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.
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-...
Pam Bondi is now demanding voter rolls. It's clearly about suppressing liberal voters in liberal areas through a show of force. They're using this data to optimize who to harass.
Medicaid-receiving immigrants could have their immigration status change, legal violations, emergency medicaid use, sometimes there's state funded coverage that immigrants are offered, etc. There's lots of reasons where Medicaid will have information on immigrants.
Medicaid holds previous addresses, household details, previous diagnoses, ethnicity, etc.
It is quite trivial to infer if someone is likely to have emigrated to the US due to obvious gaps in records or in their relatives' ones.
This is what Palantir does, essentially. Simple inference and information fusion from different sources.
ICE has been harassing and following legal observers to their houses. They've shot and executed at least two people who were exercising their legal right to record their activity.
The FBI has been showing up at the door of some people who dare to organize protests against ICE.
Stingrays have been deployed to protests, ICE is collecting photos of protestors for their database, and has been querying YCombinator funded Flock to pull automated license plate camera data from around the country. Trump, Vance, Noem and Miller are calling anyone who protests them domestic terrorists.
It's pretty clear this isn't just about immigration, that this is about pooling data for a surveillance state that can quash the constitutional rights of anyone who dares to oppose the current regime. We've seen this story before.
They hold both that people whose citizenship depends on birthright citizenship are not in fact citizens and that naturalized citizens can be denaturalized either for disloyalty or based on some sham pretext. They also see people getting benefits as leaches worthy of targeting.
Also naturalized and birthright citizens are far more likely than others to associate or live with others of less legal status.
Naturalized and birthright citizens quality for benefits and they and their families are at risk.
If they are allowed to detain and deport without any due process as they have asserted anyone not white is at risk.
The DHS official social media presence shared a picture of an island paradise with the caption America after 100 million deportations.
This is the number of non-whites not the number of immigrants in even the most ridiculous estimates.
Do you actually think ICE cares about your legal citizenship status?
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My wife works in autism services in a predominantly Latino city. Those kids all have Medicaid, which includes info about their parents. It would be pretty trivial to cross reference with other data points to identify kids with undocumented parents and then you have their home address. Many of these kids go to a clinic everyday, so now you know when someone (likely a parent) is dropping them off too. She’s had patients with parents who have been picked up by ICE. I wouldn’t be surprised if that data came from Medicaid. It’s basically the same as the IRS data they’ve been using.
And it is next to impossible for average people to get adequate care for their kids with autism without Medicaid and early intervention can make the difference between someone who can live relatively independently with supports and someone who will spend their adult life chemically restrained in an institution. So they are in between a rock and a hard place.