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Another one bites the dust David and his fiancé were sitting in the counselor’s office again, this time at David’s request. So that’s why I’d like to have a gene test. To see if I carry any bad genes. I’m not going to stay a bachelor forever. At least, not if Kate has her way. Ha ha. Only when those genetic There’s Well, noare such yousignificant know thing that as enough aseveral “bad changes gene.” genes Genes for exist many forbad verydo genetic good to affect health or fitness we reasons. are have differences been in thinkdisorders of There them as “bad.” Butdiscovered genes. There can are be changes tested “bad” for,inbut genes. there evenand some apparently These isdifferences no “universal” that test we have for “bad are genes can be good. what accounts genes.” for all the wonderful traits that we see in people. My fiancé is a little nervous about marrying into a family with so many… problems. She wants my genes tested. She’s been reading about… No. …CF. Cystic fibrosis. I manage the claims department at the So Fortune-Simplex David’s sister Stacy Health and Plan herand husband I’m seeing aremore healthier and more because claims they for CF each carrier carry a PKU testing. gene? We’d really like to be tested too. No. We can’t say they’re For example, gene healthier, but a the serious that causes sicklelike cell recessive disorder Is there a history of disease is thought to give Ok…just how much PKUCF should have in either of your a survival advantage do you knowago about disappeared ages if it families? against malaria if a person cystic fibrosis? didn’t provide some sort of is a carrier. advantage to the carrier. Cystic Fibrosis • Autosomal recessive • Faulty gene (chromosome 7) causes mucus to build up in lungs, – Leads to bacterial infections • Lung damage usually causes early death • Treatments: Transplants, chest thumping, antibiotics Well….we…. would… But once you know. What would you do with that information? What if one of you were a carrier? Would Wouldn’t it beyou the stay together? Would your responsible thing to company cover someone they do? Shouldn’tknew we to be a carrier? Would your know about our company promote you? Even bad… I meancontinue to employ So why do you want you if they But what ifwould you potentially harmful to know you are knew you weredoa with carrier? These that … know. genes? We carriers of CF? are questions you should consider information? would just before you do the test. know. We’d know if we could have a baby with CF. My assistant’s son had CF. They all had a daily regime of If we find exercises, that one ofand you is a carrier, and you medications, decideHe’s to pursue prenatal therapies. a great kid. testing, we may not be Carrier testing will give you a better ablehoping to provide answer about the child. They’re for aa definitive thegene chance that you We could Let’s say we find theof CF in the fetus. breakthrough, aestimate genetic cure. have aAs child long as you’re CF.had It can’t aware ofyou the for a couldn’t say whether thewith fetus CF ortell was only They’re a part of a big research certain, limitations, but it can you’re give that you welcome information to carrier since be sure we’ve ruled program down atwe thecouldn’t University. thatCF you have might the find testing. useful. ButBut itnot isyou not should out a second gene, one that we’re able to be prepared recommended. to deal with all the answers test for. that you might get. Human Genetic Research • • • • • • • • General study information? Benefits? Risks? Financial considerations? Storage of samples? Family participation? Confidentiality? Research results? So if I take folic acid before Maybe weI’m pregnant, it shouldshould help tothink avoid birth defects? about this some more. I know that you’re interested in Yes. Not smoking. It’s a simple Noapproach, drugs or alcohol. and making suremedications that any children are you Review can start any today. These you are born healthy. There are many vitamins taking with areyour available family “over doctor. theDid things you can do David’s before counter.” you know Take that these folic acid, pamphlets a vitamin, to Yep… pregnancy to help your review. can help Letreduce me know theimprove ifrisk I can of neural help bachelor days chances of Have having healthy some tube defects? more. nice day. areaover. children. Essay #5 • Services for people with severe genetic conditions such as CF can impose a financial burden on society. Do you feel that parents who are known carriers of such genetic conditions and who choose to have children anyway should receive these services? Is it society’s obligation to provide such services when the parents could have avoided the problem?