I don't understand your logic, it seems like victim blaming. Using the internet and pointing out that targeted advertising has a negative effect on society is not "having it both ways".
Also, HN is by definition algorithmic content and social media, in your mind what do you think it is?
You are not a "victim" for using or purchasing something which is completely unnecessary. Or if that's the case, then you have no agency and have to be medicinally declared unfit to govern yourself and be appointed a legal guardian to control your affairs.
Rituals and beliefs are not the same as "worship with religious conviction".
I ritually shower every day and I have beliefs like, when water comes out of the faucet it will fall to the floor because of gravity. That is wildly different than worshipping the water or the shower.
I suspect you have a very strange definition of the word worship.
That is an obviously incorrect assumption, it is possible to de-anonomize most data sets about and there is reason to believe this one is no different. Health data by it's nature is very personal and specific.
Doctors publish case studies all the time which contain anonymized data. Presumably those go through reviews to make sure that nothing is being leaked but health data by it's nature is specific but not very personal (at least not identifiable).
Also, depending on what you're using ChatGPT for, this is no worse than Googling something which doctors do a lot as well.
Informed consent isn't a legal requirement. It's down to ethics and occasionally the journal's publishing requirements. So it we bring the analogy back to ChatGPT, using it for queries isn't breaking HIPAA or any laws.
“Write an appeal letter to a medical insurance company for a patient who needs a biopsy for a bone lesion given prior unclear diagnosis.”
Add an arbitrary ip address and timestamp and you are very far away from anything personally identifying. (Where does your computer suggest you are right now?)
Also, HN is by definition algorithmic content and social media, in your mind what do you think it is?