Ministry of Health

The Ministry of Health has announced a new Mandatory Wellness Screening Programme, effective from the start of next quarter. All citizens aged 18-65 who are registered for employment must complete an annual health and wellness screening.

Screening components

• Physical fitness assessment (cardiovascular, strength, flexibility)
• Mental wellness evaluation questionnaire
• Substance testing (drug and alcohol screening)
• Nutritional assessment and BMI measurement
• Vision and hearing tests
• Stress resilience assessment

Purpose

"A healthy citizen is a productive citizen," said Minister Natasha Volkov. "By identifying health issues early, we can ensure that citizens receive the treatment they need to maintain peak chargeability. Prevention is more cost-effective than lost productivity."

Integration with other systems

Screening results will be integrated with:

• CarlCare: Automatic referrals for identified health concerns
• COMPASS: Fitness-for-work assessment updates
• CDI Score: Health compliance component (up to 3% bonus for excellent results)
• UtiliTrack: Adjusted chargeability targets for citizens with identified limitations

Screening appointments will be allocated through the Citizen Services Portal. Citizens must attend within their assigned screening month. Failure to attend will result in CDI score deduction and potential suspension of non-essential services.

Citizens with concerns about the screening process may submit questions through the Help & Support section, though the screening itself is non-optional.

Minister Natasha Volkov today announced the opening of 35 new CarlCare clinics across all NDRC districts, representing the largest expansion of healthcare infrastructure in the republic's history.

"Under the wise leadership of Supreme Leader Carl, we are ensuring that every citizen has timely access to healthcare — provided they maintain their chargeability compliance," said Minister Volkov.

What this means for citizens

• Average appointment wait time reduced from 21 days to 7 days
• All new clinics equipped with CarlCare digital integration for seamless record access
• Extended operating hours (06:00-22:00) to minimise impact on chargeability
• Workplace-adjacent clinics in all major industrial zones
• Specialist services including mental wellness assessments and fitness-for-work evaluations

The new clinics are fully integrated with the CarlCare platform, meaning appointments booked through the Citizen Services Portal will automatically include options at the nearest new facility.

Healthcare Priority Scores will continue to determine appointment scheduling. Citizens with exemplary chargeability records and high CDI scores will continue to receive prioritised access.

The expansion was funded through the reallocation of resources previously assigned to non-essential cultural programmes, which have been merged with the Ministry of Propaganda's approved cultural activities schedule.

Apply for Medical Exemption

Citizens who are unable to meet standard chargeability or productivity targets due to medical conditions may apply for a temporary or permanent medical exemption through this service.

Exemption categories

• Category A - Temporary Reduction: Reduced productivity target (minimum 60%) for up to 90 days
• Category B - Extended Leave: Authorised absence from work duties for up to 180 days with quarterly review
• Category C - Permanent Adjustment: Permanent reduction in chargeability requirements. Requires annual reassessment and Ministry of Security approval

Application process

1. Obtain medical assessment from a state-approved physician
2. Request employer endorsement via COMPASS
3. Submit application through this portal with all supporting documentation
4. Attend assessment panel hearing (within 30 days of submission)
5. Receive decision notification via CARL-ID messaging

Important notice

Medical exemption applications are cross-referenced with your loyalty assessment, chargeability history, and COMPASS productivity data. Fraudulent applications are a criminal offence under the Workforce Integrity Act 2024 and will be referred to Ministry of Security.

Request a Prescription Refill

Prescription medications are dispensed through state-approved pharmacies and tracked via CarlCare. Refill requests must be submitted at least 7 working days before your current supply expires.

Medication compliance

The NDRC operates a mandatory medication compliance programme. Citizens prescribed ongoing medication must maintain a compliance rate of 95% or higher. Non-compliance triggers:

• Automated alert to your assigned healthcare provider
• Notification to your workplace supervisor via COMPASS
• Potential referral to Ministry of Security for wellness assessment

Controlled substances

Medications classified as controlled under Schedule C of the State Pharmaceutical Act require additional approval from your district health officer. Applications for controlled substance refills are processed within 10-15 working days and may require an in-person assessment.

Collection

Prescriptions must be collected from your designated state pharmacy within 48 hours of the ready notification. Uncollected prescriptions are reported to CarlCare and may affect your Healthcare Priority Score.

View Your Medical Records

Access your centralised medical records through the CarlCare integrated health platform. All citizen health data is securely stored and managed by the Ministry of Health for your benefit and the benefit of the state.

What you can view

• Consultation history and diagnosis records
• Prescription history and medication compliance status
• Vaccination records (including mandatory state vaccinations)
• Healthcare Priority Score breakdown
• Fitness-for-work assessments
• Mental health evaluation summaries

What you cannot view

Certain medical annotations are restricted under the Healthcare Standards Act 2023. These include:

• Psychological profile assessments conducted by Ministry of Security
• Fitness-for-interrogation evaluations
• Genetic screening results flagged for state interest
• Notes shared with COMPASS workforce monitoring

Data sharing notice

Your medical records may be shared with authorised government agencies including the Ministry of Labor (workforce capacity assessments), Ministry of Security (fitness evaluations), and the Office of the Supreme Leader (population health reporting). This is not optional.

Book a Healthcare Appointment

All citizens of the Non-Democratic Republic of Carl are entitled to healthcare services through CarlCare, the national health management system. Appointments must be booked through this portal to ensure proper tracking and compliance monitoring.

Before you start

You will need:

• Your CARL-ID number (format: CARLID-XXXXXXX)
• Your CarlCare patient reference number
• Your current Healthcare Priority Score (HPS)
• Proof of chargeability compliance for the current fiscal quarter

How appointment allocation works

Appointments are allocated based on your Healthcare Priority Score. Citizens with higher loyalty ratings and chargeability compliance receive priority scheduling. The algorithm considers:

• Current loyalty score (weighted 40%)
• Chargeability compliance record (weighted 30%)
• Medical urgency assessment (weighted 20%)
• Contribution to state productivity metrics (weighted 10%)

Important

Failure to attend a booked appointment without prior authorisation will result in a reduction of your Healthcare Priority Score and may trigger a compliance review. All medical consultations are recorded for quality assurance and state security purposes.

Emergency services: For life-threatening emergencies, contact the State Emergency Line at 112. Note that emergency attendance is subject to post-incident chargeability review.