But does it always "open the door to more discussion", or do some medical professionals just make judgements based on which box was ticked on the patient form? Presented with an African immigrant patient, is a US doctor going to realise that the patient may have rather different genetics from most African-Americans, and hence information about health risks for African-Americans may not be relevant to them? I'm sure an above-average doctor would realise that and take it into account, but would a below-average doctor (of whom there are very many) do it?