{"id":12443,"date":"2010-03-20T02:28:04","date_gmt":"2010-03-20T02:28:04","guid":{"rendered":"http:\/\/euvolution.com\/futurist-transhuman-news-blog\/doctors-cannot-use-23andme-due-to-23andme%e2%80%99s-bad-faith-contract\/"},"modified":"2010-03-20T02:28:04","modified_gmt":"2010-03-20T02:28:04","slug":"doctors-cannot-use-23andme-due-to-23andme%e2%80%99s-bad-faith-contract","status":"publish","type":"post","link":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/human-genetics\/doctors-cannot-use-23andme-due-to-23andme%e2%80%99s-bad-faith-contract.php","title":{"rendered":"Doctors CANNOT Use 23andMe Due To 23andMe\u2019s Bad Faith Contract"},"content":{"rendered":"<p>If I had my way, every primary care patient in my office would have a genomic test. But, I can&rsquo;t: the 23andMe contract <em>explicitly<\/em> forbids its medical use.<\/p><p>Again: I run a medical office. I can&rsquo;t even&nbsp;<em>legally<\/em> use my&nbsp;<em>own<\/em> 23andMe report in my&nbsp;<em>own<\/em> medical office for my&nbsp;<em>own<\/em> health &mdash;let alone endorse its use for patients.<\/p><p>Imagine this scenario: a patient comes into the medical office with a 23andMe report. The doctor uses the report to, for example, prescribe an alternative to Plavix because the patient is at risk for&nbsp;thrombosis&nbsp;but &mdash;like 17% of people and as warned by the FDA&mdash; the patient does not metabolize Plavix to its active form according to 23andMe.<\/p><p>BOOM! That patient coerced that doctor into malpractice liability. <a href=\"https:\/\/www.23andme.com\/about\/tos\/\">Section 3 of 23andMe Terms of Service<\/a>: &ldquo;The Services Content is not to be used, and is not intended to be used, by you or <strong>any other person<\/strong> to diagnose, cure, treat, mitigate, or prevent a disease or other impairment or condition, or to ascertain your health.&rdquo;<\/p><p>The worst of this is that 23andMe ACTIVELY INSTRUCTS its users to violate this clause &mdash;not only personally, but to also implicate <em>their medical doctors<\/em> in crime.<\/p><p>And the doctor is trapped: he can respect the law and alienate the patient, or ignore the law and appease the patient.<\/p><p>That&rsquo;s your &ldquo;health empowerment revolution&rdquo;: more kafkaesque&nbsp;legal games, more parasitic&nbsp;licensing&nbsp;contests, more marketing, more wasteful testing, and more money to a few celebrities while the people who actually learn the science and do the work get the blame and the bill.<\/p><p>You know, I&rsquo;m all for the hacker ethic. But if you hack the system, it has to be for the greater&nbsp;good &mdash;the&nbsp;<em>greater<\/em> system. Otherwise, that hack is just called &ldquo;evil&rdquo; &mdash;and that&rsquo;s what this entire 23andMe adventure looks like to me: garden-variety, ordinary, boring, stupid <em>evil<\/em>.<\/p><p>23andMe: We trusted you with beautiful work, and you mashed it into useless noise. That&rsquo;s the real crime here.<\/p><p>In fact, that&rsquo;s why I&rsquo;m in this <em>horrible<\/em> business of medical practice management at all. Years ago, I trusted you to do the right thing. I thought that genomics would be obvious common practice for sure, and I wanted to be there when it was. But no. You had to play popular&nbsp;and <em>fuck it up<\/em> for everybody.<\/p><div><a href=\"http:\/\/feeds.feedburner.com\/~ff\/ThinkGene?a=u78RNuwllLM:AfMvGJxTJAI:yIl2AUoC8zA\"><img decoding=\"async\" src=\"http:\/\/euvolution.com\/futurist-transhuman-news-blog\/wp-content\/plugins\/wp-o-matic\/cache\/2f0fd_ThinkGene?d=yIl2AUoC8zA\" border=\"0\" style=\"padding-left:10px; padding-right: 10px;\"><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/ThinkGene?a=u78RNuwllLM:AfMvGJxTJAI:gIN9vFwOqvQ\"><img decoding=\"async\" src=\"http:\/\/euvolution.com\/futurist-transhuman-news-blog\/wp-content\/plugins\/wp-o-matic\/cache\/15f00_ThinkGene?i=u78RNuwllLM:AfMvGJxTJAI:gIN9vFwOqvQ\" border=\"0\" style=\"padding-left:10px; padding-right: 10px;\"><\/a><\/div><p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/euvolution.com\/futurist-transhuman-news-blog\/wp-content\/plugins\/wp-o-matic\/cache\/15f00_u78RNuwllLM\" height=\"1\" width=\"1\" style=\"padding-left:10px; padding-right: 10px;\"><\/p>","protected":false},"excerpt":{"rendered":"<p>If I had my way, every primary care patient in my office would have a genomic test. But, I can&rsquo;t: the 23andMe contract explicitly forbids its medical use.Again: I run a medical office. I can&rsquo;t even&nbsp;legally use my&nbsp;own 23andMe report &hellip; <a href=\"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/human-genetics\/doctors-cannot-use-23andme-due-to-23andme%e2%80%99s-bad-faith-contract.php\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-12443","post","type-post","status-publish","format-standard","hentry","category-human-genetics"],"modified_by":null,"_links":{"self":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/12443"}],"collection":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/comments?post=12443"}],"version-history":[{"count":0,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/12443\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/media?parent=12443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/categories?post=12443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/tags?post=12443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}