TY - CHAP M1 - Book, Section TI - Crosscutting Ethical Issues A1 - McCarthy, Jeanette J. A1 - Mendelsohn, Bryce A. Y1 - 2016 N1 - T2 - Precision Medicine: A Guide to Genomics in Clinical Practice AB - Eugenics, and the fear thereof, are common themes in ethical discussions of genomic technologies during reproduction that many are not quite proficient at discussing. Leaving aside concerns about creating super-people, let us simply consider the application of genetics to bona fide diseases. Preventing lethal infections is hardly controversial, and no one advocates against vaccination on the grounds that people with Pertussis represent an important facet of humanity we would be poorer without, and few believe we should “leave nature alone” and accept serious infections. One might therefore call a disease a disease, regardless of the cause, and would say a distinction between infectious and inherited disease is a false dichotomy. But perhaps because our genes make us who we are, selecting against certain genes, no matter how cruel the phenotype, gives many the sensation that humanity is meddling where it shouldn't with feelings that are not aroused by other fields of medicine. Are we changing who we are rather than how the outside world affects us? The greatest challenge of the coming genomics era, when we can sequence and even change our genes with ease, will be for society and individuals to mature in our understanding of basic ideas such as self, family, choice, and worth as we wield more control of our fundamental biology that until now was in the hands of evolution, chance, and the Divine. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1134735511 ER -