In this episode of The Pathology Report, host Dr Kym Mina is joined by Prof Ainsley Newson, Professor of Bioethics at the University of Sydney, Dr Samantha Sundercombe, a genetic pathologist at Douglass Hanly Moir Pathology, and A/Prof Ilias Goranitis, head of economics of genomics and precision medicine at the University of Melbourne, to discuss the complexities relating to health, economics and ethics in the field of genomics.

In a wide-ranging discussion, our guests reflect on the role of bioethics in pathology practice and unpack the ethical dilemmas involved in reproductive genetics, where reproductive autonomy must be balanced against the constraints generated through expanding genomic testing. They also explore the tension between technological advancement and patient demand, and how these pressures raise significant ethical questions.

A/Prof Goranitis highlights the contribution of health economics, noting that genomics delivers benefits far beyond traditional health outcomes, while the panel examines issues of equity and funding, and the importance of ensuring fair access to testing. The discussion touches on the practical realities of laboratory policy making, where individual patient needs must be balanced with standardised practices.

They conclude that people need to engage with the ethical, economic and clinical challenges at the heart of genomics, and to consider how these forces are shaping the future of healthcare.

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The Pathology Report is produced by the Royal College of Pathologists of Australasia and is part of the Talking HealthTech Podcast Network.

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