One Community's Effort to Control Genetic Disease

Kevin A. Strauss, MD; Erik G. Puffenberger, PhD; D. Holmes Morton, MD


Am J Public Health. 2012;102(7):1300-1306. 

In This Article

Abstract and Introduction

In 1989, we established a small community health clinic to provide care for uninsured Amish and Mennonite children with genetic disorders. Over 20 years, we have used publicly available molecular data and sophisticated technologies to improve diagnostic efficiency, control laboratory costs, reduce hospitalizations, and prevent major neurological impairments within a rural underserved community. These actions allowed the clinic's 2010 operating budget of $1.5 million to save local communities an estimated $20 to $25 million in aggregate medical costs. This exposes an unsettling fact: our failure to improve the lot of most people stricken with genetic disease is no longer a matter of scientific ignorance or prohibitive costs but of choices we make about how to implement existing knowledge and resources.

"I have no doubt that it is possible to give a new direction to technological development, a direction that shall lead it back to the real needs of man."
E. F. Schumacher, 1974 [1]

"Stunning scientific and technological advances in genetics will mean little if they do not benefit people."
A. Guttmacher et al., 2001 [2]


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.