The effect of genetic determinism and exceptionalism on law and policy.

• Author: Sharp, Michael

"We used to think our fate was in the stars. Now we know [it] is in our genes." --James Watson, 1989 (2) Genetic determinism and genetic reductionism are important concepts that, in the latter half of the twentieth century, have caused the geneticization of medical and social issues. (3) In turn, the idea of genetic exceptionalism became prevalent in legislative and policy development. Exceptionalism, which has arisen with issues relating to HIV, (4) is associated with the idea that certain material and information is distinct from standard material or information and requires special governance for its acquisition, possession, and use. As a result of genetic exceptionalism, laws and policies around the world in the areas of informed consent, privacy, patenting and discrimination, have been influenced in different ways and at varying levels. The purpose of this study is to examine this influence as there is little discourse on the impact of genetic determinism and exceptionalism on policy development.

There are several theories that have developed about the role of genetics in human existence. The most commonly used terms are determinism, reductionism, essentialism, and exceptionalism. Determinist theory provides that all events are inevitable consequences of antecedent causes; denying the possibility of free will. For example, the statement 'It's in my blood/genes, I can't avoid it' is deterministic. In a reductionist framework, the belief is held that uncovering the base-pair sequence of the human genome will lead to an understanding of what it is to be human because the whole can be understood as a sum of its component parts. Genetic essentialism also attributes human nature to our genetic make-up because our DNA is essential (although not necessarily sufficient) to making a person the way they are. Finally, exceptionalism asserts that genetic material and information is unique from other biological material and medical information and requires special laws and policies to govern its use.

As genetic theory has moved beyond the one gene--one trait paradigm into a complex networking theory of gene expression and environmental interaction, (5) the ELSI (ethical, legal, and social issues) academic community has since followed with the abandonment of deterministic ideas. (6) It is hypothesized that policy instruments have also begun to follow this trend and that legislation, being the least flexible, will react even more slowly. It is...