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BiDil, is on the leading edge of the emerging field of race-based pharmacogenomics. It signals a shift in perception, a new approach to medicine that has at its core an idea at once familiar and incendiary: the assumption that there are biological differences among the races.
BiDil is also a feat of creative repackaging. Five years ago, the F.D.A. rejected it for use in the general population because it was found to be ineffective in the treatment of heart failure, a common complication of cardiovascular disease that affects some five million Americans and leads to 300,000 deaths a year. But in 2001, the manufacturer, NitroMed, asked permission to test BiDil exclusively in blacks, whose heart failure tends to be more severe and harder to treat...
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