In a nationalized healthcare system, you have to know who is who – otherwise the device could never be able determine who is entitled. The structure depends on how the device is done and designed, but with a nationalized healthcare system you will soon be tracked by their state where you reside and the method that you relocate a fashion that’s unseen in America. The nationalized healthcare system becomes a car for population control.
In the event that you leave the United States and are no more a resident of their state, even although you are a resident and might maintain a driving license, you must report immediately if you want to avoid the 13% healthcare tax. I take advantage of 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 pay for the 13% tax for services you do not receive, can receive, or wish to taken right out of the tax roll. The mammoth entity has no interest to let you go so easy. You will end up having 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 healthcare system and do not require to pay for the tax. When you yourself have to seek an appeal, your information might be a part of administrative court documents that are open and public documents. The moment you come back to the United States, you will soon be automatically enrolled again and the taxes begin to pile up.
Public universal healthcare has no curiosity about protecting your privacy. They desire their tax money and, to fight for the rights, you must prove that you meet certain requirements to not be taxable. For the reason 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 that is going – population control and ability to use the law and healthcare use of 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 your home is, who your home is with, when you move and your citizen status including residency the Swedes can separate who can receive universal healthcare 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 details about yourself than you can remember. The Swedish government has taken sharing of information between agencies to a new level. The reason is very simple – to collect healthcare 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 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 ascertain who is who under all circumstances and it is required for the national healthcare system. Otherwise, any person could claim to be entitled.
To implement that in the United States needs a completely new doctrine for population registry and control. In an American context that could require that each 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 general public. Exactly why a new population registry will be needed in the United States is the fact lax rules dating back again to the 1940s up before the War on Terrorism, and stricter identification criteria following 9/11, has made an important percentage of personal information regarding individuals questionable.
If America instead neglects maintaining secure records, determining eligibility for public healthcare 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’s financially impossible to produce a universal healthcare system without clearly knowing who is entitled and not. The system will need limits of its entitlement. A social security number would not be enough as these numbers have now been handed out through decades to temporary residents that may not really 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 particular realm of the group that could be entitled and under which conditions. The chance is political. It’s super easy for political reasons to give 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 because they represent an important the main 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 another fee structure. That assumes that they really pay the fee which really is a wild guess as they are apt to be able to get access to service and never having to state that they are illegal immigrants.
It works politically – but again – lacking any 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 as a result of insufficient funds. In the event that you design a method to supply the healthcare needs for a population and then increase that population without any extra funds – then naturally it’d lead to a diminished amount of service, declined quality, and waiting lists for complex procedures. In real terms, American healthcare goes from being truly 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 are still not in good standing using their immigration even if they’ve been here for ten or fifteen years. A common 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 there’s no order in the populace registry and just provide healthcare for everybody who shows up. If that is performed, costs will dramatically increase at some level depending on who’ll pick up the bill – their state government, the government, or the general public healthcare system.
Illegal immigrants that have arrived in the last years and make up an important population would create a huge pressure on a widespread healthcare, if implemented, in states like Texas and California. If they’re given universal healthcare, it would be a pure loss for the device because 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 very little illegal immigrants compared to the United States. The Swedes do not provide healthcare services for illegal immigrants and the illegal immigrants could be arrested and deported if they require public service without good legal standing.
This firm and uniform standpoint towards illegal immigration is essential to avoid a widespread healthcare system from crumbling down and to steadfastly keep up a sustainable ratio between those that pay into the device and those that benefit from it.
The working middle income that is the backbone to pay for into the device would not only face that their existing healthcare is halved in its service value – iot used in healthcare but probably face higher cost of healthcare because they could be the ones to get the bill.
The universal healthcare system might have maybe 60 million to 70 million “free riders” if based on wage taxes, and maybe half if based on fees, that won’t 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 is no way that the universal healthcare system could be viably implemented unless America creates a population registry that can identify the entitlements for each individual and that would need to be designed from scratch to a high degree as we can not count on driver’s license data as the standard will be too low – too many errors.
Many illegal immigrants have both social security numbers and driver’s licenses as they certainly were issued without rigorous control of status before 9/11. The choice is you had to exhibit a US passport or perhaps a valid foreign passport with a natural card to be able to register.
Another problematic task is how many points of registration. If the registration is performed 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 is registered and determined by way of a hospital clerk. This supports that the eligibility needs to be determined by a central administration that has a vast use of data and information regarding our lives, income, and medical history. If a single registration at a health care provider or hospital would guarantee you free healthcare 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 involves an important amount of political strength to confront and set the limits for who is entitled – and here comes the actual problem – selling out healthcare to obtain the votes of the free riders. It’s apparent that the political power of the “free” healthcare promise is extremely high.
An offer that can not alienate anyone as a stronger 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 younger Hispanics act to put pressure to give healthcare to elderly which are not citizens? Yes, naturally, as every group tries to maximize its self-interest.
The chance is, even having an enhanced population registry, that the group 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 spot groups, or systematic fraud within the device itself.