• mesamunefire@lemmy.world
      link
      fedilink
      English
      arrow-up
      0
      ·
      edit-2
      5 months 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
        link
        fedilink
        English
        arrow-up
        1
        ·
        5 months 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!

        • jacksilver@lemmy.world
          link
          fedilink
          arrow-up
          0
          ·
          5 months ago

          You want them to do that regardless of the how the country keeps track of individuals. The point of all that asking is to make sure they have the right patient for the right procedure.

          You don’t want to have something amputated or removed unless you have to.

    • kerrigan778@lemmy.world
      link
      fedilink
      arrow-up
      0
      ·
      5 months ago

      The SSN is supposed to just be a number that you give your employers and the IRS so that your social security (the USs blanket retirement savings/pension system) contributions get logged correctly to you and then when you retire you can use that number to get the social security benefits that you paid into. The number has ended up being used for all sorts of things because the USA is slightly broken because it is SORT OF a unique ID number for each US citizen, except of course that it wasn’t intended to be that, SSNs are only supposed to be used from first social security contribution (first paycheck) to last social security payout (death) so naturally they can just be recycled.

        • CodexArcanum@lemmy.dbzer0.com
          link
          fedilink
          English
          arrow-up
          0
          ·
          5 months ago

          He’s complaining that a number isn’t unique and is being poorly used, but the number isn’t supposed to be unique and he’s complaining that it’s not being used in a way that experts are specifically warned not to use it in.

          But on a second, stupider layer, this is the system those numbers originate from. So however they use them is how they’re supposed to be used.

          But then, back above that first stupid layer, on an even more basic and surface level degree of stupid, the government definitely uses SQL databases. It uses just… so many of them.

      • CodexArcanum@lemmy.dbzer0.com
        link
        fedilink
        English
        arrow-up
        0
        ·
        5 months ago

        This is a good summary. I had to go pull up wikipedia on it since I roughly knew that social security was a national insurance/pension kind of system but am actually hazy on details.

        The major issue with it as id (aside from DBA’s gripes about it) is that credit agencies and banks started to rely on it for credit scores and loans. You see, the US has a social scoring system (what we always accuse China of) but the only thing it tracks is how reliable you are about paying off debts. So with your home address, name, and SSN, basically anyone can take out loans or credit cards in your name. This will then damage your credit score, making it harder to get loans, buy a home, rent property, or even get a job.

        That’s why Americans are always concerned about having our identity stolen: because you don’t need a lot of info to financially ruin someone’s life.

    • seang96@spgrn.com
      link
      fedilink
      arrow-up
      0
      ·
      5 months ago

      When you die your social is reused and assigned to someone else eventually. This is what makes it not unique. If something were to screw up in the process the new person could have debt from the prior person for example even though it is not their debt. Another concept common is using the last 4. There are so many conflicts when using just last 4 in a database its bad design.