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In her monograph, Monica Konrad is engaged in several important intellectual projects that compete for centrality in the analysis of her ethnographic data. These projects include the following contributions: adding to the empirical record regarding genetic testing and decision-making, challenging the boundaries of bioethics discourse, arguing for engaged scholarship to inform developments in public policy, and justifying emergent theoretical approaches within anthropological inquiry. While at first glance the book seems to be about genetic testing for Huntington’s Disease in Great Britain, Konrad’s ethnographic analysis often appears only as the backdrop to a much more ambitious work. This review will describe each of these scholarly contributions to illustrate the breadth of Narrating the New Predictive Genetics.