Biesecker said that he shies away from the idea that genomics is going to revolutionize medicine. “Revolutions aren’t terribly pleasant affairs to be involved with,” he said. “They are very disruptive. A lot of people get harmed by them, and they have manifold unanticipated consequences.” Instead, he said, he prefers to think of the changes going on today and anticipated for the future as evolutionary. “We take what works in medicine and evolve it toward [doing] what we already know how to do better.”

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