Health-Information Altruists

Abstract
Project planners who are seeking to cultivate a network of patients willing to provide their health information to genomic-cohort investigators, as described by Kohane and Altman (Nov. 10 issue),1 cannot afford to ignore how increasing commercialization has complicated the social contract for biomedical research.2 In fact, the very projects in Iceland and Estonia cited by the authors as precedents for the success of health-information altruism have foundered, owing to controversies over the commercial use of personal health records.3,4