This exact dynamic exists in the UK too.

Lifelong and degenerative conditions.

They have full access to bank accounts, revoked driving license, direct line to my consultants.

Every form filled, every document provided.

They still call to ask if my genes have fixed themselves.

Not sure what verbal confirmation they're expecting - "no, I made it all up"?

Edit: exact words were "Do you continue to have <REDACTED>" where <REDACTED> is a genetic disease.

Edit edit: I feel sorry for those having to follow these scripts.