Published Online: 15 DEC 2009
Copyright © 2001 John Wiley & Sons, Ltd. All rights reserved.
How to Cite
Hoy, M. 2009. Genetic Discrimination. eLS. .
- Published Online: 15 DEC 2009
This is not the most recent version of the article. View current version (14 NOV 2014)
Knowledge about the relationship between genes and health, as well as genes and behaviour, is expanding rapidly. Genetic and other predictive tests are becoming less expensive and so knowledge about individuals’ genetic backgrounds is likely to become commonplace. Although such information holds the promise of eventually being very useful in the context of improving health outcomes for individuals, it has long been recognized that this promise may be accompanied by the threat of increased genetic discrimination, most notably in insurance markets. Genetic discrimination may also arise in personal and social spheres of life. Each aspect creates different types of problems. Thus, different types of remedies or responses are in order. This article reviews the ethical and economic aspects of this new information from a variety of normative perspectives and considers the appropriateness of the sorts of regulations recently put in place to limit its adverse social implications.
Genetic information can lead to improved decision-making and treatments for people's health but may also lead to discrimination in insurance markets and beyond.
Many academics and members of the public believe that charging different prices to different people based on genetic test results is unfairly discriminatory.
However, many insurance market analysts believe individuals at higher risk of death or higher need of health care should pay more for insurance regardless of what causes their higher risk status.
Economic arguments can be made that not charging risk-relevant prices for insurance will discourage ‘better’ risks from participating in the market for insurance and this will lead to higher overall prices for insurance.
The conflicting views noted above have led to unresolved issues regarding the appropriate regulation of genetic information in the area of insurance pricing.
Genetic discrimination may also increase in areas of personal or social relations where market regulations are not effective remedies.
Education about genetic differences may be an appropriate alternative mechanism for dealing with genetic discrimination in the personal and social spheres.
- genetic tests;
- social environment;
- insurance and employment;