Precision Medicine, Future Risk and the Present Self

Abstract

In May 2015, my mother was diagnosed with stage IV pancreatic cancer and passed away three months later at the age of 78. Two years later, my older brother, only 53 at the time, was also diagnosed with pancreatic cancer. He passed away 15 months later. With this news, we engaged in the genetic retelling of family histories and connections, drawing genealogical maps on pieces of paper that reminded me of teaching Anthro 101 and starkly reimagined which relatives ‘mattered’ in our lives. As an anthropologist interested in subject formation and spatiality informed by a Foucauldian analytic, I have been propelled into exploring what it means to become ‘high risk’ (as a biologically related daughter and sister), subject to new regimes of surveillance and self-management espoused by the field of precision medicine. This paper addresses this experience and thus contributes to questions of subject formation within the already-existing truth-making practices of genetic probability and personalized risk management.