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The Impact of Genetic Testing on Healthcare Insurance

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Author Info
Michael Hoy (University of Guelph, Ontario, Canada)
Fabienne Orsi
FranÁois Eisinger
Jean Paul Moatti

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Abstract

The article discusses the potential impact of the diffusion of genetic testing on healthcare insurance markets. It refers to the theoretical approaches respectively proposed by Rothschild and Stiglitz (1976) and Wilson (1977, 1980) about insurance market equilibrium with adverse selection due to asymmetries of information about individual risks. The article shows that, in such contexts, a market equilibrium can be reached either on the basis of separating contracts discriminating between risk levels or of pooling unique contracts based on the average risk in the population, and that the choice of this alternative depends on an empirical parameter: the effective proportion of "high-risk" individuals in the population. An application to the case of genetic risk of breast cancer, the most emblematic advance in practical application of genetic testing in recent years, confirms that, due to the limited incidence of the gene mutations associated with a higher risk in the general female population, a pooling equilibrium would be obtained. These results suggest that current alarmist claims that diffusion of genetic tests in medical practice will inevitably increase adverse selection and inefficiencies in health insurance systems if the use of this information to establish insurance contracts is banned (either because compulsory universal health insurance excludes separating contracts by essence, or by current legislation banning the use of genetic testing by private insurers) are rather overstatements. Copyright 2003 The International Association for the Study of Insurance Economics.

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Article provided by The International Association for the Study of Insurance Economics in its journal The Geneva Papers on Risk and Insurance.

Volume (Year): 28 (2003)
Issue (Month): (04)
Pages: 203-221
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Handle: RePEc:bla:geneva:v:28:y:2003:i::p:203-221

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  1. Winand Emons, 2006. "Genetic Tests and Intertemporal Screening in Competitive Insurance Markets," Diskussionsschriften dp0605, Universitaet Bern, Departement Volkswirtschaft. [Downloadable!]
    Other versions:
  2. Hoy, M. & Ruse, M., 2008. "“No Solution to This Dilemma Exists”: Discrimination, Insurance, and the Human Genome Project," Working Papers 2008-8, University of Guelph, Department of Economics. [Downloadable!]
  3. Ray Rees & Patricia Apps, 2006. "Genetic testing, income distribution and insurance markets, CHERE Working Paper 2006/3," Working Papers 2006/3, CHERE, University of Technology, Sydney. [Downloadable!]
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