continuing care and other supportive services. All research must endeavor to include more women who are older, poor, and members of racial and ethnic minority groups.

Although access to high-quality services must be available to all women, access problems persist, especially among low-income and minority women. Studies are necessary to address these inequities in access with particular emphasis on addressing both the institutional and individual barriers.

As tests for mutations in the BRCA1 and BRCA2 genes are becoming available, clinicians, for the first time, will be able to predict an individual's risk of breast cancer. This new capability has multiple ethical, legal, and psychosocial consequences that are not yet fully understood (Brower, 1997).