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[基因组分析与健康保险]

[Genome analysis and health insurance].

作者信息

Sahmer S

出版信息

Versicherungsmedizin. 1995 Feb 1;47(1):5-9.

PMID:7709507
Abstract

In spite of the public opinion that believes genetic testing to be a preferred method of risk assessment before concluding an insurance contract, private medical expenses insurers in Germany do not make any use of this screening procedure. The scrutiny of insurance proposals is restricted to the assessment of the state of health at the moment of underwriting without the proposer having to submit to any medical tests at all. The coverage of presently unknown, i.e. potential, risks, on the contrary, is subject of the health insurance contract. Idea and technique of health insurance business would be contradicted by assessing each individual risk until the prospective damage will be known and charged with the commensurate premium. If an individual has had a specific genetic testing, though, the results of these tests are to be considered in the same way as other medical tests and will need to be declared on proposal forms.

摘要

尽管公众认为基因检测是签订保险合同前进行风险评估的首选方法,但德国的私人医疗保险承保商并不采用这种筛查程序。保险提案审查仅限于承保时对健康状况的评估,投保人根本无需接受任何医学检测。相反,当前未知的即潜在风险的承保范围属于健康保险合同的范畴。若对每个个体风险进行评估,直至预期损害明确并收取相应保费,那么健康保险业务的理念和技术将自相矛盾。不过,如果个人进行了特定的基因检测,这些检测结果将与其他医学检测结果同等对待,并需要在投保申请表中声明。

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