Posts Tagged "High Risk"

How Genetic Testing Could Affect Your Life Insurance Premiums

If you have a test taken, to see if you have genes that show you may be at risk of developing a life threatening disease, the British government allows your insurance company to look at the results. Governments in the rest of Europe ceased this as they feared the results could be used by insurers to perhaps increase premiums or even refuse cover altogether.

Unless the insurers develop a voluntary code preventing the use of test results, MPs this week have called on the government to enforce a two year suspension on using them.

Should the test results be private?

The government is concerned that the insurance industry could collapse if genetic test results were kept private.

Why would it collapse?

A major problem in the insurance industry is what the textbooks call “adverse selection”. The likelihood of somebody buying life insurance, if they know they are going to die earlier than expected, is high. They want to know that their families will get some financial help when this happens. If a large amount of high risk people buy insurance they may not live long enough to cover the payout with their premiums.

Therefore, to make up for losses insurers will have to raise premiums thus having a negative effect on how insurance looks to a person with a normal life expectancy. Soon only high risk people will buy insurance and the good risks driven out of the market altogether. Eventually the market would crumple as it is only lucrative when the high and low risks are shared.

Is this happening?

At the moment, as genetic testing is in its early stages, adverse selection is mainly a speculative issue. The government only considers one test to be precise enough for insurers to use. In the last three years one insurance company has sold 460,000 policies but say genetic tests would only be applicable to 14.With developments in testing being so rapid and the industry wanting to use more tests, the problem will soon become real.

What can be done to solve it?

To stop the market from collapsing the government seems to have decided to allow the industry to view results. This however could create a genetic “underclass” of people who are not capable of getting insurance. People who get clean test results could be offered better rates than those at risk thereby making it unaffordable for them. Shockingly, tests that one day could perhaps save lifes could be discouraged as it may make insurance unobtainable.

What could be done to stop genetic tests being used to discriminate against people?

To solve the problem totally the life insurance industry would have to be made public. This would prevent good risks opting for cheaper deals and high risks bankrupting insurers. These days that is not a popular solution to market failure. The alternative would be for the government to insure the high risks, which would be costly.

What else could be done?

Before people took tests they could be required to take out insurance. Doing this would not stop people doing tests nor allow insurers to take advantage of test results thus damaging the market.

Whatever happens the government is going to have to play a bigger part in the life insurance market.

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Genetic Testing for Breast Cancer

 

GENETIC TESTING FOR BREAST CANCER-BRCA1 and BRCA2

If you are concerned about familial breast cancer, the first step is to talk things over with your GP or Genetic Counsellor.

You will be asked about your family history and ethnic background, as well as any blood relatives, on either side of your family, who have had breast or related cancers.

If a faulty breast cancer gene has already been identified in a family member, you may be referred directly to a specialist genetic service.

Once your GP or Genetic Counsellor has taken a full family history, your risk of developing breast cancer can be assessed.

Most women will be at no greater risk than any other woman.

If this is the case your counsellor should discuss this with you and provide you with some written information on being breast aware and lifestyle risks.

However, if you develop any breast changes or if your family history or circumstances alter, it is important to go back and see your GP.

An increased risk

A small number of women may be viewed as having a greater risk of developing breast cancer on the grounds of a strong family history.

If this applies to you, you will be classified as having one of the following:



a moderate risk
high risk.

You will then be referred to either a family history clinic or a specialist in cancer genetics. The type of care you receive will be depending on your risk level.

Screening

Depending on your age, you may be offered a mammogram.

Women between the ages of 40 and 49 will normally be offered annual mammograms.

However, it is currently unclear how effective mammograms are in detecting breast cancer early in women at increased risk – clinical studies are currently researching this issue.

Because of this, women aged 30 to 39 will be offered mammograms only as part of a research study rather than as a matter of routine.

Women under the age of 30 are unlikely to be offered mammograms, as younger women’s breast tissue is too dense to produce a clear mammogram picture.

Genetic counselling

If you are considered to be at high risk of developing breast cancer you will be offered specialist genetic counselling.

This will give you more information about your family history, how your lifestyle may affect you, what having a genetic test means, and the options available to you if you choose to go ahead with the test.

You may feel anxious about finding out about your risk of developing breast cancer, but remember that your counsellor is trained to deal with these issues.

Testing

The test (Screening of BRCA1 and BRCA2) is done by Eastern Biotech & Life Sciences, Dubai on a blood sample from a living relative who has already developed breast or ovarian cancer.

The results can take many months to complete, as it is technically very difficult to identify the faulty gene.

If it is found that you do carry the faulty gene, although you will not necessarily develop breast cancer, you do have a higher risk of doing so.

In Ashkenazi Jewish women, specialists already know that there are three specific gene faults in a large proportion of the families where breast and ovarian cancer is common.

This means that testing may be offered to relatives at high risk without needing to carry out the gene search.

 

 

Pankaj Sohaney is working as Manager for Eastern Biotech & Life Sciences which is pioneer in offering genetic testing in middle east.

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