Try free for 30 days

  • Tyranny of the Gene

  • Personalized Medicine and Its Threat to Public Health
  • By: James Tabery
  • Narrated by: George Newbern
  • Length: 9 hrs and 4 mins

1 credit a month to use on any title, yours to keep (you’ll use your first credit on this title).
Stream or download thousands of included titles.
Access to exclusive deals and discounts.
$16.45 a month after 30 day trial. Cancel anytime.
Tyranny of the Gene cover art

Tyranny of the Gene

By: James Tabery
Narrated by: George Newbern
Try for $0.00

$16.45 per month after 30 days. Cancel anytime.

Buy Now for $26.99

Buy Now for $26.99

Pay using voucher balance (if applicable) then card ending in
By confirming your purchase, you agree to Audible's Conditions Of Use and Privacy Notice and authorise Audible to charge your designated credit card or another available credit card on file.

Publisher's Summary

A revelatory account of how power, politics, and greed have placed the unfulfilled promise of personalized medicine at the center of American medicine

The United States is embarking on a medical revolution. Supporters of personalized, or precision, medicine—the tailoring of health care to our genomes—have promised to usher in a new era of miracle cures. Advocates of this gene-guided health-care practice foresee a future where skyrocketing costs can be curbed by customization and unjust disparities are vanquished by biomedical breakthroughs. Progress, however, has come slowly, and with a price too high for the average citizen.

In Tyranny of the Gene, James Tabery exposes the origin story of personalized medicine—essentially a marketing idea dreamed up by pharmaceutical executives—and traces its path from the Human Genome Project to the present, revealing how politicians, influential federal scientists, biotech companies, and drug giants all rallied behind the genetic hype. The result is a medical revolution that privileges the few at the expense of health care that benefits us all.

Now American health care, driven by the commercialization of biomedical research, is shifting focus away from the study of the social and environmental determinants of health, such as access to fresh and nutritious food, exposure to toxic chemicals, and stress caused by financial insecurity. Instead, it is increasingly investing in “miracle pills” for leukemia that would bankrupt most users, genetic studies of minoritized populations that ignore structural racism and walk dangerously close to eugenic conclusions, and oncology centers that advertise the perfect gene-drug match, igniting a patient’s hope, and often dashing it later.Tyranny of the Gene sounds a warning cry about the current trajectory of health care and charts a path to a more equitable alternative.

©2023 James Tabery (P)2023 Random House Audio

Critic Reviews

"George Newbern provides a clear, thoughtful listening experience. Given the depth of the information provided, listeners benefit from his approach.... Newbern conveys these issues in a warm, almost story-telling, manner." (AudioFile)

["“Incisive . . . Tabery is a penetrating critic, positing that research on personalized drugs takes up an oversize share of funding because it’s more profitable than investigating environmental determinants of health. . . . This damning take on scientific bias is not to be missed.” Publishers Weekly (starred review)

“An accessible narrative bolstered by prodigious research . . . An engaging, provocative study of a much-hyped aspect of American health care . . . Tabery succeeds in raising a compelling alarm about where things stand and making clear that the current situation could have been much different, all while laying the groundwork for an alternative future.” Kirkus Reviews

“The majority of the common diseases that take a large toll on health in America are caused by lifestyle and environmental factors, or those factors combined with genetics. Yet biomedical research today is focused on genes and exorbitantly expensive gene-based therapies—to the detriment of our health and our pocketbooks. In this powerful book, James Tabery explains how and why the promise of ‘personalized’ and ‘precision’ medicine has failed us. A must-read for doctors, patients, scientists, and anyone who cares about the future of health in America.” —Naomi Oreskes, co-author of Merchants of Doubt: How a Handful of Scientists Obscured the Truth on Issues from Tobacco Smoke to Global Warming

More from the same

What listeners say about Tyranny of the Gene

Average Customer Ratings

Reviews - Please select the tabs below to change the source of reviews.

In the spirit of reconciliation, Audible acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.