Medical records are no longer private

Typically in stage 7 of authoritarianism, medical care starts getting taken away from certain groups, and more eugenics-related policies start going into place. This is visible through Medicaid cuts for the disabled, and national registries are being created for people with certain conditions.

So, because we are in the middle of stage 7 in the U.S. now, we need to start talking about disabilities being a liability in the view of the government.

The government has started national registries of two types of patients so far: autistic people, and trans youth.

However, this list is likely to expand and grow.

As a patient, this means that you need to assume that your private medical records will soon be public to the government - and that corresponds to a need to be mindful of what exactly is in them.

If you're already diagnosed with disabilities, or you need to have disabilities coded for insurance purposes, then ignore the below.

But if you're going through diagnoses processes now, even for things like diabetes, depression, or anxiety, ask your diagnosing physician to write you a letter of diagnosis, but not to code it on your chart, or in superbills to your insurance.

When the government is on the offensive, you need to be playing proactive defense.

Do not let your children receive diagnoses in their medical records that will make them more likely to be targeted for loss of insurance, or for eventual detention in the internment camps that the government is creating.

Right now, the internment camps are only for migrants - but if you saw the president threatening to revoke the citizenship of some of his opponents, or to send the "homegrowns" to these camps, you know that the threat of citizen targeting is very real.