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

We compare two genetic testing regulations, Disclosure Duty (DD) and Consent Law (CL), in an environment where individuals choose to take a genetic test or not. DD forces agents to reveal the test results to their insurers, resulting in a discrimination risk. CL allows agents to withhold that inform...

Full description

Autores:
Bardey, David
Donder, Philippe De
Mantilla Ribero, César Andrés
Tipo de recurso:
Work document
Fecha de publicación:
2017
Institución:
Universidad de los Andes
Repositorio:
Séneca: repositorio Uniandes
Idioma:
spa
OAI Identifier:
oai:repositorio.uniandes.edu.co:1992/8681
Acceso en línea:
http://hdl.handle.net/1992/8681
Palabra clave:
Consent law
Disclosure duty
Personalized medicine
Test take up rate
Pooling health insurance contracts
Genética humana - Aspectos económicos
Consentimiento (Derecho)
Divulgación de información
C91, D82, I18
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/4.0/
Description
Summary:We compare two genetic testing regulations, Disclosure Duty (DD) and Consent Law (CL), in an environment where individuals choose to take a genetic test or not. DD forces agents to reveal the test results to their insurers, resulting in a discrimination risk. CL allows agents to withhold that information, generating adverse selection. We complement our model with an experiment. We obtain that a larger fraction of agents test under CL than under DD, and that the proportion of individuals preferring CL to DD is non-monotone in the test cost when adverse selection is set endogenously at its steady state level.