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Article
August 5, 1974

Sickle Cells

Author Affiliations

Cornell University New York Hospital School of Nursing

JAMA. 1974;229(6):637. doi:10.1001/jama.1974.03230440013003
Abstract

To the Editor.—  I wish to compliment you and Mr. Rutkow and Mr. Lipton for the excellent editorial, "The Sickle Cell Complexity" (228:608, 1974), which points out the often-ignored psychological and sociological implications of mass screening for sickle cell carriers.At this time, mass screening seems to lead nowhere. Without enforced eugenics programs saying who may or may not have children, mandatory mass screening can lead to no changes in the gene's frequency, since those who are concerned enough to limit their number of offspring because of sickle cell genes are those who would be screened on a voluntary basis. Those unconcerned by the chance of having the gene, and those who are afraid to find out, gain nothing except perhaps psychological and sociological problems from having knowledge of their trait exposed to themselves and their social group.I was pleased with this editorial that seemed concerned with people rather

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