Should water h20 be included in the model as a reactant or a product

Yes

Explanation:

The water should be omitted as a reactant or product to have a well-balanced equation only if the water reacts as a solvent.  

Explanation:

The water acts as a pure liquid and the increase of concentration of pure liquid is impossible. So, it is of no use when it acts as a solvent. As a product form water can be obtained as a liquid or gaseous substance. Their ability can increase the supply of hydrogen or oxygen to the reaction. When it is used as a main reactant it should be included.

As a role of solvent, it has no use in the chemical reaction. It has insignificant values as a role of solvent so it should be formatted while having the well-balanced equation. There are a lot of examples in which water is not included in the chemical reaction.

Explanation:

some inherited genetic mutations can be good for the offspring, so the answer is different genetic mutations cause many forms of cancer.