Evidence map›Paper›PMID 10631158›Full record

ArticleAmerican journal of human genetics2000

Laws restricting health insurers' use of genetic information: impact on genetic discrimination.

M A Hall, S S Rich

Abstract readComparative Study
In one paragraph

Article in American journal of human genetics, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
  2. Article
  3. Ethical Challenges in Pediatric Oncology Care and Clinical Trials.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2021
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. REFUTING THE RIGHT NOT TO KNOW.Journal of health care law & policy · 2017
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Is GINA worth the wait?The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2008
    Article
  18. Review
  19. Hereditary breast cancer in Jews.Familial cancer · 2004
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

M A HallDepartment of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA. mhall@law.wfu.edu
S S Rich

Funding

RESTRICTING INSURERS USE OF GENETIC INFORMATIONR01HG001662 · NHGRI · WAKE FOREST UNIVERSITY · PI HALL, MARK A · 1997 to 1998
–
NHGRI NIH HHS R01-HG01662
6 · The paper itself

Abstract

Since 1991, 28 states have enacted laws that prohibit insurers' use of genetic information in pricing, issuing, or structuring health insurance. This article evaluates whether these laws reduce the extent of genetic discrimination by health insurers. From the data collected at multiple sites, we find that there are almost no well-documented cases of health insurers either asking for or using presymptomatic genetic test results in their underwriting decisions, either (a) before or after these laws have been enacted or (b) in states with or without these laws. By using both in-person interviews with insurers and a direct market test, we found that a person with a serious genetic condition who is presymptomatic faces little or no difficulty in obtaining health insurance. Furthermore, there are few indications that the degree of difficulty varies according to whether a state regulates the use of genetic information. Nevertheless, these laws have made it less likely that insurers will use genetic information in the future. Although insurers and agents are only vaguely aware of these laws, the laws have shaped industry norms and attitudes about the legitimacy of using this information.

Indexed as

Medically UninsuredGenetic CounselingGenetics, MedicalGenetic TestingHumansInsurance, HealthInterviews as TopicPrejudiceUnited StatesEmpirical ApproachGenetics and ReproductionLegal Approach

Identifiers

PMID10631158
PMCPMC1288333

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.