So you’re from a different country from the author and don’t know how systems work here but you’re going to judge them for having their identity stolen? Maybe if you actually had any first hand experience you’d be able to muster some empathy. Yea things are decentralized here because we have 50 different states, many more counties, and health insurance is through a mish mash of many insurers and health providers. We are all regularly asked for the exact information needed to steal identity for basic stuff. I got a new dentist last month who has my date of birth, ssn, and home address. I’m going to tell him to stuff it and find a better dentist by, what? Calling around and asking if they require an ssn?

I have also never been the victim of identity theft but if you live here you would know luck plays a major role, always.

If you want to marinate in the superiority of you home country you are welcome to. Maybe don’t post on foreign message boards then.