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that? It is 9:30 and we are supposed to go to the next<br />

item but I want to give you a word here.<br />

DR. EMANUEL: I th<strong>in</strong>k that the -- I mean, there<br />

is a balance here and what -- I th<strong>in</strong>k David's general<br />

picture is right but we recognize that there are go<strong>in</strong>g to<br />

be some exceptions and tough cases. The one of you f<strong>in</strong>d<br />

someth<strong>in</strong>g either serendipitously about someone and you<br />

might want to walk backwards. How -- there is also the<br />

policy issue of how detailed that encryption or how that<br />

rigorous that encryption barrier is. And I th<strong>in</strong>k those are<br />

important issues.<br />

We are try<strong>in</strong>g to create a workable policy aga<strong>in</strong><br />

which can be implemented by IRB's throughout the country<br />

and -- because I th<strong>in</strong>k realistically we are not go<strong>in</strong>g to<br />

have -- these are not the k<strong>in</strong>ds of studies that you are<br />

go<strong>in</strong>g to have a RAC-like -- because there are go<strong>in</strong>g to be<br />

hundreds of them throughout -- if not thousands of them<br />

throughout the country.<br />

We also -- I th<strong>in</strong>k my f<strong>in</strong>al comment is we need<br />

to -- while genetics is here everywhere, I th<strong>in</strong>k my own<br />

read<strong>in</strong>g is there are go<strong>in</strong>g to be just as many studies that<br />

are not genetic and we need to be very clear about that.<br />

There are a lot of immunology studies. There are a lot of<br />

studies of new factors that are not at all genetic. So we

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