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2017 ; 47
(4
): 19-29
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The Precision Medicine Nation
#MMPMID28749054
Sabatello M
; Appelbaum PS
Hastings Cent Rep
2017[Jul]; 47
(4
): 19-29
PMID28749054
show ga
The United States' ambitious Precision Medicine Initiative proposes to accelerate
exponentially the adoption of precision medicine, an approach to health care that
tailors disease diagnosis, treatment, and prevention to individual variability in
genes, environment, and lifestyle. It aims to achieve this by creating a cohort
of volunteers for precision medicine research, accelerating biomedical research
innovation, and adopting policies geared toward patients' empowerment. As
strategies to implement the PMI are formulated, critical consideration of the
initiative's ethical and sociopolitical dimensions is needed. Drawing on
scholarship of nationalism and democracy, we discuss the PMI's construction of
what we term "genomic citizenship"; the possible normative obligations arising
therefrom; and the ethical, legal, and social challenges that will ensue.
Although the PMI is a work in progress, discussion of the existing and emerging
issues can facilitate the development of policies, structures, and procedures
that can maximize the initiative's ability to produce equitable and socially
sensitive outcomes. Our analysis can also be applied to other population-based,
precision medicine research programs.
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