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Francis Collins

Francis Collins Books

Physician

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“To get our universe, with all of its potential for complexities or any kind of potential for any kind of life-form, everything has to be precisely defined on this knife edge of improbability. [Y]ou have to see the hands of a creator who set the parameters to be just so because the creator was interested in something a little more complicated than random particles.”

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“My daughter is a practicing physician so believe me I get a lot of the frustration from her. You get it from patients. For me personally, when I ask my doctor to send me my record, what I get is a scanned PDF of his hard copy! This is not good. It would be hopeless to work with a million people if you had to do this on paper, and one of the reasons this is the right time for this is because of the existence of EHRs.”

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“A lot of people think PMI is the genome project 2.0. No. This is about all the influences on disease - genetics is in there, but the environment is in there as well, health choices, behaviors, all the factors that are important, otherwise we're not doing what we promised we would do - which is in a holistic way look at how people stay healthy or how do they fall ill.”

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“It's not like you're closing the old doors and that investigators working away in a laboratories on a unique hypothesis are no longer needed. My gosh, they are indeed. But this becomes a real engine for hypothesis generation and even for proof if you have interventions that you can carry out in this kind of large scale and conduct them in a rigorous way. I guess, yeah, it's different. But it's different in a good way.”

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“When a drug comes out [that's broadly prescribed] there are going to start to be a lot of people on it [in a million person cohort] and you might get therefore an early signal of something unexpected that hadn't come through in the clinical trials. And I'm sure [drug companies] would love it if, in fact, FDA, recognizing that, would say, OK, maybe you don't have to do your trial with 30,000 people because we're going to find out shortly after registration because we'll have a lot of people taking the drug and we'll be able to see what happened using PMI.”

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“I had the analysis of a million or so SNPs [single nucleotide polymorphisms] just to see what was there. That's partly because I was writing a book about DNA and personalized medicine and I thought it would be a little bit disingenuous to talk about what could be done without actually having the experiment done on yourself.”

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“But full sequencing? No. Very hard to interpret. At some point probably we'll all have that opportunity but most of what's there will be stuff that we don't know what to say much about. So it's a great research tool, but for clinical purposes to advise somebody to practice better health maintenance, it's not necessarily gonna be a big one for a while.”

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“The human genome will not help us to understand the spiritual side of humankind, or to know who God is or what love is. The well-heeled couple who decide they want to use genetics to have a child that is a gifted musician may end up with a sullen adolescent who smokes marijuana and doesn't talk to them.”

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