Abstract

In this ambitious book, a 16-member multidisciplinary committee surveys issues generated by the growing number of genetic screening programs in the United States. The group wished to demonstrate how and under what circumstances such programs can meaningfully become integrated into medical care. If nothing else, reading it will awaken the general practitioner to the need to take genetics seriously. The data show a lamentable degree of understanding of the proper place of genetics in medical practice. Only 29% of the family practitioners surveyed believe that a total cessation of treatment for genetic disorders would have an extremely serious impact on affected children and the families. Similarly, only 20% believe that screening for PKU has proved beneficial, while 15% are fully convinced that carrying the sickle cell trait frequently causes medical problems! Some of these statistics become credible in light of the report that only slightly more than half of all

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