Epstein Richard A
University of Chicago, Illinois, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1249-52. doi: 10.1377/hlthaff.26.5.1249.
Today's widespread political support for the Genetic Information Nondiscrimination Act of 2007 rests on the assumption that serious inequities can be eliminated if employers are forbidden from using people's genetic information when making employment decisions. However, this laudable objective runs into serious weaknesses in implementation. Forcing employers to bear the cost of achieving parity between genetically high-risk and low-risk workers will create labor-market distortions that will inevitably shrink insurance coverage for vulnerable populations with genetic abnormalities along with everyone else. A better approach would be to create a politically transparent system of government-provided subsidies.
如今，对2007年《遗传信息非歧视法案》广泛的政治支持基于这样一种假设：如果禁止雇主在做出雇佣决策时使用人们的遗传信息，严重的不平等现象就可以消除。然而，这一值得称赞的目标在实施过程中遇到了严重的弱点。迫使雇主承担实现基因高风险和低风险员工之间平等的成本，将造成劳动力市场扭曲，这将不可避免地减少对患有基因异常的弱势群体以及其他所有人的保险覆盖范围。更好的办法是建立一个政治上透明的政府补贴体系。
