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The first thing I thought of was that this would enable pharma to market those orphan drugs they've all got waiting in the wings, because people would know if they were in the group of responders.
I am very excited about the possibilites offered by personal genomics, but this post reminded me of the argument Michael Crichton makes in his book "Next" for rescinding the Bayh-Dole Act: Currently, taxpayers finance research at the universities, and than pay top dollar for a drug they help finance. And the flood of life-saving therapies never happened.