the Hispanic population, as lots of the illegal immigrants are Hispanics – and many Hispanics might be citizens by birth but their elderly parents are not. Would the voting power of the younger Hispanics act to put pressure to increase medical care to elderly which are not citizens? Yes, naturally, as every group tries to maximise its self-interest.
The danger is, even with an enhanced population registry, that the number of entitled would expand and put additional burden on the system beyond what it was designed for. That can come though political wheeling and dealing, sheer inability from an administrative standpoint to spot groups, or systematic fraud within the system itself.