It's ridiculous to think that Google would use this to serve ads.
This includes test results, doctor communication, and even the feedback page where I composed and sent my complaint.
As an example, lets say they identify 50 specific people who are going to die next week due to (say) a heart attack.
They could decide to only notify those people who are friendly to the Google/Alphabet world view. With the others purposely not being notified.
The point being, stuff like this can be misused and Google/Alphabet is well down the path of doing dodgy stuff already. :(