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Genetic diagnosis could have profound effects on many aspects of our health care system, including the prestige and effectiveness of preventive medicine, the competitive behavior of health care organizations and insurance companies, access to private health insurance, the ability of primary care physicians to serve as gatekeepers, and other matters. This article examines the range of potential effects of the new genetic diagnostics on the organization and financing of health care. For purposes of illustration the authors examine in detail the possible consequences of genetic tests for predisposition to two diseases: Reye's Syndrome and lung cancer in smokers.<\/jats:p>","DOI":"10.1017\/s0266462300008473","type":"journal-article","created":{"date-parts":[[2009,3,10]],"date-time":"2009-03-10T12:10:35Z","timestamp":1236687035000},"page":"579-600","source":"Crossref","is-referenced-by-count":3,"title":["Genetic Diagnosis: Implications for Medical Practice"],"prefix":"10.1017","volume":"5","author":[{"given":"David","family":"Blumenthal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Zeckhauser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,3,10]]},"reference":[{"key":"S0266462300008473_ref014","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.7.1.19"},{"key":"S0266462300008473_ref031","doi-asserted-by":"publisher","DOI":"10.1126\/science.2938255"},{"key":"S0266462300008473_ref059","volume-title":"Human gene therapy background paper","year":"1984"},{"key":"S0266462300008473_ref063","first-page":"328","article-title":"Contraceptive use and efficiency in a genetically counselled population","volume":"30","author":"Wertz","year":"1983","journal-title":"Social Biology"},{"key":"S0266462300008473_ref052","unstructured":"Schmeck H. 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