Conflicted?

A number of genetic counselors are employed by testing companies, rather than by doctor's offices or hospitals. As The New York Times reports, this arrangement can create a conflict of interest as the counselors depend on the uptake of the companies' tests to support their positions. Katie Stoll, a genetic counselor at the Madigan Health Care System Tacoma, Wash., wrote at the DNA Exchange that, in some instances, she worries that "the line between genetic counselor and sales representative is blurred."

However, MaryAnn Campion, who directs the genetic counseling program at Boston University, tells the Times that she has "never heard it being raised as a real issue in the quality of patient care." And Stephen Anderson, a LabCorp spokesperson, says genetic counselors are not salespeople. "Our counselors are trained professionals that are looking to provide appropriate care, period," he says.