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With the pipeline of traditional drugs drying up, researchers are increasingly attempting to customize treatments based on a person's genetics or environment. Now the US government wants to get in on the act.

During his State of the Union address to Congress on 20 January, President Barack Obama announced a programme called the Precision Medicine Initiative. “I want the country that eliminated polio and mapped the human genome to lead a new era of medicine —  one that delivers the right treatment at the right time,” he said.

The White House is remaining tight-lipped about the details of the programme, declining to answer questions from Nature — as is the US National Institutes of Health (NIH), which is expected to be a key partner in the effort. But Kay Holcombe, senior vice-president for science policy at the Biotechnology Industry Organization (BIO) in Washington DC, says that her conversations with the NIH suggest that the agency will seek to match genome information with many other types of data, such as health records and blood-test results.

The agency seems to...