Issues of “Cost, Capabilities, and Scope” in Characterizing Adoptees' Lack of “Genetic-Relative Family Health History” as an Avoidable Health Disparity: Response to Open Peer Commentaries on “Does Lack of ‘Genetic-Relative Family Health History’ Represent a Potentially Avoidable Health Disparity for Adoptees?”

American Journal of Bioethics 16 (12):4-8 (2016)
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Abstract

Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history. Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropriate screening for conditions for which the adopted person may be at increased risk. In this article, we draw out common features of traditionally understood “health disparities” in order to identify analogous features in the context of adoptees’ lack of GRFHx.

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