• vormadikter@startrek.website
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    30 days ago

    Thanks for (starting to) explain this concept to people not accustomed to how the US does their shit.

    See, where i live, we used to have for example a Tax-Number. That was a thing the taxdepartment used to identify a person. But if you move from city a to city b, that numbers changes. So if you move a lot, you will have numerous of these.
    Now, some 15 years back, the Tax-ID was introduced (fellow residents at this point will lnow it might be Germany) and this number is a one-in-a-kind ID that will only be assigned to you. They create it shortly after birth. My sons first registraion ID was this, before anyrhing else. You will also get a uniqie healthcare-ID that also works like that.

    So…how does that work in the US and why is habing a changing number that is not unique helpful? Or what is Elon not getting? I dont get it either because I dont know how this works for you.

    Thanks in advance to shed light on this.

    • mesamune@lemmy.world
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      30 days ago

      It doesn’t. There is no truely unique ID in the US.

      Source: myself. Worked on health insurance and it was hell.

      • CodexArcanum@lemmy.dbzer0.com
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        30 days ago

        It’s wild too. I’ve been in the hospital a lot lately and in addition to a bar-code wristband, every healthcare worker, before doing anything with me (the patient) will ask my full name and either birthday or address and then double-check it against the wrist band. This is to make sure, at every step, that they didn’t accidentally swap in some other patient with the same name. (Not so uncommon, lots of men have their father’s name.)

        Meanwhile in like Iceland, everyone gets assigned a personal GPG key at birth so you can just present you public cert as identification, not to mention send private messages and secure your state-assigned crypto-wallet. Not saying such a system is without flaw but it seems a lot better than what we’re doing!