In a nationalized medical care system, you need to know who is who – otherwise the device could never find a way determine who is entitled. The structure depends on what the device is established and designed, but with a nationalized medical care system you will be tracked by the state where you reside and the method that you relocate a manner that is unseen in America. The nationalized medical care system becomes a vehicle for population control.
In the event that you leave the United States and are no more a resident of the state, even although you are a citizen and might maintain a driving license, you will have to report immediately if you intend to steer clear of the 13% medical care tax. I take advantage of the amount 13% because 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 don’t want to cover the 13% tax for services you don’t receive, can receive, or desire to taken out from the tax roll. The mammoth entity has no interest to let you go so easy. You find yourself being forced to reveal your private life – partner, dwellings, travel, money, and job to prove your case that you have the right to leave the public medical care system and do not want to cover the tax. When 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 come back to the United States, you will be automatically enrolled again and the taxes begin to pile up.
Public universal medical care has no curiosity about protecting your privacy. They want their tax money and, to fight for your rights, you will have to prove that you meet the requirements to not be taxable. Because process, your private life is up for display.
The national ID-card and national population registry which includes your medical information is a base of the nationalized medical care system. You can see where that is going – population control and ability to utilize 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 you live, who you live with, whenever 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 when you have a Swedish social security number, with the tap of the keyboard, more information about yourself than you can remember. The Swedish government has brought sharing of information between agencies to a brand new level. The main reason really is easy – to gather medical care tax and suppress any tax evasion.
It is heavily centralized and only the central administration can transform the registered information in the data. So if you intend to change your name, even the slightest change, you have to file a credit card applicatoin at a national agency that processes your paperwork. This centralized population registry afford them the ability to determine who is who under all circumstances and it is required for the national medical care system. Otherwise, any person could claim to be entitled.
To implement that in the United States requires a brand-new doctrine for population registry and control. Within an American context that would require that every existing driving license had to be voided and reapplied under stricter identification rules that would match not just data from Internal Revenue Service, state government, municipal government, Social Security Administration, and health care monitoring system using iot Department of Homeland Security but almost any agency that provides services to the typical public. The key reason why a brand new population registry would be needed in the United States is the fact that lax rules dating back to the 1940s up before the War on Terrorism, and stricter identification criteria following 9/11, has made an important percentage of personal details 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 device would prevail. This may eventually bring down the system.
It is financially impossible to create a universal medical care system without clearly knowing who is entitled and not. The machine will need limits of its entitlement. A cultural security number would not be sufficient as these numbers have already been passed out through decades to temporary residents which may not live in the United States or might today be out of status as illegal immigrants.
The Congress has investigated the price of most of the “public options”, but still we’ve no clear picture of the specific realm of the group that might be entitled and under which conditions. The danger is political. It is super easy for political reasons to extend the entitlement. Politicians might have difficulty being firm on illegal immigrants’ entitlement, as that would put the politicians on a collision course with mainly the Hispanic community because they represent an important area of the illegal immigrants. So the easy sell is then that everyone that is a legal resident alien or citizen can join according to one fee plan and then your illegal immigrants can join according to another fee structure. That assumes that they actually pay the fee which really is a wild guess as they are apt to be in a position to get access to service without having to state that they are illegal immigrants.
It would work politically – but again – lacking any impeccable population registry and control over who is who on a national level, that is unlikely to succeed. The machine would be predestined to fail due to not enough funds. In the event that you design something to supply the medical care needs for a population and then increase that population without any extra funds – then naturally it would lead to a diminished degree of service, declined quality, and waiting lists for complex procedures. In real terms, American medical care goes from being truly a first world system to a third 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 though 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 that there is no order in the people registry and just provide medical care for everybody who shows up. If that is done, costs will dramatically increase at some level depending on who’ll grab the bill – the state government, the federal government, or the public medical care system.
Illegal immigrants that have arrived within the past years and make up an important population would create a huge pressure on a widespread medical care, if implemented, in states like Texas and California. If they’re given universal medical care, it will be a pure loss for the device because they mostly benefit cash. They’ll never be payees in to the universal medical care system because it is dependant on salary taxes, and they cannot file taxes.
The difference is that Sweden has very little illegal immigrants set alongside 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 might require public service without good legal standing.
This firm and uniform standpoint towards illegal immigration is essential in order to avoid a widespread medical care system from crumbling down and to keep up a sustainable ratio between those who pay into the device and those who take advantage of it.
The working middle-income group that would be the backbone to cover into the device would not only face that their existing medical care is halved in its service value – but most likely face higher cost of medical care because they will 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’ll not pay anything in to the system. We already know just that approximately 60 million Americans pay no taxes as adults add compared to that the estimated 10-15 million illegal immigrants.
There’s no way that the universal medical care system may be viably implemented unless America creates a population registry that may identify the entitlements for every person and that would have to be designed from scratch to a top degree as we can’t depend on driver’s license data as the quality would be too low – 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 you had showing a US passport or a valid foreign passport with a natural card to be able to register.
Another problematic task is the amount of points of registration. If the registration is done by hospitals – and not really a federal agency – then it is highly likely that registration fraud would be rampant. It would be super easy to trespass the control of eligibility if it’s registered and determined by a hospital clerk. This supports that the eligibility must be determined by a central administration that has a vast use of data and details about our lives, income, and medical history. If a single registration at a health care provider or hospital would guarantee you free medical care forever and there is no rigorous and audited process – then it is a given that corruption, bribery, and fraud would be synonymous with the system.
This calls for an important degree of political strength to confront and set the limits for who is entitled – and here comes the real problem – selling out medical care to get the votes of the free riders. It is apparent that the political power of the “free” medical care promise is incredibly high.
An offer that may not alienate anyone as a tighter population registry would upset the Hispanic population, as most of the illegal immigrants are Hispanics – and many Hispanics could be citizens by birth but their elderly parents are not. Would the voting power of younger Hispanics act to place pressure to extend medical care to elderly that are not citizens? Yes, naturally, as every group tries to maximise its own self-interest.
The danger is, even with an enhanced population registry, that the band of entitled would expand and put additional burden on the device beyond what it was made for. That may come though political wheeling and dealing, sheer inability from an administrative standpoint to recognize groups, or systematic fraud within the device itself.
