1.1 Beyond Race: The Complex Reality of Genetic Ancestry
The landmark 2025 NIH All of Us study—analyzing 200,000+ genomes—delivered a seismic revelation: self-reported race poorly predicts genetic ancestry. For example:
- 74% of Americans identifying as "Black" had significant non-African ancestry
- Latinos showed wildly variable genetic roots (Indigenous, European, African)
- BMI correlations differed drastically between East/West African lineages—invisible in broad racial categories 5 .
This highlights ancestral bias: 97% of genomic data comes from European-descended populations, skewing medical insights 6 .