The Socialized Health Care Program Demands Populace Manage as well as Flawless Registries.
In a nationalized medical care system, you have to know who is who – otherwise the machine could never find a way determine who is entitled. The structure depends how the machine is established and designed, but with a nationalized medical care system you will undoubtedly be tracked by the state where you reside and the way you relocate a fashion that’s unseen in America. The nationalized medical care system becomes a vehicle for population control.
If you leave the United States and are no longer a resident of the state, even if you are a citizen and might maintain a driving license, you must report immediately if you intend to prevent the 13% medical care tax. I use the amount 13% as it is in Sweden to exemplify the specific tax pressure that’s laid upon you for the nationalized health care.
Let’s say you moved and you don’t want to pay the 13% tax for services you don’t receive, can receive, or want to taken out from the tax roll. The mammoth entity has no 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 have the best to leave the public medical care system and do not need to pay the tax. If you have to seek an appeal, your information could be a element of administrative court documents which are open and public documents. When you return to the United States, you will undoubtedly be automatically enrolled again and the taxes start to pile up.
Public universal medical care has no fascination with protecting your privacy. They desire their tax money and, to fight for your rights, you must prove that you meet certain requirements never to be taxable. For the reason that 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 will see where this is going – population control and power to use the law and medical care access to map all of your private life in public places searchable databases owned and operated by the government.
By operating an impeccable population registry that tracks where you live, who you live with, when you move and your citizen status including residency the Swedes can separate who is able to receive universal medical care from those not entitled. The Swedish authorities will know when you yourself have a Swedish social security number, with the tap of the keyboard, more info about yourself than you are able to remember. The Swedish government has taken sharing of information between agencies to a new level. The reason is simple – to collect medical care 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 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 essential for the national medical care system. Otherwise, any person could claim to be entitled.
To implement that in the United States takes a brand-new doctrine for population registry and control. In an American context that could require that every existing driving license needed to be voided and reapplied under stricter identification rules that could match not merely data from Internal Revenue Service, state government, municipal government, Social Security Administration, and Department of Homeland Security but just about any agency that provides services to the overall public. The reason why a new population registry will be needed in the United States is the truth that lax rules dating back again to the 1940s up until the War on Terrorism, and stricter identification criteria following 9/11, has made a significant percentage of personal details about individuals questionable.
If America instead neglects maintaining secure records, determining eligibility for public medical care wouldn’t be possible and the floodgates for fraud would open and rampant misuse of the machine would prevail. This will 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 system needs to have 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 will not reside 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 nonetheless we have no clear picture of the specific realm of the group that might be entitled and under which conditions. The risk is political. It is quite simple for political reasons to extend the entitlement. Politicians could have difficulty 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 area of the illegal immigrants. 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 the illegal immigrants can join according to some other fee structure. That assumes that they really pay the fee which is really a wild guess because they are apt to be in a position to obtain access to service and never having to state that they’re illegal immigrants.
It would work politically – but again – lacking any impeccable population registry and control over who is who on a national level, this is unlikely to succeed. The system will be predestined to fail because of not enough funds. If you design a method to offer the medical care needs for a population and then increase that population without any additional funds – then naturally it’d result in a diminished level 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 just a million, American residents live as any other American citizen but they’re still not in good standing using their immigration even if they have 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 truth that there’s no order in the populace registry and just provide medical care for everybody who shows up. If that is completed, costs will dramatically increase at some level depending on who will grab the bill – the state government, the federal government, or the public medical care system.
Illegal immigrants which have arrived within the last years and constitute a significant population would create an enormous pressure on a widespread medical care, if implemented, in states like Texas and California. If they’re given universal medical care, it would be a pure loss for the machine while they mostly benefit cash. They will never be payees in to the universal medical care system as it is founded on salary taxes, and they cannot 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 can be arrested and deported if they might require public service without good legal standing.
This firm and uniform standpoint towards illegal immigration is necessary in order to avoid a widespread medical care system from crumbling down and to steadfastly keep up a sustainable ratio between those who pay into the machine and those who take advantage of it.
The working middle income that will be the backbone to pay into the machine wouldn’t only face that their existing medical care is halved in its service value – but almost certainly face higher cost of medical care while they will be the ones to get the bill.
The universal medical care system could have maybe 60 million to 70 million “free riders” if predicated on wage taxes, and maybe half if predicated on fees, iot used in healthcare that will not pay anything in to the system. We already know that approximately 60 million Americans pay no taxes as adults add compared to that the estimated 10-15 million illegal immigrants.
There is no way that the universal medical care system can be viably implemented unless America creates a population registry that could identify the entitlements for each individual and that would need to be designed from scratch to a top degree as we can’t depend on driver’s license data as the standard will be too low – way too many errors.
Many illegal immigrants have both social security numbers and driver’s licenses as we were holding 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 green 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 just a federal agency – then it is highly likely that registration fraud will be rampant. It will be quite simple to trespass the control of eligibility if it’s registered and determined by a hospital clerk. This supports that the eligibility has to be determined by a central administration that’s a vast access to data and details about our lives, income, and medical history. If a unitary 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 is certain that corruption, bribery, and fraud will be synonymous with the system.
This involves a significant level 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 is apparent that the political power of the “free” medical care promise is very high.
A promise 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 could be citizens by birth but their elderly parents are not. Would the voting power of younger Hispanics act to put pressure to extend medical care to elderly that aren’t citizens? Yes, naturally, as every group tries to increase a unique self-interest.
The risk 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 made for. That could come though political wheeling and dealing, sheer inability from an administrative standpoint to identify groups, or systematic fraud within the machine itself.