Public Health (cont.)

Devonsangel

Shared on Wed, 03/07/2007 - 09:01
To continue with the question I posed yesterday, I'm going to throw in a real thought provoker.

Most, if not all, have heard of the potential for genetic testing for certain cancers or diseases (like breast cancer) that may be genetically inherited.  Knowing that even though a positive test result does not mean that the individual will actually develop the cancer or disease, only that they are predisposed.

With that in mind, can or should insurance companies be allowed to 1) have that information and 2) if they do have access to the information, should they be allowed to underwrite their premiums on that information?  Keep in mind that the individual may or may not be able to control what happens to them in the future.  But, with the knowledge that they are predisposed to the condition, can either take precautionary measures or hope it doesn't develop.

Now, say you have had the testing and found out that you are predisposed to a particular cancer.  For example, as a woman with a history of ovarian and breast cancer in my family I decide to have the testing and found out that I also have the genes that scribe for breast cancer.  There is no guarantee that I will develop breast cancer, just that my chances are high.  I have the option of preventing the occurrence by having both breasts removed.  Now, put yourself in my shoes and ask yourself if you might do something similar.  Would you test or take your chances?  What if your insurance company insisted on the testing?

BTW, the example is just that, while there is history of both in my family I am not getting myself tested, nor have I considered it.

Keep on Go!

Comments

CofC's picture
Submitted by CofC on Wed, 03/07/2007 - 11:29
Insurance companies shouldn't have access to the info, but you do then have a problem of adverse selection. I wouldn't want to know my own potential problems, unless there were adequate treatments available, or I should know in order to change my lifestyle.
Devonsangel's picture
Submitted by Devonsangel on Wed, 03/07/2007 - 13:02
But, how would you know of any potential problems if you don't have the test? That is the "Catch-22" in all of this.
Anonymous's picture
Submitted by Anonymous (not verified) on Wed, 03/07/2007 - 13:35
insurance companies are out to screw us all. sorry just had to put that in. They would use these test to deny people based on the sole fact that they COULD develop whatever they tested for. well, any one, and i mean anyone COULD develop anything. just another way for them to screw over people. (and yes i am in one of those moods lol)
NotStyro's picture
Submitted by NotStyro on Wed, 03/07/2007 - 14:22
I believe, with respect for genetic testing, that new laws need to be written to prevent insurance companies & others from using the results for/against the person having been tested. To take that a bit further, that insurance and health companies should only use the testing as a basis for changes in lifestyle. Sort of a prevention/risk-reducer and/or longterm lifecare decision has to be among the outcome of any genetic testing. As for the question of whether I would take a genetic test... I already have. My father had a disease that started about mid-life and I and my siblings were tested. They were negative, so it is assumed I am. I would still like to be tested for Parkinson's (& plus), if possible. Then I could arrange some longterm lifecare better than my current plans (none).
Devonsangel's picture
Submitted by Devonsangel on Wed, 03/07/2007 - 14:46
I cannot imagine the anxiety that may go along with this type of testing. Although there may be some peace of mind that would go along with either test result.
Anonymous's picture
Submitted by Anonymous (not verified) on Wed, 03/07/2007 - 16:02
The point of insurance is to "pool" the risk. That makes it more expensive for some and less expensive for others. It is the ultimate in socialism, but we are all addicted to it. If insurance companies are allowed to subdivide the population, then certain groups would pay less with others would pay radically more. This would only be popular with the people who would pay less. So...do we pay for our own costs and accept the risks of our lifestyle, or to we share the costs and eat another donut?
NotStyro's picture
Submitted by NotStyro on Wed, 03/07/2007 - 18:10
If a disease/disorder is caused by or heavily influenced by a certain aspect of a lifestyle, then I don't think the public/commons should pay (all or minimum). A genetic disease/disorder is, I believe, completely different. Lifestyle choices may have slight influence, but overall the disease/disorder will show itself eventually. As genetics is still not within individual choice, I say the public/commons should help shoulder the costs (at least until a treatment is found). An analogy would be between dental and eyesight coverages. What I do/don't directly influences by dental health. Don't floss & brush and I get cavities & root canals. Eyesight is a constant - Continue to wear stronger glasses. Nothing I can do to stop eyesight degradation. I should pay directly for dental coverage, but eyesight coverage should be grouped (actually, eyesight should be in with general health).
Kwazy's picture
Submitted by Kwazy on Wed, 03/07/2007 - 19:08
What about neither genetic disorder nor lifestyle choice? My mother spent 35 years of her life as a resident nurse. Old school. Catholic college/teaching hospital, charity work, etc. Sometime during her service, she contacted hepatitis. No real telling when...they didn't test for that type of thing years ago. Now she can get no insurance whatsoever. My parents were avid savers their entire lives. Now that they're retired, they'd like to travel...spend some of that money. But they can't. They've got too much to qualify for any type of government-subsidized health care, but they can't spend any of it for fear that my mother will become ill and need the money. How is that right?
Devonsangel's picture
Submitted by Devonsangel on Wed, 03/07/2007 - 19:28
It's not...plain and simple. My sincere sympathies to your parents, they should be able to enjoy their retirement without worry.
Kwazy's picture
Submitted by Kwazy on Wed, 03/07/2007 - 21:15
Pishaw. Thank you for the sentiment. I shouldn't paint such a gloom and doom picture. They're doing OK. I'm likely just over-passionate about providing decent healthcare...to everyone. Thanks for the topic!

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