This chapter describes Rwanda’s record within the manufacturing sector. Until recently, the Rwandan Patriotic Front (RPF) did not prioritise manufacturing-based growth because of the high transport costs associated with its landlocked geographical position. While there has been some attempt at refocusing on industrial policy since 2015, because of a rising trade deficit and the urgent need to create employment, there has not been substantial progress. Rwanda has not achieved significant advances in increasing industrial employment, production and exports. After presenting the evolution of Rwanda’s industrial policy, the chapter provides detailed examples of three sectors: apparels (textiles and garments), construction materials and pharmaceuticals. In line with dynamics in other sectors, domestic capital has been marginalised in favour of supporting RPF-affiliated firms or relying on foreign investors. Some foreign investors like Volkswagen and BioNTech have invested in Rwanda with much fanfare, but most success has been driven by RPF-affiliated firms. Rwanda’s hopes for structural transformation fall at a key domestic hurdle: building effective state–business relationships aimed at technological capability acquisition for latecomer firms.

In the years following FDA approval of direct-to-consumer, genetic-health-risk/DTCGHR testing, millions of people in the US have sent their DNA to companies to receive personal genome health risk information without physician or other learned medical professional involvement. In Personal Genome Medicine, Michael J. Malinowski examines the ethical, legal, and social implications of this development. Drawing from the past and present of medicine in the US, Malinowski applies law, policy, public and private sector practices, and governing norms to analyze the commercial personal genome sequencing and testing sectors and to assess their impact on the future of US medicine. Written in relatable and accessible language, the book also proposes regulatory reforms for government and medical professionals that will enable technological advancements while maintaining personal and public health standards.