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Your Genome Scanned While You Wait

dotc writes "A Wired reporter has his DNA scanned for disease predispositions. While we all knew this was coming soon, it's still a little strange to read the first-person account."

20 of 261 comments (clear)

  1. The next news article by Drunken+Coward · · Score: 5, Insightful

    And of course, the next news article will be that HMO's have begun rejecting medical procedures based on the predisposition for certain diseases of certain genomes.

    --
    Have you been stalked by Seth today?
    1. Re:The next news article by bm_luethke · · Score: 2, Insightful

      you pay for me heart attack because I will pay for you diabetes (or whatever problem you have). Health care isn't for the unknown, its for the god awfull expensive. Even though health care costs more than it really should it is still a very expensive proposition.

      Take for example medical isotopes. Where I work produces some of them (along with californium and other fun stuff). Not only are there only a handfull places in the world capable of producing them but the power need of the reactor is the size of a small town. We pool our money together for stuff such as that - much as we pay taxes for common things that we can not individually afford but need.

      In fact if you can accuratly predict medical problems the system makes even more sense as you could accuratly predict costs and therefore produce a more fair costs spread. It could also be abused much more easily: your too expensive so let us let you die. That is where govt regulations make sense - make sure costs dont run unfairly high (as your demand curve is basically straight up and down - suppliers can charge what they wish) and make sure no one falls under the cracks.

      The problem with todays health care system in the US (can't say about other countries, I don't know) is that th regulations are there about falling through the craks but not really enforcing sane costs. So a drug, including r&d, production, etc , that costs 2 dollars a pill will cost 50 dollars a pill: insurance or the govt will pay for it so charge what you want. (govt will pick up your bill after you go broke, the laws only propose that you get medicine - nothing else).

      --
      ------- Sorry about the spelling, I suffer from two problems. Dyslexia makes it difficult to spell well, lazy makes it
  2. This isn't as good as it sounds by Anonymous Coward · · Score: 3, Insightful

    1) People will take predispositions too seriously. People with 'bad' genes will think they're doomed and live like it. People without any 'bad' genes will think they're bulletproof and live like it.
    2) This won't just be used for diseases. You may remember in the movie Gattica there was one of these devices being used for personality analisis. How long before (even if made illegal) employers feed this information in about employees? People run their date's information through a computer to try and predict compatibility?

  3. What we all knew... by norcal · · Score: 2, Insightful

    ...was that this was coming. The question now are, when and will people accept this as a moral practice, or reject it as something unethical.

  4. This is very premature technology by Adam+Rightmann · · Score: 3, Insightful

    Sure, you can find a few statistical correlations between a few very dangerous diseases and genetic markers, but as the story points out, they still don't know enough to say for certain that a person will get breast cancer at age 47 1/2, or have a heart attack at 53 while climbing 3 flights of stairs.

    We don't know enough about the genetic code yet (whether we should even try to learn it is another debate, you need only look at how Western Society has been damaged by the results of invetigating the poor fertility of yam-eating Mexican Indians) to do more than rough guesses that are about as accurate as asking about your families medical history.

    If you want to live longer, eat right, exercise and don't smoke. I'm sure our Pope will soon ban this useless exercise, anyhow.

    --
    A. Rightmann
    1. Re:This is very premature technology by zeoslap · · Score: 5, Insightful

      First off he's not my pope. Secondly it's far from useless, understanding who we are has been a driving force for positive change through the ages, lets not kid ourselves into thinking that knowledge is a bad thing...

  5. Wow... by KenCrandall · · Score: 5, Insightful

    Did anyone other than me just get *TOTALLY* creeped-out by that article? Not the Gattica references, although the social implications are staggering (i.e. the Philip-Morris quote), but more of the feeling that knowing all the things about my body that *could* go wrong, and trying to treat them in advance is just something that we don't understand the ramifications of entirely?

  6. Genetic predispositioning... by UnidentifiedCoward · · Score: 5, Insightful

    is *NOT* the same as actually being diseased/sick. Just because you carry a ressive trait for diabetes or heart disease does not mean that you will suffer from either. I already know I am "predisposed to heartdisease and diabetes", my grandfather had it. I do not need a DNA scan to tell me.

    You tell some people they are predispositioned for heart disease and they are going to think it is a death warrant. Even though it is only a chance, people will throw money at it in attempt to do something about it. More importantly this will spawn a whole new branch of medicine where you sell drugs/therapy to healthy people. We are already starting to see that practice today, look at the logic behind pepcid/ac, the heartburn medication you take over the counter *before* you have heartburn.

    Just my two cents.

  7. Re:Gattica by f97tosc · · Score: 5, Insightful

    Well, actually it is quite some ways, they have to go from checking to manipulation.

    Gattica was an intresting movie, but there were a lot of things that did not make sense. For one thing, the genetic tests were omnipresent - they alone determined what job you would get and whom you would date. They even had to take genetic tests to get into work every day, and the company would search through its facilities to make sure that nobody with inferior genes was present.

    On the other hand, the main character did not have 'improved' genes, and so he had to falsify his identity to get a job. However, he appeared to be just as competent as all the other people where he worked, perhaps more so. Therin lies the contradiction - why would corporations go through great lengths to exclude people with inferior genes, if those are not real indicators of performance?

    A different scenario is that genetic manipulation really does make people smarter and more competent. But then this could probably be identified through normal tests and interviews.

    I don't know which scenario is scarier.

    Tor

  8. Hmm by Rogerborg · · Score: 5, Insightful

    I wonder how long before we hear: Only those with something to hide would refuse to be screened. Using encryption (for example) just pisses off government, but there's nobody with deep pockets brib^H^H^H^H lobbying them to ban it. But insuring sickly people costs insurers big money. How much would it cost them to buy laws to make screening mandatory, or at least to allow them (all of them) to insist on it if you want a policy? At the least, I expect to see policy rises for those who refuse a screening, on the basis that only those with something to hide...

    --
    If you were blocking sigs, you wouldn't have to read this.
    1. Re:Hmm by msheppard · · Score: 5, Insightful

      Flip side: What if I get screened, show up super-clean, and want to pay less for health insurance? Shouldn't I be allowed to contract with an insurance company that only insures those that are screened?

      What are insurance companies allowed to discriminate on:
      Age? Yes.
      Sex? Yes.
      Smoker? Yes.
      Race? No.
      Relegion? No.
      Occupation? Yes.
      Licensed Private Pilot? Yes.
      Credit Raiting? Yes.
      Bungee Jumper? Yes.
      Genetic Predisposition? Maybe!

      In the end it's all numbers. If the numbers show people who wear blue shirts are more likely to get sick than those wearing red shirts... the insurance company should charge more to those in blue shirts. If you don't like this, go find another insurance company. It's legit to setup an insurance company that charges everyone excatly the same. If you're a 21 yr old smoker who flies ultralights, this might be the best bet for you. But if you're in perfect health and are extra careful with your self and have no predisposition, who are we to refuse this person the oppertunity to pay less. It's all gambling and knowing the odds changes the deal.

      M@

      --
      Krispy Cream is people
    2. Re:Hmm by JoeBuck · · Score: 5, Insightful

      OK, let's say that the insurance companies can get prediction based on both genetics and lifestyle to the point where the money you pay them almost always exceeds the money they pay out for your health care, barring accidents, and even for accidents their lifestyle data gives them good insight into your probability of being hurt.

      This would mean that, for the majority, insurance would become vastly more expensive, to the point where it would become unaffordable. The government would have to pick it up, and effectively tax the healthy to help pay. The alternative is just to leave more and more people with no insurance at all, which will quickly drop the US life expectancy down to third world levels. So you just wind up killing the concept of private insurance altogether. This might be a good thing.

      Also notice that in countries with a single-payer system, good genetic screening is much less of a problem. Since the government system is going to pay to treat everyone anyway, knowing in advance who's susceptible to what diseases might actually reduce costs, by focusing the right treatment on the right people. So it might well be that it is this "Gattaca" stuff that finally kills the broken US health insurance system.

    3. Re:Hmm by Yokaze · · Score: 3, Insightful

      > If you don't like this, go find another insurance company.

      Such a insurance company would cost much more and would make it inhibitable for lesser fortunate people to afford such luxury.

      In a purely capitalistic society this would seem approriate.
      But, at least to me, it seems unethical.
      Why is it unethical to discriminate on basis of genetics?

      To a similar reason, why it is unethical to discriminate on the basis on race, place of birth, zodiac sign.

      First, the mantra "correlation is not cause" applies here to some extend, too. "You are black, so you will live shorter." is an example. In contrast, smokeing is unhealthy. That is a proven fact and not just a statistical correlation, like the decrease of the population of storks and a correlating decrease of the birthrate. Similar is currently true for genetic screenin.
      As explained in the article, you may well have a predisposition in one gene for a certain malice, but it is far from known, how this may affect your life, as the same person may have some unknown genes, which compensate the predisposition.

      Second, and more importantly: You can't choose your genetic make-up, where you're born and when.
      Willingly punishing someone for such things is unethical.
      At least according to my moral codex, which is the result of my upbringing. Maybe yours differ, but I thought the civilised world agreed upon this.

      --
      "Between strong and weak, between rich and poor [...], it is freedom which oppresses and the law which sets free"
  9. Re:Gattica by Anonymous Coward · · Score: 5, Insightful

    "Therin lies the contradiction - why would corporations go through great lengths to exclude people with inferior genes, if those are not real indicators of performance?"

    For much the same reason why corporations go to great lengths to exclude people without a 'good' education. They're social thought of as being superior people, even if they aren't. That was the gist of the movie.

  10. This is not fair use... by Anonymous Coward · · Score: 1, Insightful
    Just because you can post an entire article /. doesn't mean you should. It's illegal, and if Wired decided to go after /. in court, they'd win.

    Please don't do crap like this.

    1. Re:This is not fair use... by DjMd · · Score: 2, Insightful

      What?!? The article was sited, quoted and unaltered? Why is this illegal?

      --
      DJMD - The fourth man - Planetary
  11. My take on this by Anixamander · · Score: 4, Insightful

    While screening is an ominous first step, prenatal screening and gene therapy are where this gets really frightening. For starters, as with any cutting edge medical technology, this will be expensive. Therefore, those who would "improve" the dna of their offspring will be the elites. As they branch out from diseases to other areas...intelligence, looks, etc., the line between the rich and the poor will only grow wider. And here in the U.S., minorities represent a greater percentage of the poor than their overall numbers, meaning any growing divide between rich and poor will also widen the racial divide. Unless society comes up with some good answers, the spells big time social problems for the future.

    --
    Do not taunt Happy Fun Ball(TM)
  12. Re:Gattica by jimmyCarter · · Score: 2, Insightful

    Think beyond the job skills scenario a little -- if a corporation had the blueprints to the DNA of every employee and discovered that one of the employees had a predisposition to lung cancer, would it be wise to spend money on training and associated other job costs for said employee?

    The question was would it be wise, not would it be immoral.

    --

    -- jimmycarter
  13. Why is everyone so negative? by f97tosc · · Score: 4, Insightful

    With the risk of getting a flamebait mod, perhaps it is worth pointing out that the technology is not all bad.

    So it is creepy to get a genetic test, but also it can be quite useful. If you have predisposition for an illness then you are much better off knowing it in advance so that you can test frequently and adapt your behavior (e.g., diet).

    And of course, if you still don't like it, you don't have to.

    Now somebody will predict that insurance companies will force everyone to do the test, I'll save you the trouble and reply right away. The scenario is unlikely, because there are quite a few legal limitations on what these companies can and cannot ask for - and the majority of registered voters are very sceptical.

    But even if it did happen, would it necessarily be so bad? Widespread testing would make the total, and therefore the average, cost of insurance lower. This is because it is easier and cheaper to treat illnesses at an early stage. Certainly those with certain predispositions would get a higher premium, but would not even that be preferable over paying a standard premium and then getting an illness that could have been averted by frequent tests and say the right diet? One could also think of taxes and subsidies supporting those that got higher premiums. Since the total medical costs would go down, it is at least theoretically possible to come up with a system where everyone is better off.

    Tor

  14. It's all about resources and greed... by alchemist68 · · Score: 2, Insightful

    Everytime I read about genetic testing and the possible repercussions from it (job discrimination, social discrimination, insurance discrimination, law discrimination), the idea resonates of obtaining resources and greed. Even though we humans tend to think of ourselves as civilized beings, we are just as savage as the animals we watch on National Geographic Television and the Discovery Channel. Our society is built upon genetic and social connectedness, i.e., birds of a feather flock together. The little camps or groups of people arise from genetic similarities which are expressed as behavior or abilities. People with certain genes will have some abilities, whether they are exceptional use of language, abstract thinking, exceptional physical endurance and motor control (athletes), deviant thinking and behavior (criminals tend to congregate in prisons) will tend to socialize with one another. It's up to the individuals with these genes to utilize what evolution and natural selection provided them to obtain resources necessary to ensure survivability of their genes. Just as the law makers, insurance industry, private industry, and educational system (Ivy League, public, and private schools) would like to have access to this information, it's almost like watching the Lions and Hyienas fighting over the injured gazelle. Law makers want to protect the people or industry to get re-elected. The insurance industry wants to limit insurance to diseased people to increase profits (they're cheating at the game of CHANCE and RISK). Private industry wants more efficient people (education/abilities) to increase profits. Schools only want the best, most successful students to increase their stature and graduation rate. Everyone wants to flex their intellectual and economic muscles with this issue to GAIN RESOURCES that help their organization or cause: GREED!

    Let's face it folks, this is a central fact of biology and chemistry: Molecules are competing for energy to sustain the transition state for metabolism and reproduction to continue. It doesn't matter that the needs are currently met, "more" is always sought "just in case" (random events) the energy isn't available in the future. "More" is always sought to prevent foreign genes from being over expressed which might lead lead to native gene extinction.

    I never thought much about the significance of an electron being promoted to an excited state in an antibonding orbital until I read this article.

    Gosh, it's fun being a chemist.