From the beginning, when the Texas abortion law allowed vigilantes to point prosecutors toward anyone they suspected might be involved in an abortion, it's been clear that these cases were going to be challenging to prosecute.
It's also been clear that all kinds of privacy violations would need to occur to move forward.
My point is nobody has to lie to resist prosecuting these cases or to do anything remotely disingenuous.
If current privacy laws are respected, no one's medical records would be fodder for public review. But as you point out, as with most things political, people are generally more focused on making broad statements and appearing to be on the right side than solving the problem.