Genomics will continue to present a diverse array of societal issues that may prove even more challenging to address than technology or biology.74 These include topics as profound as the ethics of allowing embryo selection to increase chances of having a “normal” child to subjects as prosaic, but crucial, as the effect genomics will have on health care costs. Given the rapidity with which the field is evolving, pediatricians and their patients will have to grapple with myriad topics, often without much guidance. The utility of genomics in clinical care will depend partly on developing more effective and inclusive national and international frameworks for grappling with these important issues.
