Once it’s all electronic they can then deny or retard your spending on certain things to gain your compliance. It might be determined by your locality, by region, by demographic or by your policital profile (based on your association or if you fit the profile of a dissident...or are suspiciously close -why chance it).
HIPPA rules seriously protect you from the nurses telling your condition to your mother or your father, but every single insurance company or life insurance company or police dept or govt agency can get whatever they want whenever they want it.