How a company born from CIA seed funding became infrastructure for our federal health data—and why the walls between databases no longer exist. Part 1 of 2.
Excellent question. This statement may partially answer that: "A healthcare safety-net database, collected for the explicit purpose of administering medical benefits to low-income patients, was operationalized as a deportation tool."
My sense it's not actually about "patient care" as it is a means for exacting regime goals. But I'm a cynic who thinks Thiel is an extraordinarily disturbed individual who has no business knowing my business.
Thank you for the excellent reporting. Yet another way has been found to monetize our healthcare for profit. One day consumers will be charged the “user fees” to access their needed medical data. With cross data base checking health care services will be denied to individuals deemed as “unAmerican”.
I started and trained at TGH. I wish I was still in contact with my classmates and could ask how this has affected patients etc & If community is aware
What struck me most is your focus on architecture rather than actors. Most people argue about whether a given use is legal or justified. You’re asking a more salient question: what becomes possible once the system is in place.
That shift matters. Because once interoperability becomes the default, intent becomes secondary. The system will be used in ways it was not originally sold for. It always is.
I’ve been writing from a different angle about what happens when concentrated systems outgrow the guardrails meant to restrain them—whether in politics, economics, or now healthcare.
As a Critical Care RN this discussion is quite daunting and concerning. What’s next? How is this changing Patient Care? 🙏
Excellent question. This statement may partially answer that: "A healthcare safety-net database, collected for the explicit purpose of administering medical benefits to low-income patients, was operationalized as a deportation tool."
My sense it's not actually about "patient care" as it is a means for exacting regime goals. But I'm a cynic who thinks Thiel is an extraordinarily disturbed individual who has no business knowing my business.
Its not supposed to. Thats the point.
Such Data fusion is explicitly against the Privacy Act of 1974.
And they care about the laws how??
Thank you for the excellent reporting. Yet another way has been found to monetize our healthcare for profit. One day consumers will be charged the “user fees” to access their needed medical data. With cross data base checking health care services will be denied to individuals deemed as “unAmerican”.
I started and trained at TGH. I wish I was still in contact with my classmates and could ask how this has affected patients etc & If community is aware
What struck me most is your focus on architecture rather than actors. Most people argue about whether a given use is legal or justified. You’re asking a more salient question: what becomes possible once the system is in place.
That shift matters. Because once interoperability becomes the default, intent becomes secondary. The system will be used in ways it was not originally sold for. It always is.
I’ve been writing from a different angle about what happens when concentrated systems outgrow the guardrails meant to restrain them—whether in politics, economics, or now healthcare.