Me medicine vs. we medicine : reclaiming biotechnology for the common good /

Award-winning bioethicist Dickenson (emer., Univ. of London; research associate, Centre for Health, Law, and Emerging Technologies, Univ. of Oxford; Body Shopping, CH, Dec'08, 46-2115) takes a critical look at the emerging technologies that are grouped under the name of personalized medicine, or what she calls "me medicine." In concentrating on "me medicine," humans could lose both their individual and collective well-being that could be advanced by medical biotechnology--what Dickenson calls "we medicine," which is basically the public health paradigm. Though personalizing cancer and depression treatments according to one's genetic makeup, for example, may yield positive results, the author argues that many more claims that biotechnologists make are scientifically spurious and instead are motivated by the tremendous economic incentives to do so. Economics more than science better explains the explosion of private umbilical cord banks and retail genetic testing, she says. With chapters on controlling genetic information, pharmacogenomics, umbilical cord banking, neuroenhancement technologies, and the vaccine debate, this is a timely, easy-to-read, and important book. Summing Up: Highly recommended. All academic, professional, and general readers. M. M. Gillis Herbert Wertheim College of Medicine, Florida International University

"Personalized medicine" is less about scientific progress than society's obsession with the self, argues University of London ethics professor Dickenson (Body Shopping). She admits that certain strategies might allow doctors to prescribe more suitable treatment: as opposed to the "scorched-earth campaigns" often implemented to cure cancer patients, it's possible that genetic fingerprinting would enable physicians to tailor treatments and curb the possibility of adverse side effects. On the whole, however, Dickenson warns that this trend may trail a host of unwanted consequences. Her investigation of private vs. public umbilical cord blood banking, for example,-where cells from an umbilical cord are stored either privately, to be used by that baby or by his or her family in the future, or publically, to be used by anyone in need and whose blood type matches that of the stored cells-leads into a discussion of bloodthirsty pharmaceutical companies using marketing-speak to convince mothers to hand over their babies' blood, which the corporations then trade internationally for beaucoup bucks. As in any good ethical debate, there are convincing arguments to be made for both sides, and Dickenson entertains them. Whether readers side with "Me Medicine" or "We Medicine" is almost beside the point-Dickenson's mapping of this vital fork in the road is valuable. Agent: Michelle Tessler, Tessler Literary Agency. (June) (c) Copyright PWxyz, LLC. All rights reserved.