Bilkey Gemma A, Baynam Gareth, Molster Caron
Office of the Chief Health Officer, Public and Aboriginal Health Division, Department of Health, Government of Western Australia, Perth, WA, Australia.
Genetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Front Public Health. 2018 Jun 20;6:183. doi: 10.3389/fpubh.2018.00183. eCollection 2018.
In the USA, a bill has been introduced to the senate that may jeopardize an individual's rights to privacy and non-discrimination. This piece examines the proposed Preserving Employee Wellness Programs Act (PEWPA), and implications this will have on the use of genetic information. The Act allows for employers to apply financial penalties for health insurance based on genetic information, which raises concerns as the capacity to interpret genetic results is limited by knowledge of the significance of both benign and pathogenic variants. In Australia, genetic information can only be used to determine life insurance, not to stratify health insurance, and any precedent set internationally should raise concerns of the potential for change on the horizon.
在美国,一项法案已提交至参议院,该法案可能会危及个人的隐私和不受歧视的权利。本文探讨了拟议的《保护员工健康计划法案》(PEWPA)及其对基因信息使用的影响。该法案允许雇主根据基因信息对医疗保险实施经济处罚,这引发了人们的担忧,因为对基因检测结果的解读能力受到对良性和致病性变异意义的了解程度的限制。在澳大利亚,基因信息仅可用于确定人寿保险,而不能用于区分医疗保险,国际上出现的任何先例都应引发人们对未来潜在变化的担忧。