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 how the system is done and designed, but with a nationalized medical care system you will be tracked by the state where you reside and how you move around in a way that’s unseen in America. The nationalized medical care system becomes a car for population control.
In the event that you leave the United States and are no longer a resident of the state, even though you are a resident and might maintain a driving license, you will need to report immediately if you wish to avoid the 13% medical care tax. I take advantage of the amount 13% because 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 may not want to pay for the 13% tax for services you may not receive, can receive, or desire to taken right out of the tax roll. The mammoth entity does not have any interest to enable you to go so easy. You find yourself having to reveal your private life – partner, dwellings, travel, money, and job to prove your case that you have the best to leave people medical care system and do not want to pay for the tax. When you yourself have to get an appeal, your information might be a element of administrative court documents that are open and public documents. The moment you come back to the United States, you will be automatically enrolled again and the taxes begin to pile up.
Public universal medical care does not have any interest in protecting your privacy. They need their tax money and, to fight for your rights, you will need to prove that you meet certain requirements never to be taxable. Because process, your private life is up for display.
The national ID-card and national population registry that features your medical information is a foundation of the nationalized medical care system. You will see where that is going – population control and ability to utilize the law and medical care usage of map your whole 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 will 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, additional information about yourself than you can remember. The Swedish government has taken sharing of information between agencies to a new level. The reason why really is easy – to get medical care tax and suppress any tax evasion.
It’s heavily centralized and only the central administration may change the registered information in the data. So if you wish to change your name, even the slightest change, you have to file an application at a national agency that processes your paperwork. This centralized population registry makes it possible 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 completely new doctrine for population registry and control. In a American context that would require that each existing driving license had to be voided and reapplied under stricter identification rules that would match not only 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 key 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 before the War on Terrorism, and stricter identification criteria following 9/11, has made a substantial 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 system would prevail. This might 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 system needs 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 that may not live in the United States or might today be out of status as illegal immigrants.
The Congress has investigated the expense of most of the “public options”, but nonetheless we have no clear picture of the specific realm of the group that would be entitled and under which conditions. The chance is political. It’s quite simple for political reasons to extend the entitlement. Politicians could have trouble being firm on illegal immigrants’ entitlement, as that would put the politicians on a collision course with mainly the Hispanic community while they represent a substantial area of the illegal immigrants. Therefore the easy sell is then that everyone that’s a legal resident alien or citizen can join according to 1 fee plan and then your illegal immigrants can join according to some other fee structure. That assumes that they really pay the fee which really is a wild guess since they are likely to be in a position to access service and never having to state that they’re illegal immigrants.
It would work politically – but again – with no impeccable population registry and control over who is who on a national level, that is unlikely to succeed. The system will be predestined to fail due to not enough funds. In the event that you design a system to provide the medical care needs for a population and then increase that population without any extra 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 fully a first world system to a next world system.
Thousands, if not a million, American residents live as any other American citizen but they are still not in good standing using their immigration even when they’ve been here for ten or fifteen years. A widespread medical care system will raise issues about who is entitled and who is not.
The alternative 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 anyone who shows up. If that is performed, costs will dramatically increase at some level depending on who’ll get the bill – the state government, the federal government, or people medical care system.
Illegal immigrants that have arrived within the past years and make up a substantial population would create a huge pressure on a general 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 system while they mostly benefit cash. They will never be payees in to the universal medical care system because it is dependant on salary taxes, and they do not file taxes.
The difference is that Sweden has almost no 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 important to prevent a general medical care system from crumbling down and to keep up a sustainable ratio between people who pay into the system and people who take advantage of it.
The working middle class that will be the backbone to pay for into the system would not 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 pick up the bill.
The universal medical care system could have maybe 60 million to 70 million “free riders” if based on wage taxes, and maybe half if based on fees, that won’ asthma and managementt pay anything in 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 is no way that a universal medical care system can be viably implemented unless America creates a population registry that will identify the entitlements for every individual and that will have to be designed from scratch to a top degree as we can’t depend on driver’s license data as the quality will 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 alternative is 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 number of points of registration. If the registration is performed by hospitals – and not 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 with a hospital clerk. This supports that the eligibility has to be determined by a central administration that’s a vast usage of data and details 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 a lifetime and there’s no rigorous and audited process – then it is certain that corruption, bribery, and fraud will be synonymous with the system.
This requires a substantial amount of political strength to confront and set the limits for who is entitled – and here comes the true 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 very high.
A promise that will not alienate anyone as a tighter population registry would upset the Hispanic population, as most of the illegal immigrants are Hispanics – and many Hispanics may be citizens by birth but their elderly parents are not. Would the voting power of the younger Hispanics act to put pressure to extend medical care to elderly which are not citizens? Yes, naturally, as every group tries to increase a unique self-interest.
The chance is, even with an enhanced population registry, that the band of entitled would expand and put additional burden on the system 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 system itself.