In the years following FDA approval of direct-to-consumer, genetic-health-risk/DTCGHR testing, millions of people in the US have sent their DNA to companies to receive personal genome health risk information without physician or other learned medical professional involvement. In Personal Genome Medicine, Michael J. Malinowski examines the ethical, legal, and social implications of this development. Drawing from the past and present of medicine in the US, Malinowski applies law, policy, public and private sector practices, and governing norms to analyze the commercial personal genome sequencing and testing sectors and to assess their impact on the future of US medicine. Written in relatable and accessible language, the book also proposes regulatory reforms for government and medical professionals that will enable technological advancements while maintaining personal and public health standards.

In the years following FDA approval of direct-to-consumer, genetic-health-risk/DTCGHR testing, millions of people in the US have sent their DNA to companies to receive personal genome health risk information without physician or other learned medical professional involvement. In Personal Genome Medicine, Michael J. Malinowski examines the ethical, legal, and social implications of this development. Drawing from the past and present of medicine in the US, Malinowski applies law, policy, public and private sector practices, and governing norms to analyze the commercial personal genome sequencing and testing sectors and to assess their impact on the future of US medicine. Written in relatable and accessible language, the book also proposes regulatory reforms for government and medical professionals that will enable technological advancements while maintaining personal and public health standards.

Harsh political polarization between Left and Right not only poses a serious threat to the viability of democracies, but also undermines the ability of governments to respond to planet-level challenges in an effective and timely manner. The politicization of science has been one unfortunate side effect of this broader trend toward political tribalism. The chapter surveys several strategies for mitigating, or dialing down, the political gridlock that afflicts many democratic countries: organizing citizens to elect politicians who seek pragmatic compromise rather than partisan advantage; pursuing trust-building initiatives across the Left-Right divide; and adopting the tools of deliberative democracy as a way to combat the “fake news” epidemic afflicting political debates. Individual citizens have many avenues for making a direct impact on these problems through their own behaviors and choices.