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Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age

Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age

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Key Metrics

  • Jonathan Kahn
  • Columbia University Press
  • Paperback
  • 9780231162999
  • 8.7 X 5.6 X 0.8 inches
  • 0.95 pounds
  • Medical > History
  • English
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Book Description

At a ceremony announcing the completion of the first draft of the human genome in 2000, President Bill Clinton declared, I believe one of the great truths to emerge from this triumphant expedition inside the human genome is that in genetic terms, all human beings, regardless of race, are more than 99.9 percent the same. Yet despite this declaration of unity, biomedical research has focused increasingly on mapping that.1 percent of difference, particularly as it relates to race.

This trend is exemplified by the drug BiDil. Approved by the FDA in 2005 as the first drug with a race-specific indication on its label, BiDil was originally touted as a pathbreaking therapy to treat heart failure in black patients and help underserved populations. Upon closer examination, however, Jonathan Kahn reveals a far more complex story. At the most basic level, BiDil became racial through legal maneuvering and commercial pressure as much as through medical understandings of how the drug worked.

Using BiDil as a central case study, Kahn broadly examines the legal and commercial imperatives driving the expanding role of race in biomedicine, even as scientific advances in genomics could render the issue irrelevant. He surveys the distinct politics informing the use of race in medicine and the very real health disparities caused by racism and social injustice that are now being cast as a mere function of genetic difference. Calling for a more reasoned approach to using race in biomedical research and practice, Kahn asks readers to recognize that, just as genetics is a complex field requiring sensitivity and expertise, so too is race, particularly in the field of biomedicine.

Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age

Author Bio

Professor Kahn, a leading authority on biotechnology’s implications for our ideas of identity, rights and citizenship, with a particular focus on race and justice, holds a joint appointment with the School of Law and the Department of Biology in the College of Science. He also plays a key role in the law school’s Center for Health Policy and Law and its Center for Law, Information and Creativity (CLIC).

In this most recent book, Race on the Brain: What Implicit Bias Gets Wrong About the Struggle for Racial Justice (Columbia University Press), Professor Kahn argues that implicit bias has grown into a master narrative of race relations — one with profound, if unintended, negative consequences for law, science and society. He emphasizes its limitations, arguing that while useful as a tool to understand particular types of behavior, it is only one among several tools available to policy makers. “A pivotal work of detailed, meticulous, groundbreaking scholarship, Race on the Brain: What Implicit Bias Gets Wrong About the Struggle for Racial Justice is an extraordinarily well written, organized and presented study to the intractable work of ensuring social justice,” according to The Midwest Book Review.

In his second book, Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age (Columbia University Press), Professor Kahn examines the legal and commercial imperatives driving the expanding role of race in biomedicine, even as scientific advances in genomics could render the issue irrelevant. The book was awarded an Honorable Mention for the 2013 Best Book Award by the Race, Ethnicity, and Politics Section of the American Political Science Association. His first book, Budgeting Democracy: State-Building and Citizenship in America, 1890-1928, was published by Cornell University Press.

Professor Kahn has received two grants from the National Human Genome Research Institute’s (NHGRI) Ethical, Legal and Social Implications (ELSI) Research Program to support projects exploring the ethical and legal ramifications of the increasing use of racial and ethnic categories in the context of gene patenting and drug development. His articles have been published in a wide array of leading journals, ranging from the Yale Journal of Health Policy, Law, and Ethics, Iowa Law Review and the Stanford Law & Policy Review to Health Affairs, The American Journal of Bioethics, the American Journal of Public Health, Science and Nature Genetics.

Professor Kahn previously served as the James E. Kelley Chair in Tort Law at Mitchell Hamline School of Law.

 

 

Source: Northeastern University 

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