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It doesn't have to be a kill list, that's what you're not understanding. Medicalizing dissent, creating registries of potential scapegoats and vulnerable people to target or practice on, that's the purpose. They create an outsider group to stigmatize and then broaden the definition as necessary.
You need to look at this step within the totality of the conduct of the regime so far. They are already rolling back child labour laws and openly talking about the need for a baby boom. Children are one of the most vulnerable groups in society, especially in conjunction with other factors like a migrant background or being in foster care. How many kids are in precarious situations with either absent or completely disempowered parents?
They're already putting unattended children in front of immigration judges without legal representation, if the state simply kidnaps and disappears the children of people it's trying to deport without due process, what's to stop them? What do you think these ghouls might want to do with lists of kids?
What you need to recognize is that this is the sort of registry that would be directly accessible by those surveillance initiatives you mentioned. It's not duplicated effort, it's part of the same effort, this is just one of the ways they are trying to define their enemies and undesirables.
Tbh, there's so much damage that's been done, that's being done, and that's going to be done, I'm trying to aggressively filter anything that isn't immediately tangible (the death of due process is immediately tangible, for example) so I don't get totally overwhelmed. I know that there's a strategy Bannon taught them, called "flood the zone with bullshit" that relies on producing so much fear, uncertainty, and doubt that it overwhelms and paralyzes the opposition. That's what I'm trying to guard against.
That's fair and I understand the impulse. The point of flooding the zone is partially to create panic and confusion, but it's also a way to rapidly scatter a bunch of possible seeds of division or control at once, then focus on tending whatever works best, whatever has the least opposition afterwards.
There's absolutely no situation in which a fascist regime making registries of "diseased" children is unworthy of alarm though.
I point out the vulnerability of kids because fascists always start with their easiest targets. It allows them to normalize, practice, and develop the systems they are building while also instilling fear and eroding opposition. That's why we have to take this shit seriously from the start, the longer anyone waits the fewer there are around to fight back.