
On point 2) ... I have always wondered why, with all the resources at our government's disposal (cameras everywhere, for example), uninsured vehicles are not constantly being pulled over, impounded (whatever), with full punitive measures applied as proscribed by law.
The same goes for unregistered vehicles, and those without a valid Road Fund Licence.
But are biomeds going to be called upon, then, Mike (and subsequently punished), for not being "certified"? I guess I can answer that myself:- the plan is to debar them from working within the government health services* on Airstrip One! Why? Because they refuse to
conform! 
Here are some more numbered points for you:-
1) Are "unlisted" biomeds to be regarded as
criminals, pariahs (or simply "awkward")?
2) What about biomeds coming in from within the EU (for example), (what used to be known as) the Commonwealth, and beyond? Does "beyond" get special priviledges?
3) What about the Human Rights of the "lifestyle choice" of the non-conforming biomed? "Hey, don't
diss me, Man"!
*
The largest employer in the EUSSR.