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Genetic testing when there is a mix of compulsory and voluntary health insurance

Sammendrag

When the insurer has access to information about test status, genetic insurance can handle the negative effects of genetic testing on insurance coverage and income distribution. Hence, efficient testing is promoted. When information about prevention and test status is private, two types of social inefficiencies may occur; genetic testing may not be done when it is socially efficient and genetic testing may be done although it is socially inefficient. The first type of inefficiency is shown to be likely for consumers with compulsory insurance only, while the second type of inefficiency is more likely for those who have supplemented the compulsory insurance with substantial voluntary insurance. This second type of inefficiency is more important the less effective prevention is. It is therefore a puzzle that many countries have imposed strict regulation on the genetic information insurers have access to. A reason may be that genetic insurance is not yet a political issue, and the advantage of shared genetic information is therefore not transparent.

Om publikasjonen

Forfattere:

Hoel, Michael and Tor Iversen

År:

2002

Tidsskrift:

Journal of Health Economics

Serie:

Vitenskapelige tidskrift

JEL:

D83, H52, I18

Nøkkelord:

Genetic testing, Insurance, Private information, Compulsory/voluntary mix

Prosjekt:

4101 - Økonomi og helse

Kontakt:

tor.iversen@samfunnsmed.uio.no