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I'm more worried about why he's doing it, than that he's doing it to be honest, because the only realistic use case I see for this is eugenics.
In 1936, three years after taking power, the Nazis ordered families with a mentally or physically handicapped person to send them to nearby hospitals for the best treatment. Soon after, they started receiving letters that their loved one had passed away.
The first to notice the pattern was the clergy, who realized that the families in their congregations who had vulnerable members were ALL getting these letters, and they rightfully concluded that a euthanasia program was going on.
Many spoke out from the pulpit, demanding an end to this atrocity, and Hitler responded, saying he was shocked at this revelation, and promising to end it. He didn't, of course, he just buried it, expanded it, and evolved it into the Holocaust.
To Nazis, the best way to reduce the statistics of autistic people, is to reduce the numbers of autistic people, and the first step in doing that is to compile their names.
Of course, the real issue is HOW are they going to reduce the autistic population? Considering how much MAGA openly admires the Nazis, it's not hard to make an educated guess.
They don’t even have to kill anyone on purpose. They just have to force people to undergo experimental autism cures, which have historically killed patients. An example of this would be chelation therapy, aka using the medication used to remove heavy metals from the body under the (unconfirmed) assumption that autism is caused by heavy metals.
If a database is good enough to connect pharmacy records, medical records, and even health info from smart watches (which a doctor or insurance company would not have access to) then it would need to link patient info together in a way that’s not as anonymous as they claim it to be. Theoretically, this could be enough information to force someone into doing these experimental treatments in order to keep their driver’s license (even if they’re otherwise high functioning enough to not be hospitalized) or force someone to be hospitalized with promises of being taught to be more independent later down the line.
They intend to starve the disabled financially as community outcasts.
What are you saying? That the poor are outcasts looked down upon by the vast majority of people regardless of their political beliefs?
For some cases, being marginalized is far worse than dying.