Volume 29, Issue 1, Spring/Summer 2009
Mark Popovsky
Pages 127-151
Coping with Multiple Uncertainties
A Jewish Perspective on Genetic Testing for Breast Cancer and Prophylactic Interventions
THIS ESSAY APPLIES CONCEPTS AND VALUE JUDGMENTS FROM WITHIN the Jewish tradition to the range of questions raised by genetic testing for BRCA1/2 mutations as well as possible prophylactic interventions to prevent breast cancer; in so doing, it models a Jewish methodology for approaching contemporary situations through the lens of classical Judaism. It notes the Jewish tradition's robust skepticism about the value of partial knowledge and its repeated admonitions against predicting future events based on incomplete data. The essay also weighs Jewish tradition's strong imperative to aggressively pursue good health against Judaism's equally strong reluctance to attempt to predict future events based on partial data. This essay offers few definitive conclusions about Jewish law; instead, it shows that Jewish tradition can tolerate and support several different choices simultaneously. Jewish sources can guide individuals through the decision-making process without prescribing specific behaviors.