The Gene Machine
How Genetic Technologies Are Changing the Way We Have Kids--and the Kids We Have
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- $11.99
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- $11.99
Publisher Description
A sharp-eyed exploration of the promise and peril of having children in an age of genetic tests and interventions
Is screening for disease in an embryo a humane form of family planning or a slippery slope toward eugenics? Should doctors tell you that your infant daughter is genetically predisposed to breast cancer? If tests revealed that your toddler has a genetic mutation whose significance isn’t clear, would you want to know?
In The Gene Machine, the award-winning journalist Bonnie Rochman deftly explores these hot-button questions, guiding us through the new frontier of gene technology and how it is transforming medicine, bioethics, health care, and the factors that shape a family. Rochman tells the stories of scientists working to unlock the secrets of the human genome; genetic counselors and spiritual advisers guiding mothers and fathers through life-changing choices; and, of course, parents (including Rochman herself) grappling with revelations that are sometimes joyous, sometimes heartbreaking, but always profound. She navigates the dizzying and constantly expanding array of prenatal and postnatal tests, from carrier screening to genome sequencing, while considering how access to more tests is altering perceptions of disability and changing the conversation about what sort of life is worth living and who draws the line. Along the way, she highlights the most urgent ethical quandary: Is this technology a triumph of modern medicine or a Pandora’s box of possibilities?
Propelled by human narratives and meticulously reported, The Gene Machine is both a scientific road map and a meditation on our power to shape the future. It is a book that gets to the very core of what it means to be human.
PUBLISHERS WEEKLY
Journalist Rochman takes a calm, thorough, and nonsensationalist look at core bioethical questions surrounding an array of reproductive health issues as well as the ethical spaces where what can be done and what should be done come into conflict. She clearly and accessibly describes cutting-edge technologies for the general reader without succumbing to faddish, uncritical enthusiasm. Rochman solicits the perspectives of doctors, researchers, legal experts, and families in order to focus on humanist factors, such as how doctors should counsel, how having nonactionable information still affects parental prerogatives, and whether people have a right to an "open future" in light of increasing access to genetic testing. She digs into the toughest topics, including whether using screening results to vet potential quality-of-life factors approaches a new eugenics, if people with such differences as genetic deafness should be able to select for a child with that trait, if gene therapies that turn off genes for Down syndrome should be used on children, and whether parents have a right to test their children and access their data concerning diseases that do not manifest until adulthood. Rochman's thoughtful take highlights important issues for parenting in an increasingly high-information world.