You're not wrong, there's seriously no maintenance necessary to retain your US citizenship. I'm not sure where you are going with this question, unless it's subtle "I'm going to renounce my US citizenship if the HC bill passes" rhetoric. When I was in Australia, I happened to be sitting at a table with 3 guys, a Englishman, a New Zealander (damn kiwis ), and an Aussie. They were asking me why people in America were so deathly afraid of having universal healthcare. All they've seen in the media is the constant wharrgarbl coming from people like Beck, Hannity, and Limbaugh, the protests on Washington by the teabaggers, and the counterpoints from Obama. From that, they really could not understand why we were so opposed to it. My answer to them was this: The Republicans, who collectively represent all those people like Beck, Hannity, Limbaugh, and the teabaggers (let's call a spade a spade here) either want no change at all and to maintain the status quo, or they want change but can't (or won't) accurately describe what that change is or how to enact it. Since the Dems are in power, the only thing the Repubs know or want to do is just to say no. Now that Obama is figuring out that they really aren't going to be a part of the process, and he has a bill in hand with details on what reforms are going to happen, this is the temper tantrum of thousands of people.