For all practical purposes having Nicaraguan citizenship does nothing for the guy who empties the wastebaskets at work.  From what little high school spanish I can remember, he seems fairly happy and unconcerned about all these supposed problems you list.  He might be the first stateless person in your area, but I assure you he&#x27;s unlikely to be the first non-american citizen in your area to have a child or visit the hospital or whatever else.