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Saving Babies?

The Consequences of Newborn Genetic Screening

Stefan Timmermans (Brandeis University) Mara Buchbinder

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Paperback

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English
University of Chicago Press
06 May 2015
It has been close to six decades since Watson and Crick

discovered the structure of DNA and more than ten years since the human

genome was decoded. Today, through the collection and analysis of a

small blood sample, every baby born in the United States is screened for

more than fifty genetic disorders. Though the early detection of these

abnormalities can potentially save lives, the test also has a high

percentage of false positives—inaccurate results that can take a brutal

emotional toll on parents before they are corrected. Now some doctors

are questioning whether the benefits of these screenings outweigh the

stress and pain they sometimes produce. In Saving Babies?, Stefan Timmermans

and Mara Buchbinder evaluate the consequences and benefits of

state-mandated newborn screening—and the larger policy questions they

raise about the inherent inequalities in American medical care that

limit the effectiveness of this potentially lifesaving technology. Drawing

on observations and interviews with families, doctors, and policy

actors, Timmermans and Buchbinder have given us the first ethnographic

study of how parents and geneticists resolve the many uncertainties in

screening newborns. Ideal for scholars of medicine, public health, and

public policy, this book is destined to become a classic in its field.

By:   ,
Imprint:   University of Chicago Press
Country of Publication:   United States
Dimensions:   Height: 23mm,  Width: 16mm,  Spine: 2mm
Weight:   482g
ISBN:   9780226273617
ISBN 10:   022627361X
Series:   Fieldwork Encounters and Discoveries
Pages:   320
Publication Date:  
Audience:   College/higher education ,  Professional and scholarly ,  Further / Higher Education ,  Undergraduate
Format:   Paperback
Publisher's Status:   Active

Stefan Timmermans is professor and chair of sociology at the University of California, Los Angeles, and the author of Postmortem How Medical Examiners Explain Suspicious Deaths, among other books. Mara Buchbinder is assistant professor of social medicine and adjunct assistant professor of anthropology at the University of North Carolina at Chapel Hill.

Reviews for Saving Babies?: The Consequences of Newborn Genetic Screening

In this sophisticated and grimly fascinating analysis of the social realities of newborn screening, Stefan Timmermans and Mara Buchbinder describe our brief experience with newborn genetic screening as a natural experiment, a sampling device illuminating the complex relationships among policy, technology, clinicians, medical institutions and medical advocacy--and their very powerful effect on patients and practitioners. As we have become all too well aware, technological progress can create new problems as it promises solutions to old ones. Saving Babies? should be of interest to anyone seriously concerned with health policy and the human condition in the twenty-first century. --Charles Rosenberg author of Our Present Complaint: American Medicine, Then and Now Recently expanded newborn screening for genetic disorders aims to enhance one of the triumphs of public health, right up there with vaccination and sanitation. But with millions of babies screened each year in all fifty states, one can lose sight of the fact that each family's situation is unique and that their perception of the screening program - its benefits, its anxieties, its unpronounceable disease names--will differ. Stefan Timmermans and Mara Buchbinder capture those individual stories with sensitivity and compassion. The clinical scenarios they describe, all true, are fascinating and eye-opening, revealing attitudes and responses by both the families and their physicians that are often quite unexpected, but always poignant. --Dr. Wayne W. Grody, M.D., Ph.D. UCLA School of Medicine Smart, humane, and beautifully written, Saving Babies? is respectful but critical of clinicians, parents, and policymakers as it vividly connects the reader to the human tragedies on the page. Without being maudlin, Stefan Timmermans and Mara Buchbinder show us how newborn screening really works. Despite the grim subjects, this profound book is a real treat to read. --Carol A. Heimer Northwestern University Smart, humane, and beautifully written, Saving Babies? is respectful but critical of clinicians, parents, and policymakers as it vividly connects the reader to the human tragedies on the page.Without being maudlin, Stefan Timmermans and MaraBuchbinder show us how newborn screening really works.Despite the grim subjects, this profound book is a real treat to read. --Carol A. Heimer Northwestern University


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