What if, through the use of genetic technologies, all children could be born without disabilities? What if they were required to be? Or what if these choices were only open to the wealthy? What if your entire personal genome could be put on a card as small and portable as a credit card? Would you want to know what it said about you? Who else would? How might this information affect the workplace, education, healthcare, insurance, family relations, and other aspects of our society?

This discussion guide and the seven contrasting policy possibilities in it are intended to help us explore these and other questions. The discussion guide offers a description of each of these policy possibilities along with some potential consequences that might illustrate their potential real-world implications.

The possibilities can be roughly grouped into three categories:

1. Policies Focused on an Up or Down Appraisal of Human Genetic Technology
2. Policies Focused on Distribution and Control Concerns; and
3. Other Policy Notions