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James P. Evans, MD, PhD

JAMA. 2007;298(22):2670-2672.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Occasionally, the emergence of new technology or knowledge propels medicine across a threshold that is so monumental it mandates changes in the structure of health care delivery. In the 20th century, a deep understanding of infectious diseases and cardiovascular risk factors triggered such changes, stimulating action at the governmental and population levels with the creation of organizations such as the Centers for Disease Control and Prevention and departments of public health.

Today, medical science is at another such threshold with the advent of individualized medicine. Driven by advances in genomics, emerging insight into each individual's unique susceptibility to disease promises to transform patient care. However, such advances will also compel a fundamental restructuring of the way medical care is delivered in the United States.

There are many reasons to pursue a rational, just, and workable system of health care for the millions of US citizens . . . [Full Text of this Article]

Individualized Medicine and Prevention

Author Affiliation: Department of Genetics, University of North Carolina, Chapel Hill.

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