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November 10, 1999

Computer-Based Genetic Counseling—Reply

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthorStephenLurieMD, PhDIndividualAuthor

JAMA. 1999;282(18):1719-1720. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-18-jbk1110

In Reply: I wholly concur with Dr Rubinstein that a computer cannot replace human counselors in genetic counseling. However, the context is critical to the conversation. At this time, there are only 1654 genetic counselors in the United States,1 enough to counsel for, at most, 5% to 10% of all cytogenetic and molecular tests performed in a given year.

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