Umm you can have an all white board with the new law.
In other words, you've just reinvented Plato's Republic. Historically, the closest things to this have been societies like the Puritans or Geneva under John Calvin, or in the 20th century, Nazi Germany and the Soviet Union. How well did those experiments in "managed care" work out?
The closest thing to it in today's world is probably China or North Korea. If you think that's a good idea, you're welcome to go live in one of those countries.
> Unfortunately short of that we’re likely to never have real equality.
We won't have "real equality" even with such a draconian plan, because the inconvenient truth is that every human being is a unique individual. There is no such thing as "real equality" because human beings are all different. You can't pigeonhole human beings into boxes. You can't "manage" their care so they fit into whatever preconceived utopian fantasy you happen to have. Human beings are free individuals and we all have to figure out for ourselves how best to use whatever we have been given. And since we all get given different things, we are going to end up wanting different things, needing different things, and making different choices. No central planner can possibly comprehend all that. And every time it has been tried, it has ended up costing a lot of lives and a lot of misery even for those who managed not to be killed outright.
I hope you’ll never be in any position of power to realize this “solution”.