This study provides a comparison and contrast of the merits surrounding the implementation of a US national unique patient identification (UPI) system. Based on the lack of trust created in the minds of current US patients in how current medical records are distributed throughout the US medical system, this study reviews the UPI initiative in India, public trust concerns in the United Kingdom (UK), and trials and feedback from research and clinical review by the US medical community concerning the pros and cons of such a system. This study leads to a proposed patient trusted solution that could be implemented for the purpose of tracking and protecting confidential patient information in the US via the latest cloud based technologies. The proposed solution intends to bring more patient trust to the entire US national medical information technology system as a whole.