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Android Auto is a proprietary standard that’s basically glorified spyware - if one thing isn’t being fed to it 24/7 exactly as Google wants it so they can sell it, it breaks. It’s basically just that there are a lot of dependencies that it would need that are fundamentally incompatible with privacy.
The article explicitly talks about that multiple times, though. Were you reading one of the articles that this one references? It mentions repeatedly how inaccessible and unaffordable healthcare is, using both of those points, and then moves on to discuss the issue as part of a broader societal trend.