特朗普政府建立了一个联邦健康数据库,将医疗记录、应用软件和AI连接起来,进行跨机构监测,使人们对自动歧视和犯罪前警务产生恐惧。 The Trump administration created a federal health data database linking medical records, apps, and AI for cross-agency surveillance, raising fears of automated discrimination and pre-crime policing.

2025年7月,特朗普政府启动了两项政策,即 " 使保健技术再次大张旗鼓 " 和 " 在美国街头打击犯罪和动乱 " ,将医疗记录、健康应用软件和大赦国际提供的保健数据纳入一个中央联邦数据库,供各机构使用。 In July 2025, the Trump administration launched two policies—“Making Health Technology Great Again” and “Ending Crime and Disorder on America’s Streets”—that integrate health data from medical records, wellness apps, and AI into a centralized federal database accessible across agencies. 该倡议由中央管理系统管理,与政府效率部(DOGE)挂钩,使跨机构分享预测警务工具成为可能,使人们担心保健信息可能被用于监视、描述和惩罚边缘化社区,包括残疾人、黑人、拉丁美洲人、土著人、低收入人口和移民。 The initiative, managed by CMS and linked to the Department of Government Efficiency (DOGE), enables cross-agency sharing with predictive policing tools, raising concerns that health information could be used to surveil, profile, and punish marginalized communities, including disabled individuals, Black, Latino, and Indigenous people, low-income populations, and immigrants. 批评者警告政策有可能将医疗保健转化为一种控制机制,使系统性歧视自动化,并使犯罪前执法成为可能,特别是在参与保健方案可能引发更多审查或拒绝提供服务的情况下。 Critics warn the policies risk turning healthcare into a mechanism of control, automating systemic discrimination and enabling pre-crime enforcement, particularly when participation in health programs may trigger increased scrutiny or denial of services.