Privacy-conscious tracking begins with asking for permission to disclose my personal information (eg. my IP address), before anything ever goes on the wire.
They don’t need your IP address to track usage or health metrics. Most of it can be collected anonymously. We should encourage software to simply not collect personal information at all.
I don't even like to use the word "tracking" any more as it's lost all meaning. Not all "tracking" is identical: some is highly problematic, some is a little bit problematic, some is just fine. When you lose light of any and all nuance and difference then the conversation becomes pointless.
It's just that these topics attract people on horses so high they need spacesuits asserting all sort of things in the absolute that it appears you're in the minority.
What we should work towards is privacy-conscious tracking, used sparingly only for monitoring critical pieces of the software and not all user actions. Flag/reject software that violates this. Then there is no need to opt-out for privacy concerns.