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June 16, 2008

Genetic testing initially will promote Chaos and misinformation

This analysis is solely the work of the author. It has not been edited or endorsed by GLG.
Analysis By:
Robert Forster, Healthcare ConsultantRobert Forster
Healthcare Consultant, Robert Forster, MD
Implications: As a clinician leader for some time, it is overtly obvious that comprehensive genetic testing will be fraught with misinterpretation and will lead to consumer confusion and potentially wrong life behavior. Genetic testing has been available for 2-3 decades on a very limited basis and for specific fetal diseases yet physicians wholly inadequately trained are referring patients to nursing geneticists with a 85% incorrect diagnosis or treatment recommendations for patients.  This wholesale look into the future will bring chaos and fright to many patients.

Analysis: I disagree with Mr. J. Goldstein on this one from a point of personal experience and knowledge of our medical academic training.  We have for 3 decades used genetic surrogates, e.g. Fasting glucose, lipids, BSP, etc for genetic abnormalities.  In addition less than 10 specific diseases with specific genes could be identified especially targeted for the gestational period.  Academic studies have repeatedly shown that physicians of all types are wholly under trained to interpret these simple and few tests and referrals to medical geneticists are incorrectly referred today at least 80-85% of the time--a fact.

Broad sweeping genetic "analysis" of healthy individuals is going to be poorly interpreted, poorly executed on, and financially abused--"modern day fortune teller."

Consumers (since Americans are technology junkies) may demand it, but unless there is a specific indication, this broad analysis of genetic makeup of individuals is dangerous and can be financially abused.

Other Analyses of the Same Source Article:
You Don't Have to Fear Discrimination Based on Your Genes
May 14, 2008, Author: GLG Expert Contributor
The Human Genome will promote genetic counciling chaos and misinformation
April 30, 2008, Author: Robert Forster, Healthcare Consultant, Robert Forster, MD
Genetic Testing Will Move to Mainstream Acceptance
April 29, 2008, Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.

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