In a nationalized healthcare system, you need to find out who is who – otherwise the machine could never be able determine who is entitled. The structure depends on what the machine is established and designed, but with a nationalized healthcare system you is likely to be tracked by their state where you reside and the way you relocate a manner that’s unseen in America. The nationalized healthcare system becomes an automobile for population control.
In the event that you leave the United States and are no further a resident of their state, even if you are a resident and might maintain a driving license, you will have to report immediately if you want to avoid the 13% healthcare tax. I personally use the number 13% because it is in Sweden to exemplify the particular tax pressure that’s laid upon you for the nationalized health care.
Let’s say you moved and you do not want to cover the 13% tax for services you do not receive, can receive, or want to taken out from the tax roll. The mammoth entity doesn’t have interest to allow you to go so easy. You can become being forced to reveal your private life – partner, dwellings, travel, money, and job to prove your case that you’ve the best to leave the public healthcare system and do not need to cover the tax. When you yourself have to seek an appeal, your information could be a element of administrative court documents that are open and public documents. As soon as you return to the United States, you is likely to be automatically enrolled again and the taxes begin to pile up.
Public universal healthcare doesn’t have interest in protecting your privacy. They need their tax money and, to fight for the rights, you will have to prove that you meet certain 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 base of the nationalized healthcare system. You will see where this really is going – population control and capability to utilize the law and healthcare usage of map all of your private life in public areas searchable databases owned and operated by the government.
By operating an impeccable population registry that tracks where you reside, who you reside with, when you move and your citizen status including residency the Swedes can separate who are able to receive universal healthcare from those not entitled. The Swedish authorities will know when you have a Swedish social security number, with the tap of the keyboard, extra information about yourself than you are able to remember. The Swedish government has brought sharing of information between agencies to a fresh level. The reason why really is easy – to collect healthcare tax and suppress any tax evasion.
It is heavily centralized and only the central administration may change the registered information in the data. So if you want 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 find out who is who under all circumstances and it is necessary for the national healthcare system. Otherwise, any person could claim to be entitled.
To implement that in the United States takes a new doctrine for population registry and control. In a American context that will require that every existing driving license needed to be voided and reapplied under stricter identification rules that will match not just data from Internal Revenue Service, state government, municipal government, Social Security Administration, and Department of Homeland Security but just about any agency that gives services to the general public. The reason why a fresh population registry will be needed in the United States is the fact that lax rules dating back once again to the 1940s up until 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 healthcare wouldn’t be possible and the floodgates for fraud would open and rampant misuse of the machine would prevail. This would eventually bring down the system.
It is financially impossible to produce a universal healthcare system without clearly knowing who is entitled and not. The system needs limits of its entitlement. A social security number wouldn’t be adequate as these numbers have already been given out through decades to temporary residents that may not are now living in the United States or might today be out of status as illegal immigrants.
The Congress has investigated the expense of lots of the “public options”, but nevertheless we’ve no clear picture of the particular realm of the group that might be entitled and under which conditions. The chance is political. It is super easy for political reasons to increase the entitlement. Politicians could have difficulty being firm on illegal immigrants’ entitlement, as that will put the politicians on a collision course with mainly the Hispanic community while they represent an important part of the illegal immigrants. And so the easy sell is then that everyone that’s a legal resident alien or citizen can join according to at least one fee plan and then a illegal immigrants can join according to another fee structure. That assumes that they really pay the fee which is a wild guess as they are probably be able to get access to service and never having to state that they are illegal immigrants.
It would work politically – but again – with no impeccable population registry and control over who is who on a national level, this really is unlikely to succeed. The system will be predestined to fail as a result of not enough funds. In the event that you design something to supply the healthcare needs for a population and then increase that population without any additional funds – then naturally it would result in less level of service, declined quality, and waiting lists for complex procedures. In real terms, American healthcare goes from being fully a first world system to a next world system.
Thousands, if not really a million, American residents live as every other American citizen but they’re still not in good standing making use of their immigration even though they have been here for ten or fifteen years. A general healthcare system will raise issues about who is entitled and who is not.
The choice is for an American universal healthcare system to surrender to the fact that there is no order in the populace registry and just provide healthcare for everyone who shows up. If that is completed, costs will dramatically increase at some level according to who will grab the bill – their state government, the government, or the public healthcare system.
Illegal immigrants that have arrived within the last years and make up an important population would create an enormous pressure on a universal healthcare, if implemented, in states like Texas and California. If they’re given universal healthcare, it will be a pure loss for the machine while they mostly benefit cash. They’ll never be payees into the universal healthcare system because it is dependant on salary taxes, and they don’t file taxes.
The difference is that Sweden has minimal illegal immigrants set alongside the United States. The Swedes don’t provide healthcare services for illegal immigrants and the illegal immigrants may be arrested and deported if they require public service without good legal standing.
This firm and uniform standpoint towards illegal immigration is essential to prevent a universal healthcare system from crumbling down and health care monitoring system using iot to steadfastly keep up a sustainable ratio between those that pay into the machine and those that take advantage of it.
The working middle class that will be the backbone to cover into the machine wouldn’t only face that their existing healthcare is halved in its service value – but most likely face higher cost of healthcare while they will be the ones to pick up the bill.
The universal healthcare system could have maybe 60 million to 70 million “free riders” if predicated on wage taxes, and maybe half if predicated on fees, that’ll not pay anything into the system. We already 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 the universal healthcare system may be viably implemented unless America creates a population registry that could identify the entitlements for every individual and that would need to be designed from scratch to a higher degree as we can not rely on driver’s license data as the product quality will be too low – a lot of errors.
Many illegal immigrants have both social security numbers and driver’s licenses as these were issued without rigorous control of status before 9/11. The choice is that you had to exhibit a US passport or even a valid foreign passport with a natural card to have the ability to register.
Another problematic task is the amount of points of registration. If the registration is completed by hospitals – and not really a federal agency – then it is highly likely that registration fraud will be rampant. It will be super easy to trespass the control of eligibility if it’s registered and determined by a hospital clerk. This supports that the eligibility needs to be determined by a main administration that’s a vast usage of data and details about our lives, income, and medical history. If a unitary registration at a health care provider or hospital would guarantee you free healthcare for a lifetime and there is no rigorous and audited process – then it is certain that corruption, bribery, and fraud will be synonymous with the system.
This calls for an important level of political strength to confront and set the limits for who is entitled – and here comes the actual problem – selling out healthcare to have the votes of the free riders. It is apparent that the political power of the “free” healthcare promise is incredibly high.
A guarantee that could 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 younger Hispanics act to place pressure to increase healthcare to elderly that aren’t citizens? Yes, naturally, as every group tries to maximize its self-interest.
The chance is, even having an enhanced population registry, that the number of entitled would expand and put additional burden on the machine beyond what it was designed for. That might come though political wheeling and dealing, sheer inability from an administrative standpoint to recognize groups, or systematic fraud within the machine itself.