Any time I see people say "I don't see why I should care about my privacy, I've got nothing to hide" I think about how badly things can go if the wrong people end up in positions of power.
The classic example here is what happens when someone is being stalked by an abusive ex-partner who works in law enforcement and has access to those databases.
This ICE stuff is that scaled up to a multi-billion dollar federal agency with, apparently, no accountability for following the law at all.
FWIW, people here illegally are already not eligible for Medicaid, [0] so it's hard to see why ICE having access to a roster of Medicaid enrollees would help them with their stated mission of enforcing removal orders.
Then again, we have ICE shooting American citizens in the streets, so I guess the law is whatever they decide it is, not least because our legislative branch is uninterested in laws.
Palantir is interesting. Founded by a closeted German, run by an Israeli operative, and a 3rd arm of the federal gov. I wish we could prosecute it in my lifetime for the numerous violations of privacy it undertakes, but the world does not work that way. The rich enjoy private jets subsidized by our hard-earned taxes, while violating ideals held by our Founding fathers (for what would Thiel or the current CEO know about our morals, when they have none and are American by name only.. their loyalties lie elsewhere)
Why would Medicaid have the data of anyone who is at risk of immigration enforcement? The reported connection seems tenuous:
> The tool – dubbed Enhanced Leads Identification & Targeting for Enforcement (ELITE) – receives peoples’ addresses from the Department of Health and Human Services (which includes Medicaid) and other sources, 404 Media reports based on court testimony in Oregon by law enforcement agents, among other sources.
So, they have a tool that sucks up data from a bunch of different sources, including Medicaid. But there's no actual nexus between Medicaid and illegal immigrants in this reporting.
I'm afraid of the day strongmen come into power in my country and start targeting people on their social media history. I'm sure to end on _some sort_ of naughty list. You kind of get how people become depoliticized and apathetic when resistance has no apparent effect and speaking up only gets you in trouble. That's how civic societies atrophy and die.
Medicaide data is pretty much covered by HIPPA. So Evil. Also it seems like it is too late, even if a court says do not do it, they will anyway and get away with it since the supreme court rules the president is allowed to break the law.
HELP I AM SOOOO F**NG ANGRY. Sorry I just don't have anywhere to safely put this rage.
The fourth amendment is basically gone at this point. Private companies can harvest location data from phones or facial recognition cameras/license plate readers in public spaces and sell that to entities like Palantir that aggregate it for government use (or for other commercial use). No warrants required, very little oversight (especially in this admin).
There's no reason to believe that ICE, DHS or any other agencies will use this data carefully, judiciously or in good faith. Instead, it's quite clear at this point that all they will do is abuse the power they do have, execute and antagonize anyone they disagree with and then lie despite ample evidence to the contrary.
I'd say Palantir should be ashamed for facilitating this, but their entire business model is built around helping the government build an ever more invasive police state.
Undocumented immigrants/illegal immigrants are not generally eligible for federally funded Medicaid coverage in the United States, as federal law restricts such benefits to U.S. citizens and certain qualified immigrants with lawful status.
They are eligible for Emergency Medicaid, which covers emergency medical needs like labor and delivery or life-threatening conditions; hospitals that accept federal dollars for medicare/medicaid are required under federal law (EMTALA) to provide stabilizing emergency care regardless of immigration status or ability to pay.
Imagine what they could do with mental health data if they ever decide to start deporting people with mental "problems", just like the Nazis did in their time. The same goes for people with physical disabilities.
I hope that we can agree that blowing off the 10A and allowing all of this federal bloat has not been a swift call.
Social services left at the State level would be subject to a smaller pool of votes for approval and are more likely to be funded by actual tax revenue instead of debt.
That is: sustainably.
Furthermore, the lack of One True Database is a safety feature in the face of the inevitable bad actors.
In naval architecture, this is called compartmentalization.
There are good arguments against this, sure, but the current disaster before you would seem a refutation.
ICE using Palantir tool that feeds on Medicaid data
(eff.org)1408 points by JKCalhoun 25 January 2026 | 922 comments
Comments
The classic example here is what happens when someone is being stalked by an abusive ex-partner who works in law enforcement and has access to those databases.
This ICE stuff is that scaled up to a multi-billion dollar federal agency with, apparently, no accountability for following the law at all.
Then again, we have ICE shooting American citizens in the streets, so I guess the law is whatever they decide it is, not least because our legislative branch is uninterested in laws.
https://www.congress.gov/crs_external_products/IF/PDF/IF1191...
https://news.ycombinator.com/item?id=46748336
> The tool – dubbed Enhanced Leads Identification & Targeting for Enforcement (ELITE) – receives peoples’ addresses from the Department of Health and Human Services (which includes Medicaid) and other sources, 404 Media reports based on court testimony in Oregon by law enforcement agents, among other sources.
So, they have a tool that sucks up data from a bunch of different sources, including Medicaid. But there's no actual nexus between Medicaid and illegal immigrants in this reporting.
Edit: In the link to their earlier filings, EFF claims that some states enroll illegal immigrants in Medicaid: https://www.eff.org/deeplinks/2025/07/eff-court-protect-our-...
I'm sure they'll run on not using it but when systems like this exist they tend to find applications
(For more context: https://www.tbf.org/blog/2018/march/understanding-the-census...)
HELP I AM SOOOO F**NG ANGRY. Sorry I just don't have anywhere to safely put this rage.
"he was an early designer and engineering manager at Palantir (NYSE:PLTR), where he designed the company logo"
[1] https://www.newsweek.com/pam-bondi-ice-minnesota-shooting-ti...
They’re not even hiding the fact this has nothing to do with immigration and everything to do with compiling lists of people to target later.
1) Take the medicaid data.
2) Join that with rental/income data.
3) Look for neighborhoods with cheap rents/low income and low medicaid rates.
Dragnet those neighborhoods.
I'd say Palantir should be ashamed for facilitating this, but their entire business model is built around helping the government build an ever more invasive police state.
Naturally they all are registered with the govt, and thus easy to pick up, jail, or murder.
This is the type of danger where last year amateur radio was legal, and now it gets you jailed. Thats the danger of this sort of data.
Medicaid is meant to be used only by citizens and green card holders who are eligible to be citizens.
They are eligible for Emergency Medicaid, which covers emergency medical needs like labor and delivery or life-threatening conditions; hospitals that accept federal dollars for medicare/medicaid are required under federal law (EMTALA) to provide stabilizing emergency care regardless of immigration status or ability to pay.
If you work on this kind of tech, please, quit your job.
Social services left at the State level would be subject to a smaller pool of votes for approval and are more likely to be funded by actual tax revenue instead of debt.
That is: sustainably.
Furthermore, the lack of One True Database is a safety feature in the face of the inevitable bad actors.
In naval architecture, this is called compartmentalization.
There are good arguments against this, sure, but the current disaster before you would seem a refutation.