You know, all of the machinations about Obamacare and the Affordable Care Law are concerned about one aim, and that is to insure all citizens with affordable healthcare.
“Affordable” translates to being that which is within your means based upon your net income and obligations that include your dependents and your personal health situation.
Since your personal performance profile (income and situation) changes annually, your personal profile requires an annual adjustment based upon verifiable facts about your income, employment and health status among other relevant particulars such as adding or subtracting dependents. All of those things are dynamic.
Your personal profile information is essential in a means-testing world for determining how much you pay, and if you pay for government services.
In the Affordable Care Act law scenario, healthcare costs are intended to be shared equitably and fairly among the population as it is an essential service needed and wanted by most everyone.
The private enterprise answer to this is to simply let the free market adjust the price. However, the free market need not accept all patients, unless they crawl into the emergency room. Then, those costs are rolled into the system and amortized among all that the healthcare facility can share the cost.
The free-market approach wasn’t doing the job. Too many people were left out, and costs were rising out of control anyway. In addition, there was no national baseline standard for acceptable healthcare.
So, the government by the people decided to address the problem by a complex system of cost sharing based upon means. That is as it should be.
The process begins with identifying who you are. Biotech combined with traditional identification such as SSN is the place to begin now. A unique ID is needed as the key to your personal profile that is populated naturally by your paying taxes and going to the doctor, for instance. That information must be secure, of course.
If you have one ID as your personal portal and gateway that government can use to provide affordable services, what is wrong with that?
Now, who should build and maintain such as system? Arguably, it should be built and maintained by commercial businesses who are best in the world at doing that and which want to compete for the opportunity.
What is wrong with that?
“Over time, this could become a single, national, searchable database of vital biographic information and photographs of nearly every American,” said Senator Chris Coons, Democrat of Delaware. “I want to make sure we embed privacy protections in the system, both in how it is built and administered so that data cannot easily be stolen, and also that the information is only used for legitimate purposes.”