tag:blogger.com,1999:blog-6173393362223742012.post5056215480703460602..comments2023-08-24T08:30:25.608-07:00Comments on Gene Sherpas: Personalized Medicine and You: 23andMe says "We have no use for YOUR laws"Steve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-6173393362223742012.post-73687463189610383182009-03-23T08:43:00.000-07:002009-03-23T08:43:00.000-07:00Um. We lost trust a long time ago.Um. We lost trust a long time ago.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-76440708978937882422009-03-23T09:32:00.000-07:002009-03-23T09:32:00.000-07:00I have no problem with direct to consumer service ...I have no problem with direct to consumer service providers. It seems that the real issue here is that doctors are being cut out of being about to play the rent-seeking "gate keeper" role. <br><br>People are allowed to freely trade with each other in any other industry and economic activity. There is no reason why the same principle of free association cannot be applied to medical area.<br><br>Also, the research that these genomics companies do does not violate any kind of human rights because the customers themselves are not subject to any kind of invasive medical testing. Thus, IRBs and the like are not necessary.kurt9http://www.blogger.com/profile/02101147267959016924noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-38760201138627556512009-03-23T13:20:00.000-07:002009-03-23T13:20:00.000-07:00@anonymousI am sorry. That is a shame.-Steve@anonymous<br><br>I am sorry. That is a shame.<br><br>-SteveSteve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-30465178164229084792009-03-23T13:23:00.000-07:002009-03-23T13:23:00.000-07:00@ Kurt,How is practicing medicine "rent seeki...@ Kurt,<br>How is practicing medicine "rent seeking"? All of the people who use this argument clearly have no appreciation for medical care.....<br><br>I am in agreement for free market principles in health care.....WITH QUALIFIED HEALTHCARE PROFESSIONALS.....These laws exist because without this regulation you get all sorts of crazies giving medical care....Like you perhaps?<br><br>As for IRBs, you are clearly mistaken. These review boards are not just for invasive research. Go learn about them on wikipedia<br>http://en.wikipedia.org/wiki/Institutional_review_board<br><br>or at the FDA http://www.fda.gov/oc/ohrt/irbs/<br><br>Then come back and have something cogent to add.<br><br>-SteveSteve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-78085434692000413922009-03-24T10:13:00.000-07:002009-03-24T10:13:00.000-07:00Mr. Murphy, you've just transformed yourself i...Mr. Murphy, you've just transformed yourself into the Rush Limbugh of the Medical Establishment. Who are YOU, my physician or an IRB to decide what information is "actionable"? You don't want to tell me about a potential prediposition because "there's nothing" I can do about it... REALLY? I can do lots of things... I could change the focus and ammount of charitable giving I make, I could decide NOT to max out my 401K, I could make more informed decisions about marriage, family planning, health insurance, choice of career, etc. etc. etc..BioBudhttp://www.blogger.com/profile/05525620829229776492noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-7337817208547192292009-03-24T13:07:00.000-07:002009-03-24T13:07:00.000-07:00BioBud,I have been called Howard Stern, but never ...BioBud,<br>I have been called Howard Stern, but never Rush Limbaugh. You clearly have only read my blog once. You would see that my stance is pretty clear. <br><br>1. The laws exist to protect people from unscrupulous persons as well as from themselves<br><br>2. These DTC companies are breaking laws.<br><br>3. These consumers may also be breaking laws.<br><br>All in the name of self exploration. If you want self exploration, go download your As, Gs, Cs and Ts......<br><br>But interpretation? That is governed by law.<br><br>Sorry. You want to change it? Call your congressman.....<br><br>Wasting your time shouting me down won't do anything.<br><br>But thanks for reading, even if it is just once.<br><br>-SteveSteve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-19677352660677587382009-03-24T14:41:00.000-07:002009-03-24T14:41:00.000-07:00Laws "exists" because of the interest gr...Laws "exists" because of the interest groups who lobbied for them. I don't see how what personal genomics companies are doing is any different than what WebMD i doing. You state emphatically that DTC's are "breaking the law". Really, are you a licensed attorney, a judge perhaps? If you take your arguement to its logical conclusion, you should be put in jail for practicing law.... It interesting, you never provided a counter arguement against my point about the definition of what is "actionable" except to attack it as "illegal"....BioBudhttp://www.blogger.com/profile/05525620829229776492noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-24004733317765650332009-03-24T17:05:00.000-07:002009-03-24T17:05:00.000-07:00@BioBud,"Laws "exists" because of t...@BioBud,<br>"Laws "exists" because of the interest groups who lobbied for them."<br><br>Does it make them any less laws? In fact by not abiding by them it makes you an OUTLAW. <br><br>Who are these laws harming? I am curious? Civil Disobedience was about justice and people having EQUAL rights. That is law breaking which is worthwhile. THIS is not that.<br><br>23andME is not practicing medicine. According to NY state, they are a lab. Unlike DNADirect, which they consider to be practicing medicine......<br><br>These aren't my judgements, they are that state's attorney general's.....I think he is a lawyer.....<br><br>Not Me. I am a Doctor of Medicine. <br><br>-SteveSteve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-21561391508855118842009-03-29T02:24:00.000-07:002009-03-29T02:24:00.000-07:00At first I thought that you only want a piece of t...At first I thought that you only want a piece of the pie (gatekeeper's fee).<br>But then it became obvious that you only care for my wellbeing. Obviously you will offer the services pro bono.<br>Seriously now: tell me again WHY should I pay you to get some info about myself??Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-36915597966949809292009-03-30T12:29:00.000-07:002009-03-30T12:29:00.000-07:00I could have saved 23&me time and money with t...I could have saved 23&me time and money with those spit-donations in New York by informing them that New York, (unlike some states) does not permit DNA testing without patient consent and a doctor's order. My laboratory tried it years ago with the ApoE marker. All of our test requisitions for NY residents required a disclaimer, stating the patient was informed by their MD that it was a genetic test.<br>I think if DTC companies are to survive, they should welcome strict regulation, and adhere to the standards of HIPPA, CLIA, FDA,IBS,etc. <br>What is so awful about making MDs the gate-keepers of this techonology? It was done for HMOs.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-15438705352306443932009-04-09T09:05:00.000-07:002009-04-09T09:05:00.000-07:00Mr. Gene Sherpa, you're teetering on the edge ...Mr. Gene Sherpa, you're teetering on the edge of actionable slander, so I'd be a little more careful with the rhetoric in the future, if I were you.<br><br>What's so bad about making doctors the gatekeepers? Imagine the following dialogue:<br><br>PATIENT: I'd like a referral to get my genome sequenced.<br>DR. STEVEN MURPHY: You can't have one.<br>PATIENT: Why?<br>DR. STEVEN MURPHY: Because those companies can't tell you anything, and I don't want you to worry your pretty little head about some nebulous risk.<br>(patient leaves)<br>PATIENT: OK, thanks.<br>DR. STEVEN MURPHY: Whew! The last thing I need is a bunch of busybody patients asking me questions all the time.Mr. Gunnhttp://synthesis.williamgunn.orgnoreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-88713246689988557422009-04-15T23:44:00.000-07:002009-04-15T23:44:00.000-07:00With all due respect, at least all I can muster, w...With all due respect, at least all I can muster, who the hell do you think you're kidding?<br><br>As the parent of an autistic child, and as an individual who is VERY well versed in the politics behind conventional medicine's attack on naturopathic and alternative medicine, I have absolutely no belief whatsoever that the sanctimony with which you wrote this has ANYTHING to do with outrage over some people are breaking a law that has no business being on the books in the first place. If you were that incensed purely over the violation of the ridiculous law, you'd be a lawyer and not a doctor.<br><br>Your objection is that they're horning in on what you perceive to be YOUR territory -- and they're stealing customers who are increasingly distrustful of the conventional medical community (for reasons that would be clear as ice to you if you had the slightest inkling of what was wrong with what you said in this blog).Nikki Noniabisinoreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-34824666278163603042009-04-16T08:41:00.000-07:002009-04-16T08:41:00.000-07:00Ms Noniabisi,I am sorry that your child has autism...Ms Noniabisi,<br>I am sorry that your child has autism. It is a difficult syndrome and I am sorry for your and your son's struggle.<br><br>That being said, these laws are not meant to prevent you from seeing any "non-science" based health practitioner that you want. <br><br>It is to protect those who seek out such treatmemts. Just like malpractice laws protect you from licensed practitioners.<br><br>So I think your argument does not hold water. I am sorry.<br><br>Take Care,<br>-SteveSteve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-28735069700588299122009-09-23T14:19:08.641-07:002009-09-23T14:19:08.641-07:00This is ridiculous, They explicitly say on their s...This is ridiculous, They explicitly say on their site that this isnt a screening for diagnosis<br><br>"3. Description of What the Services Are and Are Not: 23andMe Service Is For Research and Educational Use Only. We Do Not Provide Medical Advice, And The Services Cannot Be Used For Health Ascertainment or Disease Purposes"<br><br>That was taken straight out of the terms of service, now people like me who live in Maryland and want a decent test to determine ancestry cannot have it, because of a simple misunderstanding. I find it ridiculous when its RIGHT IN THE TERMS OF SERVICE.. If you want a diagnosis go to your doctor, but this is for educational/personal information purposes so I think this should be legal.this is ridiculousnoreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-54583965843566841182009-09-24T05:39:40.295-07:002009-09-24T05:39:40.295-07:00@this is ridiculousIn what world does a terms of s...@this is ridiculous<br><br>In what world does a terms of service equate with reality?<br><br>The reality is this. 23andSergey is using a CLIA lab to run HUMAN samples, for the explicit purpose of obtaining genetic information, such as BRCA mutations, they are then providing a risk estimate of a disease based on that biologic sample they ran......<br><br>What part of that don't you get? <br><br>That is medicine and clinical laboratory testing my friend......<br><br>Just because some stupid ass terms of service says something, it doesn't make it TRUTH or REALITY.Steve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.com