There's ample evidence that medium range ballistic missile technology is proliferating, fired from land based systems. It is difficult to intercept these with ground-based launchers. But, if incepting from orbit the probability you score a hit is higher. The catch is that it is a) extremely complex, and b) very expensive to develop and implement a system like this. Enter Palantir and Anduril.
The weight of this argument rests on how much you care about being in range of MRBMs, how likely you think it is that MRBMs will be a decisive factor in a future conflict, and whether or not you want the United States to be victorious in this potential conflict. Many people do not care about this threat, don't think MRBMs will matter, and/or want the United States to lose. I am not one of those people.
I think that three things can simultaneously be true:
(1) missile defense systems based on deep data fusion with cutting-edge espionage systems for launch detection are becoming increasingly useful and necessary
(2) we should be thoughtful that these types of espionage fusion systems could also be used for domestic surveillance, and advocate for close scrutiny and oversight of these systems
(3) a healthcare administrator can make a rational argument that their patient information should not be handled by the same company building those espionage-advised data fusion systems... lest the close relationship with government quietly transform into unauthorized data sharing with other government actors, without clear paths towards legal recourse if this were to occur, and with potentially irrevocable consequences for patients
The weight of this argument rests on how much you care about being in range of MRBMs, how likely you think it is that MRBMs will be a decisive factor in a future conflict, and whether or not you want the United States to be victorious in this potential conflict. Many people do not care about this threat, don't think MRBMs will matter, and/or want the United States to lose. I am not one of those people.