it would be part of universal healthcare provided by the national government.

The question you are obviously purposely avoiding is what level of autonomy people have here. Are these things forced on them or do they have a choice? You already mentioned people getting a license to breed once they pass a test. What exactly does that mean? Unless all of this is voluntary, then you cannot claim this is a moral or ethical system.

So

What happens to people who don't want your forced birth control?

What happens to people deemed genetically unworthy who refuse to sterilize and conceive anyway?

What happens to people who refuse to abort babies deemed unworthy?

What happens to people who conceive without a license or go through this "class" you're talking about? .