By Shobita Parthasarathy
In Building Genetic Medicine, Shobita Parthasarathy exhibits how, even in an period of globalization, nationwide context is taking part in a major position within the improvement and use of genetic applied sciences. targeting the improvement and deployment of genetic trying out for breast and ovarian melanoma (known as BRCA trying out) within the usa and Britain, Parthasarathy develops a comparative research framework in an effort to examine how nationwide "toolkits" form either laws and the architectures of applied sciences and makes use of this framework to evaluate the results of recent genetic applied sciences. Parthasarathy argues that ameliorations within the American and British ways to overall healthiness care and commercialization of study ended in the institution of other BRCA companies within the international locations. In Britain, the know-how used to be to be had in the course of the nationwide overall healthiness provider as an built-in application of counseling and laboratory research, and was once considered as a probably most economical kind of preventive care. within the usa, even if BRCA checking out used to be before everything provided by way of a couple of services, one corporation ultimately turned the only real supplier of a try on hand to shoppers on call for. Parthasarathy attracts classes for the way forward for genetic drugs from those cross-national changes, and discusses the ways that comparative case reviews can tell policy-making efforts in technological know-how and technology.
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Additional resources for Building Genetic Medicine: Breast Cancer, Technology, and the Comparative Politics of Health Care (Inside Technology)
The problem of offering genetic counseling to a public that was being informed about genetic tests through advertisements and the media, the committee noted, could not be solved simply by learning the appropriate textbook definitions of medical and molecular genetics, discovering the rapidly changing state of genetic science and technology, and understanding appropriate and effective counseling strategies: it also required a different style of medical care. Physicians who were accustomed to providing directive advice, recommending one treatment over another, may not be well equipped to provide the non-directive advice that had been developed over the past decades of medical genetics.
The IOM committee was thus suggesting that genetic testing was a medical device, and that both its laboratory accuracy and its quality for clinical purposes should be assessed before it was made widely available. ”15 While the committee acknowledged the unique role of clinical geneticists, it also suggested that all clinicians would have to increase their expertise in medical genetics. In particular, it recommended that medical education be revised to include information about the technical, ethical, social, and legal issues involved in genetics.
Many also emphasized the sophistication of their laboratory techniques or the availability of a package of various genetic tests, offering benefits that smaller research or diagnostic laboratories could not provide. As these services grew, and as laboratory services began to commercialize, the shape of genetic testing began to change. The laboratory and the clinic, for example, were becoming discrete and independent service providers. No longer were genetic counseling and testing services coordinated under one roof—a patient could be seen by a geneticist in Seattle and her blood tested by a laboratory in Boston, with only the transfer of DNA and paperwork in between.
Building Genetic Medicine: Breast Cancer, Technology, and the Comparative Politics of Health Care (Inside Technology) by Shobita Parthasarathy