In a nationalized healthcare 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 created and designed, but with a nationalized healthcare system you is likely to be tracked by their state where you reside and the method that you relocate a way that’s unseen in America. The nationalized healthcare system becomes a vehicle for population control.
In the event that you leave the United States and are no further a resident of their state, even though you are a citizen and might maintain a driving license, you must report immediately if you want to avoid the 13% healthcare tax. I personally use the number 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 may not want to pay the 13% tax for services you may not receive, can receive, or desire to taken out of the tax roll. The mammoth entity has no interest to enable you to go so easy. You will end up needing to reveal your private life – partner, dwellings, travel, money, and job to prove your case that you have the best to leave the general public healthcare system and do not need to pay the tax. When you yourself have to find an appeal, your information could be a section of administrative court documents which can be open and public documents. When you come back to the United States, you is likely to be automatically enrolled again and the taxes start to pile up.
Public universal healthcare has no fascination with protecting your privacy. They want their tax money and, to fight for the rights, you must prove that you meet certain requirements never to be taxable. In 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 healthcare system. You can see where that is going – population control and capability to utilize the law and healthcare usage 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 reside, who you reside with, once you move and your citizen status including residency the Swedes can separate who will 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 info about yourself than you can remember. The Swedish government has brought sharing of information between agencies to a brand new level. The reason really is easy – to get healthcare 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 want to change your name, even the slightest change, you have 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’s essential 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. Within an American context that would require that each existing driving license must 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 overall public. The reason why a brand new 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 may eventually bring down the system.
It is financially impossible to produce a universal healthcare system without clearly knowing who is entitled and not. The device needs limits of its entitlement. A social security number wouldn’t be adequate as these numbers have now been given out through decades to temporary residents that might 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 most of the “public options”, but nevertheless we have no clear picture of the specific realm of the group that might be entitled and under which conditions. The chance is political. It is very easy for political reasons to give the entitlement. Politicians might have trouble being firm on illegal immigrants’ entitlement, as that would put the politicians on a collision course with mainly the Hispanic community as they represent an important 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 a illegal immigrants can join according to a different fee structure. That assumes that they actually pay the fee which really is a wild guess as they are likely to be in a position to access service without having to state that they’re 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 device will be predestined to fail because of not enough funds. In the event that you design a system to supply the healthcare needs for a population and then increase that population without any additional funds – then naturally it’d cause a lower 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 third world system.
Thousands, if not really a million, American residents live as every other American citizen but they are still not in good standing with their immigration even if they’ve been here for ten or fifteen years. A general healthcare system will raise issues about who is entitled and who is not.
The alternative 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 done, costs will dramatically increase at some level according to who will get the bill – their state government, the government, or the general public healthcare system.
Illegal immigrants which have arrived within the past years and constitute an important population would create a huge pressure on a universal healthcare, if implemented, in states like Texas and California. If they are given universal healthcare, it will be a pure loss for the machine as they mostly benefit cash. They will never be payees into the universal healthcare system as it is based on salary taxes, and they do not file taxes.
The difference is that Sweden has minimal illegal immigrants set alongside the United States. The Swedes do not provide healthcare services for illegal immigrants and the illegal immigrants can 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 to treatment and management of asthma maintain a sustainable ratio between those who pay into the machine and those who benefit from it.
The working middle income that will be the backbone to pay 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 as they will be the ones to grab the bill.
The universal healthcare system might have maybe 60 million to 70 million “free riders” if centered on wage taxes, and maybe half if centered on fees, that will not pay anything into the system. We already know that approximately 60 million Americans pay no taxes as adults add to that particular the estimated 10-15 million illegal immigrants.
There is no way a universal healthcare system can be viably implemented unless America creates a population registry that can identify the entitlements for every person and that will have to be designed from scratch to a top degree as we cannot depend 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 these were issued without rigorous control of status before 9/11. The alternative is that you had to exhibit a US passport or perhaps 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 done by hospitals – and not really a federal agency – then it’s highly likely that registration fraud will be rampant. It will be very 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’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’s confirmed that corruption, bribery, and fraud will be synonymous with the system.
This involves an important level of political strength to confront and set the limits for who is entitled – and here comes the true problem – selling out healthcare to obtain the votes of the free riders. It is apparent that the political power of the “free” healthcare promise is very high.
A promise 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 might be citizens by birth but their elderly parents are not. Would the voting power of the younger Hispanics act to put pressure to give healthcare to elderly which are not citizens? Yes, naturally, as every group tries to increase its self-interest.
The chance is, even with an enhanced population registry, that the band 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 identify groups, or systematic fraud within the machine itself.