How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment

We develop a theoretical analysis of two widely used regulations of genetic tests, Disclosure Duty and Consent Law, and we run an experiment in order to shed light on both the take-up rate of genetic testing and on the comparison of policyholders’ welfare under the two regulations. Disclosure duty f...

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Autores:
Tipo de recurso:
Fecha de publicación:
2019
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/22363
Acceso en línea:
https://doi.org/10.1016/j.jhealeco.2019.102223
https://repository.urosario.edu.co/handle/10336/22363
Palabra clave:
Ethics
Experiment
Genetics
Health insurance
Law enforcement
Theoretical study
Trade-off
Adult
Article
Genetic screening
Genetic susceptibility
Health insurance
Personalized medicine
Welfare
Consent law
Disclosure duty
Personalized medicine
Pooling health insurance contracts
Test take-up rate
Rights
License
Abierto (Texto Completo)
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network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling e785630d-2f4a-48c9-b8f2-926195deb38c-1d2dd0889-d1b0-45c9-acd3-66b9f017c757-110986266846002020-05-25T23:56:13Z2020-05-25T23:56:13Z2019We develop a theoretical analysis of two widely used regulations of genetic tests, Disclosure Duty and Consent Law, and we run an experiment in order to shed light on both the take-up rate of genetic testing and on the comparison of policyholders’ welfare under the two regulations. Disclosure duty forces individuals to reveal their test results to insurers, exposing them to a discrimination risk. Consent Law allows them to hide any detrimental information, resulting in adverse selection. The experiment results in much lower genetic tests take-up rates with Disclosure Duty than with Consent Law, showing that subjects are very sensitive to the discrimination risk. Under Consent Law, take-up rates increase with the adverse selection intensity. A decrease in the test cost, and in adverse selection intensity, both make it more likely that Consent Law is preferred to Disclosure Duty. © 2019 Elsevier B.V.application/pdfhttps://doi.org/10.1016/j.jhealeco.2019.1022231676296https://repository.urosario.edu.co/handle/10336/22363engElsevier B.V.Journal of Health EconomicsVol. 68Journal of Health Economics, ISSN:1676296, Vol.68,(2019)https://www.scopus.com/inward/record.uri?eid=2-s2.0-85072698328&doi=10.1016%2fj.jhealeco.2019.102223&partnerID=40&md5=749aa9fdbfa55ac4a8e4d3cb811093e1Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocUREthicsExperimentGeneticsHealth insuranceLaw enforcementTheoretical studyTrade-offAdultArticleGenetic screeningGenetic susceptibilityHealth insurancePersonalized medicineWelfareConsent lawDisclosure dutyPersonalized medicinePooling health insurance contractsTest take-up rateHow is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experimentarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Bardey, DavidDe Donder, PhilippeMantilla Ribero, César Andrés10336/22363oai:repository.urosario.edu.co:10336/223632022-05-02 07:37:20.365749https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
title How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
spellingShingle How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
Ethics
Experiment
Genetics
Health insurance
Law enforcement
Theoretical study
Trade-off
Adult
Article
Genetic screening
Genetic susceptibility
Health insurance
Personalized medicine
Welfare
Consent law
Disclosure duty
Personalized medicine
Pooling health insurance contracts
Test take-up rate
title_short How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
title_full How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
title_fullStr How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
title_full_unstemmed How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
title_sort How is the trade-off between adverse selection and discrimination risk affected by genetic testing? Theory and experiment
dc.subject.keyword.spa.fl_str_mv Ethics
Experiment
Genetics
Health insurance
Law enforcement
Theoretical study
Trade-off
Adult
Article
Genetic screening
Genetic susceptibility
Health insurance
Personalized medicine
Welfare
Consent law
Disclosure duty
Personalized medicine
Pooling health insurance contracts
Test take-up rate
topic Ethics
Experiment
Genetics
Health insurance
Law enforcement
Theoretical study
Trade-off
Adult
Article
Genetic screening
Genetic susceptibility
Health insurance
Personalized medicine
Welfare
Consent law
Disclosure duty
Personalized medicine
Pooling health insurance contracts
Test take-up rate
description We develop a theoretical analysis of two widely used regulations of genetic tests, Disclosure Duty and Consent Law, and we run an experiment in order to shed light on both the take-up rate of genetic testing and on the comparison of policyholders’ welfare under the two regulations. Disclosure duty forces individuals to reveal their test results to insurers, exposing them to a discrimination risk. Consent Law allows them to hide any detrimental information, resulting in adverse selection. The experiment results in much lower genetic tests take-up rates with Disclosure Duty than with Consent Law, showing that subjects are very sensitive to the discrimination risk. Under Consent Law, take-up rates increase with the adverse selection intensity. A decrease in the test cost, and in adverse selection intensity, both make it more likely that Consent Law is preferred to Disclosure Duty. © 2019 Elsevier B.V.
publishDate 2019
dc.date.created.spa.fl_str_mv 2019
dc.date.accessioned.none.fl_str_mv 2020-05-25T23:56:13Z
dc.date.available.none.fl_str_mv 2020-05-25T23:56:13Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.jhealeco.2019.102223
dc.identifier.issn.none.fl_str_mv 1676296
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/22363
url https://doi.org/10.1016/j.jhealeco.2019.102223
https://repository.urosario.edu.co/handle/10336/22363
identifier_str_mv 1676296
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationTitle.none.fl_str_mv Journal of Health Economics
dc.relation.citationVolume.none.fl_str_mv Vol. 68
dc.relation.ispartof.spa.fl_str_mv Journal of Health Economics, ISSN:1676296, Vol.68,(2019)
dc.relation.uri.spa.fl_str_mv https://www.scopus.com/inward/record.uri?eid=2-s2.0-85072698328&doi=10.1016%2fj.jhealeco.2019.102223&partnerID=40&md5=749aa9fdbfa55ac4a8e4d3cb811093e1
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Elsevier B.V.
institution Universidad del Rosario
dc.source.instname.spa.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.spa.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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