I sit down with Emily Goldberg, Genetic Counselor for JScreen.  JScreen is a nonprofit that provides cancer genetics testing, but also has a reproductive carrier screening panel. Most patients choose saliva but sometimes blood is chosen by mobile phlebotomy.  JScreen which started in Atlanta, provides testing and counseling in all 50 states.  Pricing is unique because they are a non-profit.  Cancer genetics was launched 3 years ago at JScreen and the numbers have increased dramatically with people wanting to have genetic testing.  There's still wait times for cancer genetic appointments, so there's a need for services like JScreen.  Variants of Uncertain Significance still happen regularly, about 20% of the time.  Historically they get classified over time as benign.  Cascade testing, or getting other family members tested after one tests positive, continues to be an issue in the space.