WEBVTT - Why China Loves DNA Tests for Babies

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<v Speaker 1>Nature versus nurture. There have always been questions about which

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<v Speaker 1>one contributes more to who we all become as adults.

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<v Speaker 1>But imagine a future where the way you're raised is

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<v Speaker 1>based on your essential nature, where your parents believe your

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<v Speaker 1>genetic makeup is already pointing you to be a musician,

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<v Speaker 1>or a doctor or a math professor, and they're just

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<v Speaker 1>paving the way. All of this is based on the

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<v Speaker 1>results of a DNA test that you've got just hours

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<v Speaker 1>after your birth. In China, that future is happening now.

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<v Speaker 1>Welcome to Prognosis, Bloomberg's podcast about the intersection of health

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<v Speaker 1>and technology and the unexpected places it's taking us. I'm

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<v Speaker 1>your host, Michelle fay Cortes. Throughout this season, you've heard

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<v Speaker 1>about all the ways the proliferation of healthcare data, especially

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<v Speaker 1>from genetic testing, is creating opportunities and challenges. That includes

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<v Speaker 1>privacy concerns about who gets the information and how it's used.

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<v Speaker 1>But that all out embrace of DNA testing is perhaps

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<v Speaker 1>even more striking in China. This year alone, nearly four

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<v Speaker 1>million Chinese are expected to take part in genetic testing

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<v Speaker 1>to learn about their families and their health risks. But

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<v Speaker 1>they're also pushing the boundaries of what these test results

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<v Speaker 1>mean and what they can tell us about ourselves and

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<v Speaker 1>our futures. From the very beginning of our lives. There

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<v Speaker 1>are questions about what is scientifically possible or provable. This

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<v Speaker 1>leading edge of DNA determinism is happening in a country

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<v Speaker 1>where the very concept of data privacy and what consumers

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<v Speaker 1>want and expect is vastly different from Western countries. For

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<v Speaker 1>this episode, Bloomberg's Jan hob reports with April Ma and

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<v Speaker 1>Danielle Away across three cities in mainland China and Hong Kong.

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<v Speaker 1>Here's one with the story. This jogging track in a

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<v Speaker 1>sprawl in Beijing Park has become a regular hangout for

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<v Speaker 1>Lou Fey Long. The park overlooks the lake and it's

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<v Speaker 1>nestled among blocks of residential high rises. Well, I usually

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<v Speaker 1>tried to get out here to this park a few

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<v Speaker 1>times a week to go running. The thirty six year

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<v Speaker 1>old investor in Chinese web apps has made his workout

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<v Speaker 1>here a priority after getting a genetics test online earlier

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<v Speaker 1>this year. You know what, I have family history of diabetes.

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<v Speaker 1>My father and my aunt both heaven and need insulent

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<v Speaker 1>to survive. I do have high blush sugar, so I

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<v Speaker 1>wanted to see if I was also at risk through

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<v Speaker 1>a genetics test to the test indicated he's four times

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<v Speaker 1>more prone to diabetes than the average person, so he

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<v Speaker 1>changed his diet and began following the exercise regimen that

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<v Speaker 1>came with the test results and by bidding into that

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<v Speaker 1>test tube, blue Joint, China's DNA testing boom. China's consumer

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<v Speaker 1>genetics market reached sales of about one point four billion

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<v Speaker 1>dollars in and it's expected to grow nearly twenty percent

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<v Speaker 1>a year through that's according to Research and Markets dot com.

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<v Speaker 1>China is one of the fastest growing markets globally for

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<v Speaker 1>DNA tests, and there's dozens of companies to choose from.

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<v Speaker 1>There's even a twenty three and me similar sounding company,

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<v Speaker 1>twenty three mo funk. They range from big outfits like

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<v Speaker 1>b GI Genomics that's reportedly the world's largest genetics research center,

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<v Speaker 1>to lots of small startups like one Gene and gene Box.

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<v Speaker 1>That company offers a very basic genome test for less

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<v Speaker 1>than a dollar fifty cents. Yep, that's right, one dollar

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<v Speaker 1>and fifty cents shipping included in justin o those three

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<v Speaker 1>years nearly sixty million Chinese will have given a sample

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<v Speaker 1>of their DNA by taking a consumer genetic test. That's

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<v Speaker 1>according to a Yeo, a Beijing research firm. The country

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<v Speaker 1>is only beginning to grapple with a number of big

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<v Speaker 1>questions like who has access to all that DNA data,

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<v Speaker 1>how's it being used? And what happens when an authoritarian

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<v Speaker 1>government potentially has access to the genetic blueprint for millions

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<v Speaker 1>of its citizens. And the thorny issues over health data

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<v Speaker 1>protection are surfacing as China becomes something of a wild

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<v Speaker 1>West for genetics. That's thanks to a rapid and mostly

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<v Speaker 1>unchecked growth. Ethical debates were raised just this year after

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<v Speaker 1>Chinese scientists put human brain genes into monkeys and induced

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<v Speaker 1>mental illness in other gene edited primates. But the Chinese

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<v Speaker 1>genetics experiment that caused the loudest international outcry was scientist

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<v Speaker 1>Hagen quies gene editing of the embryos of twin girls

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<v Speaker 1>last year. He said he edited their DNA to give

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<v Speaker 1>them immunity to HIV infection. The scientific community condemned the

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<v Speaker 1>experiment and called it unethical, including Chinese scientists. Now, this

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<v Speaker 1>kind of gene surgery is banned in so many countries.

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<v Speaker 1>Medical and scientific community are very upset about this. They

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<v Speaker 1>are outraged China set his work violated government rules. Still,

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<v Speaker 1>the controversy exposed the lack of oversight in the country's

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<v Speaker 1>genetics field. There's a sense that the government doesn't want

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<v Speaker 1>to impose too many regulations because it wants the industry

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<v Speaker 1>to leap frog advances in the US and Europe. There's

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<v Speaker 1>almost no regulation of the consumer market for DNA testing either.

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<v Speaker 1>That makes it possible for Chinese companies to give out

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<v Speaker 1>test results that go beyond what American companies would be allowed.

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<v Speaker 1>This genetics boom is also happening against the backdrop of

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<v Speaker 1>China stepping up mass surveillance of its citizens. Video camists

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<v Speaker 1>are posted on most city blocks, millions of them, as

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<v Speaker 1>China masses big databases of information on its own people.

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<v Speaker 1>There are questions how the growing consumer genetics industry might

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<v Speaker 1>feed into that. And if you ask Chinese consumers about

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<v Speaker 1>protecting their genetic code, what makes you you, most will shrug.

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<v Speaker 1>This seems especially true among the many new parents who

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<v Speaker 1>get their offspring sequenced in hopes of discovering innate skills

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<v Speaker 1>and future potential. Supposedly written in their DNA. Tama Joe

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<v Speaker 1>Sao Ying is playing with her two year old son

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<v Speaker 1>in their Shanghai home. Days after little bai Ye was born,

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<v Speaker 1>his mom decided to have his DNA analyzed. Testing of

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<v Speaker 1>babies in the womb and as newborns is one of

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<v Speaker 1>the fastest growing sectors of the genomics business. Here what

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<v Speaker 1>ina I did it for two reasons. One is to

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<v Speaker 1>know about his talents in the future so that I

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<v Speaker 1>can sell it direction for him. And then I wanted

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<v Speaker 1>to know about his host risks, whether he has any

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<v Speaker 1>genetic diseases, so that I can take preventive measures tell

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<v Speaker 1>you where I am. And with one point four billion

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<v Speaker 1>people and competition intents for schools and jobs, parents are

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<v Speaker 1>trying to give their little prints or princess every advantage possible.

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<v Speaker 1>The company salesman pitched that the test can show whether

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<v Speaker 1>genetically her day's old son is gifted in arts, music,

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<v Speaker 1>or math. So what did the genetic crystal ball tell her?

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<v Speaker 1>Travel ball pen The test results show that my son

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<v Speaker 1>has talent in the arts, especially in music. It says

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<v Speaker 1>he's strong in creativity and weak in sports. I think

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<v Speaker 1>it's very accurate. He's two years old now, and I

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<v Speaker 1>have noticed that he can recognize us song after hearing

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<v Speaker 1>it for the first time. If I asked him to

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<v Speaker 1>harm the song, he can also do it into I'm

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<v Speaker 1>surprised before the sales rep swabbed Little by his mouth

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<v Speaker 1>with a cotton tip. His mother remembers signing paperwork. She

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<v Speaker 1>thinks the paper might have been a disclosure for a woman.

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<v Speaker 1>If it's a piece of paper with writing on both sides,

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<v Speaker 1>it contained information about what your DNA is used for.

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<v Speaker 1>I didn't look at it carefully, so I don't know

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<v Speaker 1>if there is any mention in the document that it

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<v Speaker 1>can only be used for research and not for other purposes.

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<v Speaker 1>I didn't really pay attention. Joe, a former bank employee,

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<v Speaker 1>sounds casual about protecting her son's genetic blueprint, and her

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<v Speaker 1>nonchalance is in a way a reflection that Joe doesn't

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<v Speaker 1>think that she has any real say over how the

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<v Speaker 1>data may be passed around or used, or whether the

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<v Speaker 1>government might one day access it. Jake don't see as

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<v Speaker 1>an individual citizen, it's beyond our ability to control it.

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<v Speaker 1>We have little power. Joe and many other Chinese don't

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<v Speaker 1>think about privacy and the safeguarding a private data in

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<v Speaker 1>the same way as Westerners, and they're likely to view

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<v Speaker 1>the government's reach into their lives as benign. Example, why

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<v Speaker 1>because we are in China. If the government obtains the

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<v Speaker 1>data and uses it for something, we don't seem to

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<v Speaker 1>have the right to oppose it. But I believe if

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<v Speaker 1>our government is doing it, it must be doing it

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<v Speaker 1>for a good cost and will protect our personal data.

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<v Speaker 1>Even some Chinese law experts share the view that government

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<v Speaker 1>access to individual data is not a big deal. Since

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<v Speaker 1>the Indians, I think that when the state collects its

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<v Speaker 1>citizens genetic information has a different purpose. Let's leaves shall

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<v Speaker 1>know she's an associate professor who teaches classes in genetics

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<v Speaker 1>law at Peaking University, one of China's top schools palamont In.

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<v Speaker 1>Commercial companies that are providing genetic testing services are going

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<v Speaker 1>after the bottom line to make a profit, but the

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<v Speaker 1>state is collecting the data for scientific research and for

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<v Speaker 1>the cure of diseases. So personally I trust the state

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<v Speaker 1>more because they don't have any commercial intentions. Such an open,

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<v Speaker 1>unskeptical embrace of an authoritarian government's agenda main leave Westerners

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<v Speaker 1>scratching their heads. But let's step back for a second.

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<v Speaker 1>The different cultural approaches to privacy comes down to the

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<v Speaker 1>word itself. The Chinese word for privacy zine, and the

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<v Speaker 1>characters that make up the word carry the connotations of

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<v Speaker 1>hidden secrets. Tiffany Lee, who is a Resident Fellow at

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<v Speaker 1>Yale Law Schools Information Society Project, points out that cultural

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<v Speaker 1>norms around privacy on the mainland are often more about

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<v Speaker 1>protecting a person from shame rather than the protection of

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<v Speaker 1>individual liberty. The Chinese people are more open or less

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<v Speaker 1>sensitive about the privacy UH issue. F they are able

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<v Speaker 1>to treade privacy, say for convenience for uh sifety for efficiency,

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<v Speaker 1>in a lot of cases, they're willing to do that.

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<v Speaker 1>That's Robin Lee, the founder of search engine bai Do.

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<v Speaker 1>His comments at a forum in Beijing last year were

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<v Speaker 1>widely criticized online by his countrymen, a sign that attitudes

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<v Speaker 1>may be shifting still. How Chinese approach data protection is

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<v Speaker 1>often shaped by having grown up under a communist regime

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<v Speaker 1>and within a Confucian culture that teaches the government will

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<v Speaker 1>always enact policies for the common good. Contrast, that would

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<v Speaker 1>the US new data protection law that came into effect

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<v Speaker 1>last year that forced multinationals to scramble to comply. Its

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<v Speaker 1>specifically outlines that the protection of personal data is a

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<v Speaker 1>human right. China is also taking measures to better govern

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<v Speaker 1>how genetic data is handled. New rules that went into

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<v Speaker 1>effect this month layout protections for consumers. They call for

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<v Speaker 1>companies to inform customers about how their DNA data will

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<v Speaker 1>be protected and give them the right to opt out

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<v Speaker 1>at any time. The good thing is that we see

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<v Speaker 1>that China try to implement this international standard, which is

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<v Speaker 1>the so called prior informed consent for the use or

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<v Speaker 1>preservation collection of the genetic data. That's g On Lee.

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<v Speaker 1>He's an associate law professor at the Chinese University of

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<v Speaker 1>Hong Kong and he studies cyber law and privacy issues

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<v Speaker 1>on the mainland. The government is trying to send a

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<v Speaker 1>message to the market that is going to play tough

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<v Speaker 1>for the violation of all this genetic information misuse. I

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<v Speaker 1>do expect there will be some benchmark cases, probably in

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<v Speaker 1>the first two to three years. Last year, the government

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<v Speaker 1>handed down finds the multinational farmer company Astra Zeneca and

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<v Speaker 1>five domestic firms for sharing DNA samples or genetic data

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<v Speaker 1>with other organizations in China and outside the country. The

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<v Speaker 1>new rules prohibit the sale of genetic data except for

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<v Speaker 1>scientific research and puts restrictions on foreign companies. But there's

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<v Speaker 1>one provision of the regulation that should raise concerns. And

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<v Speaker 1>the other very prominently provision that I see from this

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<v Speaker 1>slow is that they think that the government can have

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<v Speaker 1>access to this genetic data. So for the purpose of

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<v Speaker 1>public health, national security, and um public interests, the government

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<v Speaker 1>can access these preserved genetic data. And it's actually not

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<v Speaker 1>very clear. So what is the purpose of public health,

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<v Speaker 1>national security and also public interests? National security can actually

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<v Speaker 1>define very browth that might include everything. So what kind

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<v Speaker 1>of genetic information could be valuable to the government. The

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<v Speaker 1>coffin might have much more information about your family relations

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<v Speaker 1>or your entstry, or what you did before and even

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<v Speaker 1>for for example, if anyone have any illegmate child that's

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<v Speaker 1>easy to track. So if anyone or if any entity

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<v Speaker 1>has access to that kind of data base or unlimited

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<v Speaker 1>unbalanced access to that kind of data, that would be

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<v Speaker 1>ver very dangerous. Lee believes the government has huge databases

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<v Speaker 1>or can get access to all sorts of information on

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<v Speaker 1>its citizens financial records, did you pay your bills on time?

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<v Speaker 1>Digital payments? How many luxury watches, did you buy speech

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<v Speaker 1>and online activity on the internet. What if all that

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<v Speaker 1>information could be combined on any one individual. Well, there

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<v Speaker 1>is a plan to merge some of that. Some provinces

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<v Speaker 1>have begun to implement what will become a nationwide social

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<v Speaker 1>credit system that melds personal financial data with behavior. Under

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<v Speaker 1>this new system, every citizen is ranked if you owe

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<v Speaker 1>money or don't pay your taxes, you run red lights,

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<v Speaker 1>or don't pick up after your dog, then points are deducted.

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<v Speaker 1>Good behavior and deeds like donating blood and money improve

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<v Speaker 1>your score. Those with low credit scores may lose access

0:15:24.400 --> 0:15:27.880
<v Speaker 1>to benefits or services, while those with good credit scores

0:15:27.920 --> 0:15:32.360
<v Speaker 1>are given priority and access. Already, Chinese have been prevented

0:15:32.360 --> 0:15:35.360
<v Speaker 1>from buying plane and rail tickets because of their social

0:15:35.360 --> 0:15:38.800
<v Speaker 1>credit scores. The system is still in its early days,

0:15:39.040 --> 0:15:41.600
<v Speaker 1>and there's still debate whether the project is aimed at

0:15:41.720 --> 0:15:46.080
<v Speaker 1>increasing surveillance or if it's China's unique way to incentivize

0:15:46.120 --> 0:15:50.520
<v Speaker 1>citizens to uphold laws. Many Chinese are actually in favor

0:15:50.520 --> 0:15:53.680
<v Speaker 1>of the system. They say it promotes good behavior and

0:15:53.760 --> 0:15:57.720
<v Speaker 1>engenders trust. With that unfolding on the ground, Lee is

0:15:57.800 --> 0:16:00.960
<v Speaker 1>concerned what will happen as d NA is thrown into

0:16:00.960 --> 0:16:05.200
<v Speaker 1>the mix. There is a possibility that all these different

0:16:05.400 --> 0:16:09.160
<v Speaker 1>kinds of a personal data, including the biological one and

0:16:09.240 --> 0:16:12.440
<v Speaker 1>digital one, will be connected together. Um. But we have

0:16:12.560 --> 0:16:16.720
<v Speaker 1>no idea how that combination will be used against you

0:16:16.800 --> 0:16:19.800
<v Speaker 1>because the technology is still developing. For most of the people,

0:16:19.920 --> 0:16:23.800
<v Speaker 1>I don't think they will feel very comfortable, um, if

0:16:23.840 --> 0:16:27.520
<v Speaker 1>they have that kind of information accessed by any other

0:16:27.600 --> 0:16:31.800
<v Speaker 1>parties other than yourselves. Um. Not to mention that a

0:16:31.840 --> 0:16:35.480
<v Speaker 1>lot of information actually is not known to you yourselves.

0:16:35.800 --> 0:16:38.680
<v Speaker 1>We were hard pressed to find experts in China raising

0:16:38.720 --> 0:16:42.520
<v Speaker 1>concerns on the government's potential access to genetic data. That

0:16:42.640 --> 0:16:45.840
<v Speaker 1>may be partly because the consumer genetics industry is still

0:16:45.880 --> 0:16:50.480
<v Speaker 1>relatively small and developing in the country. Well, I've never

0:16:50.520 --> 0:16:53.320
<v Speaker 1>thought about how genetic testing can be used to maintain

0:16:53.400 --> 0:16:57.680
<v Speaker 1>a stable society. That's lea shall known of Peaking University. Again,

0:16:58.360 --> 0:17:00.640
<v Speaker 1>she's trying to figure out the critics, is ms and

0:17:00.680 --> 0:17:04.720
<v Speaker 1>reservations that Westerners have about the Chinese government or police

0:17:05.119 --> 0:17:10.800
<v Speaker 1>getting their hands on individual DNA information. How would that

0:17:10.880 --> 0:17:14.320
<v Speaker 1>be possible? Would they find out through gene tests which

0:17:14.359 --> 0:17:17.840
<v Speaker 1>individuals have a genetic mutation that shows they're more likely

0:17:17.920 --> 0:17:20.480
<v Speaker 1>to raise a rebellion. Is that what people in the

0:17:20.520 --> 0:17:23.879
<v Speaker 1>West think that the Chinese government is going to predict

0:17:23.920 --> 0:17:27.360
<v Speaker 1>which people are going to cause chaos through genetic testing

0:17:27.680 --> 0:17:31.160
<v Speaker 1>and then put them under higher surveillance. Actually, some critics

0:17:31.160 --> 0:17:34.760
<v Speaker 1>say some version of that scenario is already playing out.

0:17:35.400 --> 0:17:38.080
<v Speaker 1>The United Nations and the United States say more than

0:17:38.160 --> 0:17:42.280
<v Speaker 1>one million weekers are being held enforced re education camps.

0:17:42.840 --> 0:17:46.280
<v Speaker 1>There are Muslim ethnic group that's under surveillance. China says

0:17:46.320 --> 0:17:50.720
<v Speaker 1>it's fighting separatism there in Cindio, this region of western China.

0:17:51.440 --> 0:17:55.240
<v Speaker 1>UH the authorities are requiring people from the age of

0:17:55.280 --> 0:17:59.200
<v Speaker 1>twelve to six to all be submitting the d n

0:17:59.280 --> 0:18:03.560
<v Speaker 1>A samples um to be put in a searchable DNA database.

0:18:03.760 --> 0:18:06.920
<v Speaker 1>That's Maya Wong, a senior researcher for Human Rights Watch

0:18:07.080 --> 0:18:11.080
<v Speaker 1>focused on China. The organization says it has documented that

0:18:11.240 --> 0:18:15.600
<v Speaker 1>Chinese police have collected forty million DNA entries from ordinary

0:18:15.680 --> 0:18:19.520
<v Speaker 1>Chinese not connected to crimes. The nonprofit says the nation's

0:18:19.560 --> 0:18:23.719
<v Speaker 1>Ministry of Public Security started building a searchable national DNA

0:18:23.840 --> 0:18:26.639
<v Speaker 1>database in the early two thousands as part of a

0:18:26.680 --> 0:18:29.639
<v Speaker 1>police project known as the Golden Shield. A lot of

0:18:29.680 --> 0:18:33.800
<v Speaker 1>these AI systems then feed into the next layer of surveillance,

0:18:34.040 --> 0:18:37.359
<v Speaker 1>which is the use of big data programs by the

0:18:37.400 --> 0:18:42.040
<v Speaker 1>police to track monitor people's relationships, where they go and ins,

0:18:42.480 --> 0:18:46.280
<v Speaker 1>for example, where this surveillance is most intrusive and visible.

0:18:46.520 --> 0:18:51.040
<v Speaker 1>That information is also used to um control people's movement

0:18:51.160 --> 0:18:54.800
<v Speaker 1>and also to be analyzed who put certain people who

0:18:54.800 --> 0:19:01.959
<v Speaker 1>are politically untrustworthy into political inductritional Asian camps um So

0:19:02.040 --> 0:19:06.720
<v Speaker 1>in that context, the collection of DNA is problematic because

0:19:06.800 --> 0:19:09.960
<v Speaker 1>it is part of a bigger program of mass surveillance

0:19:10.000 --> 0:19:14.120
<v Speaker 1>and gathering big data of people with the explicit purpose

0:19:14.280 --> 0:19:18.359
<v Speaker 1>of social control. With d NA, police can identify who's

0:19:18.440 --> 0:19:22.520
<v Speaker 1>related to whom once an individual is flagged as suspicious

0:19:22.640 --> 0:19:26.399
<v Speaker 1>or a threat. She says, Entire families could also be marked.

0:19:26.960 --> 0:19:30.320
<v Speaker 1>She says the biological information being collected here could be

0:19:30.400 --> 0:19:34.280
<v Speaker 1>used to isolate a group of people and discriminate against them.

0:19:34.440 --> 0:19:37.879
<v Speaker 1>China's Foreign Affairs Ministry didn't comment on our questions about

0:19:37.960 --> 0:19:41.719
<v Speaker 1>DNA being gathered in Shinjang. At a recent press briefing,

0:19:41.800 --> 0:19:45.280
<v Speaker 1>the Foreign Ministry spokesman said the camps are vocation training

0:19:45.280 --> 0:19:49.800
<v Speaker 1>centers that counter terrorism, and with so many consumer genetic

0:19:49.840 --> 0:19:54.440
<v Speaker 1>companies collecting DNA data. There's concern that Chinese government could

0:19:54.520 --> 0:19:58.800
<v Speaker 1>compel companies to turn data over with impunity. The rules

0:19:58.880 --> 0:20:04.120
<v Speaker 1>allow for the Chinese government to basically access data without

0:20:04.880 --> 0:20:09.800
<v Speaker 1>any procedures or legal oversight or any kind of you know,

0:20:10.240 --> 0:20:12.920
<v Speaker 1>restrictions on what they can access and what they can

0:20:12.960 --> 0:20:18.600
<v Speaker 1>take um and that has implications well for one billion people,

0:20:18.640 --> 0:20:27.600
<v Speaker 1>but also some of these companies also work abroad. Here

0:20:27.680 --> 0:20:30.960
<v Speaker 1>at a busy crosswalk in the manufacturing hub of Shenzen,

0:20:31.400 --> 0:20:36.040
<v Speaker 1>the surveillance of ordinary citizens is on public display. Across

0:20:36.119 --> 0:20:39.240
<v Speaker 1>the street is a gigantic TV monitor that displays the

0:20:39.280 --> 0:20:43.000
<v Speaker 1>photos of people who have gotten caught jaywalking. If the

0:20:43.080 --> 0:20:46.119
<v Speaker 1>software can identify a jaywalker, they're assessed to find that

0:20:46.240 --> 0:20:52.760
<v Speaker 1>sent us a text message to their phone. The city

0:20:52.880 --> 0:20:56.679
<v Speaker 1>is also home to the headquarters of genetics Firmwigian, the

0:20:56.760 --> 0:21:01.320
<v Speaker 1>popular consumer genetics testing company started into fourteen and has

0:21:01.359 --> 0:21:04.640
<v Speaker 1>tested the DNA samples of about three hundred thousand users.

0:21:05.240 --> 0:21:08.679
<v Speaker 1>Company CEO Chung Gung welcomes the country's new rules on

0:21:08.760 --> 0:21:14.760
<v Speaker 1>managing genetic data and says they won't disrupt business. The

0:21:14.760 --> 0:21:17.920
<v Speaker 1>genetic data Regien collects from customers is only being used

0:21:17.920 --> 0:21:20.960
<v Speaker 1>inside regien. We have not and will not share such

0:21:21.080 --> 0:21:24.800
<v Speaker 1>data with other organizations. Chun says the government hasn't come

0:21:24.880 --> 0:21:28.200
<v Speaker 1>knocking on its doors about the DNA data it's been collecting.

0:21:28.680 --> 0:21:32.520
<v Speaker 1>And what if the government ever asked for the data,

0:21:31.800 --> 0:21:37.879
<v Speaker 1>whether it's a tech company or genetic testing company, we

0:21:37.920 --> 0:21:40.720
<v Speaker 1>may have to provide data and situations where it's required,

0:21:41.320 --> 0:21:43.359
<v Speaker 1>but so far there isn't an order on this matter.

0:21:44.080 --> 0:21:47.000
<v Speaker 1>If there's a regulation requiring companies to do it, there's

0:21:47.040 --> 0:21:56.000
<v Speaker 1>no way a company can refuse. One very significant project

0:21:56.080 --> 0:21:59.639
<v Speaker 1>between the government and a genetics consumer company is unfolding

0:21:59.680 --> 0:22:03.080
<v Speaker 1>here in Shenzen. This hub of more than thirteen million

0:22:03.119 --> 0:22:06.280
<v Speaker 1>people is also home to be Gi Genomics, one of

0:22:06.320 --> 0:22:10.160
<v Speaker 1>the world's largest genome sequencing companies. The firm is also

0:22:10.200 --> 0:22:14.879
<v Speaker 1>the biggest provider of prenatal genetic testing in China. The

0:22:14.920 --> 0:22:18.480
<v Speaker 1>publicly listed company is also charged with running China's National

0:22:18.560 --> 0:22:22.320
<v Speaker 1>Gene Bank, a huge database and repository of DNA and

0:22:22.320 --> 0:22:26.320
<v Speaker 1>biological samples from millions of Chinese across the country, and

0:22:26.400 --> 0:22:28.919
<v Speaker 1>it aspires to be the biggest such center in the world.

0:22:29.320 --> 0:22:32.240
<v Speaker 1>China spent nearly one billion dollars to fund the first

0:22:32.280 --> 0:22:35.760
<v Speaker 1>phase and started the Gene Bank for health and disease research.

0:22:37.200 --> 0:22:40.360
<v Speaker 1>Under the new rules, there's a high chance that no

0:22:40.400 --> 0:22:43.760
<v Speaker 1>one will ever know when and how the government or

0:22:43.840 --> 0:22:47.800
<v Speaker 1>law enforcement might invoke public health, national security, or public

0:22:47.880 --> 0:22:51.920
<v Speaker 1>social interest reasons to access the genetic data stored there.

0:22:52.600 --> 0:22:55.520
<v Speaker 1>The rules don't outline a process for checks on the

0:22:55.560 --> 0:22:59.840
<v Speaker 1>government's access. B g I said customers data belonged to

0:22:59.880 --> 0:23:03.560
<v Speaker 1>the those clients and it respects national laws. In other

0:23:03.680 --> 0:23:08.280
<v Speaker 1>Chinese cities, some private genetics companies are working with law enforcement.

0:23:08.800 --> 0:23:12.280
<v Speaker 1>A handful of companies advertised as a selling point that

0:23:12.359 --> 0:23:16.399
<v Speaker 1>they share children's DNA data with police. Chinese police launched

0:23:16.400 --> 0:23:19.800
<v Speaker 1>a database in two thousand nine to collect DNA information

0:23:19.920 --> 0:23:23.879
<v Speaker 1>of children. The program is aimed at preventing child kidnapping

0:23:24.000 --> 0:23:34.359
<v Speaker 1>and trafficking. Joe is a mom of two kids and

0:23:34.440 --> 0:23:38.160
<v Speaker 1>says she wouldn't hesitate to add her children's genetic blueprint

0:23:38.280 --> 0:23:43.919
<v Speaker 1>to police database. Just if your kid does go missing

0:23:44.200 --> 0:23:47.600
<v Speaker 1>and there are still traffickers out there, that's pretty scary.

0:23:48.119 --> 0:23:51.600
<v Speaker 1>We are unlimited as parents to protect our kids, and

0:23:51.680 --> 0:23:55.120
<v Speaker 1>if there are other institutions and the government that are

0:23:55.200 --> 0:23:59.040
<v Speaker 1>doing this together for our children, I'm okay with it.

0:23:59.480 --> 0:24:07.520
<v Speaker 1>Going to launch of heights do this okay, though the

0:24:07.560 --> 0:24:11.840
<v Speaker 1>government's latest regulation on the Management of Genetic material addresses

0:24:11.960 --> 0:24:16.840
<v Speaker 1>other Chinese fears. The provision band's foreign companies from collecting

0:24:16.920 --> 0:24:20.520
<v Speaker 1>and storing the DNA of Chinese in the country or

0:24:20.600 --> 0:24:25.080
<v Speaker 1>sending Chinese data overseas. After China's f d A find

0:24:25.119 --> 0:24:29.600
<v Speaker 1>the company's last year from mishandling genetic data, articles circulated

0:24:29.640 --> 0:24:33.000
<v Speaker 1>online that the DNA that were illegally exported could be

0:24:33.160 --> 0:24:41.320
<v Speaker 1>used by foreign entities to harm Chinese. Here again is

0:24:41.400 --> 0:24:44.280
<v Speaker 1>Lou fe Long. He's the web app investor we first

0:24:44.359 --> 0:24:46.840
<v Speaker 1>met on the jogging track at the beginning of our story.

0:24:47.480 --> 0:24:51.680
<v Speaker 1>He's college educated and highly informed. He sees the pitfall

0:24:51.840 --> 0:24:58.400
<v Speaker 1>of Chinese DNA in the wrong hands. Larger problem is

0:24:59.160 --> 0:25:01.960
<v Speaker 1>if an organization and gets hold up these genes of

0:25:02.040 --> 0:25:05.760
<v Speaker 1>our ethnicity or of Chinese people, they might be able

0:25:05.800 --> 0:25:08.920
<v Speaker 1>to extract from it where are people are different from

0:25:08.920 --> 0:25:23.280
<v Speaker 1>others and then target those vulnerabilities. In Beijing, seven year

0:25:23.280 --> 0:25:26.640
<v Speaker 1>old r curator Jung Tang Wawin is working in the studio.

0:25:27.160 --> 0:25:29.879
<v Speaker 1>He and his family members have all given samples for

0:25:29.920 --> 0:25:33.080
<v Speaker 1>genetic tests because they wanted to dig into their health risks.

0:25:33.480 --> 0:25:36.800
<v Speaker 1>He's among the minority of consumers who's actually given some

0:25:36.840 --> 0:25:40.879
<v Speaker 1>thought to genetic data protection. He imagines the future in

0:25:40.920 --> 0:25:44.520
<v Speaker 1>which the government could use DNA to dictate professions and

0:25:44.680 --> 0:25:50.840
<v Speaker 1>life choices in I'm worried that if the government has

0:25:50.880 --> 0:25:55.919
<v Speaker 1>control over genetic information, this data will be incorporated into

0:25:56.000 --> 0:26:00.200
<v Speaker 1>each person's idea. Different groups will be separated by their

0:26:00.280 --> 0:26:05.040
<v Speaker 1>genetic information. His fears may not be as paranoid as

0:26:05.080 --> 0:26:09.160
<v Speaker 1>they sound. Chinese genetic testing companies now routinely give out

0:26:09.200 --> 0:26:12.280
<v Speaker 1>results that tell customers if they're at risk for depression

0:26:12.359 --> 0:26:15.800
<v Speaker 1>or mental disorders. Parents test their newborns to see if

0:26:15.800 --> 0:26:19.360
<v Speaker 1>they're likely to suffer from poor retention and memory. Yet,

0:26:19.359 --> 0:26:23.359
<v Speaker 1>despite those fears, John is determined to call valuable information

0:26:23.480 --> 0:26:26.960
<v Speaker 1>from his own DNA now before private companies or the

0:26:27.040 --> 0:26:30.520
<v Speaker 1>government does. He says everyone should have health data on

0:26:30.560 --> 0:26:33.760
<v Speaker 1>themselves and be able to enjoy the lighter side of

0:26:33.800 --> 0:26:36.720
<v Speaker 1>it too, like knowing if your lineage can be traced

0:26:36.720 --> 0:26:41.840
<v Speaker 1>back to an ancient emperor. So Nah, I know it

0:26:41.960 --> 0:26:45.080
<v Speaker 1>all comes with a price. There's no such thing as

0:26:45.160 --> 0:26:49.320
<v Speaker 1>absolute privacy. It just depends on the value of the information.

0:26:49.840 --> 0:26:52.760
<v Speaker 1>So I choose to overlook it because I'm after the

0:26:52.880 --> 0:26:57.119
<v Speaker 1>health information and the entertainment from the testing. I have

0:26:57.280 --> 0:27:00.800
<v Speaker 1>no control over the privacy of the information, and it's

0:27:00.800 --> 0:27:04.800
<v Speaker 1>small proactive to get the results now wait for the

0:27:04.920 --> 0:27:13.479
<v Speaker 1>day it will be accessed anyway. What this millennial's approach

0:27:13.520 --> 0:27:17.280
<v Speaker 1>to data privacy is both fatalistic and proactive at the

0:27:17.320 --> 0:27:20.040
<v Speaker 1>same time. If he were in the US, he might

0:27:20.040 --> 0:27:22.639
<v Speaker 1>be among those selling their DNA data in exchange for

0:27:22.680 --> 0:27:26.560
<v Speaker 1>gift cards, cryptocurrency, or shares to any number of companies

0:27:26.600 --> 0:27:32.000
<v Speaker 1>looking to buy it. Whatever China's consumer genetics market evolves into,

0:27:32.480 --> 0:27:35.400
<v Speaker 1>it will be shaped by the fears, needs, and cultural

0:27:35.480 --> 0:27:39.040
<v Speaker 1>values of more than a billion Chinese consumers, and there's

0:27:39.040 --> 0:27:41.480
<v Speaker 1>a good chance it will look nothing like what we

0:27:41.520 --> 0:27:53.679
<v Speaker 1>could ever imagine. Stay tuned, and that's it for the

0:27:53.720 --> 0:27:57.080
<v Speaker 1>second season of Prognosis. We hope you enjoyed hearing about

0:27:57.080 --> 0:28:00.200
<v Speaker 1>all the promise and privacy issues that are swirling round

0:28:00.240 --> 0:28:04.080
<v Speaker 1>healthcare data. We still want to hear from you, especially

0:28:04.080 --> 0:28:06.000
<v Speaker 1>if you have a story about healthcare in the US

0:28:06.280 --> 0:28:09.040
<v Speaker 1>or around the world. Find me on Twitter at aa

0:28:09.200 --> 0:28:12.880
<v Speaker 1>Cortes or email me m Cortes at Bloomberg dot net.

0:28:13.800 --> 0:28:15.880
<v Speaker 1>If you were a fan of this episode, please take

0:28:15.880 --> 0:28:18.560
<v Speaker 1>a moment to rate and review us. It really helps

0:28:18.560 --> 0:28:22.000
<v Speaker 1>new listeners find the show and don't forget to subscribe.

0:28:23.440 --> 0:28:27.040
<v Speaker 1>This episode is produced by Lindsay Cratterwell. Our story editor

0:28:27.080 --> 0:28:30.639
<v Speaker 1>was Rick Shine. Special thanks to mung Ling Huang and

0:28:30.720 --> 0:28:35.479
<v Speaker 1>Drew Armstrong. Francesca Leavia as head of Bloomberg Podcasts. Thanks

0:28:35.640 --> 0:28:36.640
<v Speaker 1>and we'll see you next time.