Doctors say don't give the government your medical records
In essence that is what the linked article says about the "spine". There is a serious problem allowing this government access to any information. It then get passed to all sorts of bureaucratic busybodies who use it to harrass people.
If you admit to your doctor, for example, that you drink too much (as I do) expect the system to put pressure on you to stop drinking. "its all in your best interests dear".
There is a serious problem in that people won't tell their doctor things because the doctor will tell the government's computer system. It is all a problem about confidentiality.