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Jeff Sutherland

Twice the Energy with Half the Stress

Business as Usual: FDA Prevents Citizens from Analyzing Their Own DNA

On November 22, the FDA sent a warning letter to 23andMe.com to stop its inexpensive ($99 per test) “do-it-yourself” genetic testing service for health screening and ancestry purposes, because consumers could be “misled” and harm themselves by “self-treating.” For example, the FDA posits that an individual who learns they have a predilection for cancer would, as a result, undergo unnecessary preventive surgery, chemotherapy, and other “morbidity-inducing actions.”
The FDA’s argument is, quite clearly, a straw man: of course patients have to obtain medical advice before making major health decisions—it’s not as if consumers can go under the knife without significant medical consultation! The FDA’s true message is clear: because individuals can’t be trusted to make sound health decisions, they don’t have a right to private information on their own DNA.
It’s also worth noting that FDA action against 23andMe was sparked, in part, by a complaint by UnitedHealth Group, the largest publicly traded health insurer. UnitedHealth isn’t exactly an unbiased observer—they want access to information about your DNA. After all, if individuals were allowed to keep their DNA test data private, they wouldn’t have to share their results with insurers who, for example, could use an inherited health risk to deny insurance or charge exorbitant rates.
The FDA’s stance on DIY genetic testing could very well drive up healthcare costs. Besides premiums being raised on those forced to report DNA results to insurance companies, in-office testing is far more expensive. As tests are priced anywhere from $300 to $3,500, this could significantly add to the overall cost of healthcare.——-
This, of course, should be unconstitutional. However, violation of citizen’s right has become the norm due to special interest groups.As Harvard Business Review points out, the healthcare system is in need of total disruption as it suppresses innovation that causing increased deaths in the population. This is one of the reasons that the U.S. healthcare system is number 38 in the world, roughly equivalent to some developing nations. Yet many of our citizens think U.S. healthcare is the best in the world because we spend more money per capita on healthcare than any other nation.
UPDATE: In 2024 the U.S. healthcare system is 113th in the world and the most expensive! The information below is Wikipedia’s outdated data.

1 France France 4
2 Italy Italy 11
3 San Marino San Marino 21
4  Andorra 23
5  Malta 37
6 Singapore Singapore 38
7 Spain Spain 24
8 Oman Oman 62
9  Austria 6
10 Japan Japan 13
11  Norway 16
12 Portugal Portugal 27
13  Monaco 12
14  Greece 30
15 Iceland Iceland 14
16  Luxembourg 5
17 Netherlands Netherlands 9
18 United Kingdom United Kingdom 26
19 Republic of Ireland Ireland 25
20 Switzerland Switzerland 2
21  Belgium 15
22 Colombia Colombia 49
23 Sweden Sweden 7
24 Cyprus Cyprus 39
25 Germany Germany 3
26 Saudi Arabia Saudi Arabia 63
27 United Arab Emirates United Arab Emirates 35
28 Israel Israel 19
29 Morocco Morocco 99
30 Canada Canada 10
31 Finland Finland 18
32 Australia Australia 17
33  Chile 44
34 Argentina Argentina 15
35  Denmark 8
36  Dominica 70
37 Costa Rica Costa Rica 50
38 United States United States 1

The United States’ healthcare system, in terms of outcomes, does not fare well compared to other countries, especially considering the amount it spends on healthcare. As of 2024, the U.S. is ranked 113th globally in healthcare outcomes, according to the World Population Review. This ranking places the U.S. behind many other countries, despite its high expenditure on healthcare per capita.

In terms of specific health outcomes, while the U.S. has some strengths, such as lower 30-day mortality rates for strokes compared to average rates in similar countries, it faces significant challenges in other areas. For example, the U.S. has a high maternal mortality rate, which is the highest among comparable countries. Moreover, hospital admission rates for conditions like congestive heart failure and diabetes are higher in the U.S. than the average across similar countries, indicating potential issues in preventive care.

The U.S. healthcare system ranks last among high-income countries, as reported by JAMA Network. This ranking reflects various factors, including healthcare quality, safety, delivery models, and health disparities.

Another critical aspect of the U.S. healthcare system is its high spending compared to other wealthy countries. In 2022, the U.S. spent approximately $12,555 per person on healthcare, which is significantly higher than the spending in other wealthy OECD countries. Despite this high spending, the health outcomes in the U.S. are generally not better than those in other developed countries. The U.S. performs worse in several common health metrics, including life expectancy, infant mortality, and unmanaged diabetes.

Do your own research. Ask Bard, chatGPT, and other AI to analyze healthcare status for you. Educate yourself.

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