Raeburn Sandy
Centre for Medical Genetics, University of Nottingham, Nottingham NG5 1PB, UK.
Community Genet. 2002;5(2):102-9. doi: 10.1159/000065168.
This report summarises the controversy of genetic tests and insurance, with a focus on the UK situation during the past decade. UK experience provides insight for future strategies to help people with genetic disadvantages make insurance provision for themselves and their families. Non-disclosure of genetic test results (already carried out for clinical purposes) may not benefit people at risk of genetic disorders or with positive genetic tests. The pressure of geneticists over a decade to prevent disclosure to insurers may have masked opportunities to use insurance to provide help for people with genetic disadvantages. To seize the opportunities now, there must be collaboration, not conflict. Politicians, geneticists, social scientists and all elements of the insurance industry can contribute to wise solutions.
本报告总结了基因检测与保险之间的争议,重点关注过去十年英国的情况。英国的经验为未来战略提供了见解,以帮助有基因缺陷的人自行及为家人做好保险安排。不披露基因检测结果(已出于临床目的进行检测)可能对有基因疾病风险或基因检测呈阳性的人没有益处。十多年来遗传学家阻止向保险公司披露信息的压力可能掩盖了利用保险为有基因缺陷的人提供帮助的机会。为了抓住当前的机遇,必须开展合作而非冲突。政治家、遗传学家、社会科学家以及保险业的所有部门都可以为明智的解决方案做出贡献。