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      Two cheers for GINA?

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      Genome Medicine
      BioMed Central

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          Abstract

          The Genetic Information Nondiscrimination Act of 2008 (GINA) was recently enacted in the United States. Its supporters have applauded the passage of GINA, and they hope that it will alleviate public fear about genetic discrimination and facilitate genetic testing and participation in genetic research. Critics worry that GINA does not provide adequate protection because it fails to address discrimination on the basis of non-genetic health-related information, and it only regulates the use of genetic information in health insurance and employment. Despite these limitations, GINA represents a major step forward in US policy. Additional research is needed to assess the impact of GINA on industry practice and public opinion. In the mean time, education about GINA and its limitations can help individuals make more informed decisions about genetic testing and participation in genetic research.

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          Ethical, legal, and social implications of genomic medicine.

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            Keeping pace with the times--the Genetic Information Nondiscrimination Act of 2008.

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              Discrimination as a consequence of genetic testing.

              Genetic discrimination refers to discrimination directed against an individual or family based solely on an apparent or perceived genetic variation from the "normal" human genotype. We describe here the results of a case history study designed to assess whether or not genetic discrimination exists. Using the above definition of genetic discrimination and applying stringent criteria for case selection, we find that genetic discrimination exists and is manifested in many social institutions, especially in the health and life insurance industries. Stigmatization, and denial of services or entitlements to individuals who have a genetic diagnosis but who are asymptomatic or who will never become significantly impaired, is noted. Follow-up comprehensive studies on the significance and varieties of genetic discrimination are needed. In order to avoid creating a new social underclass based on genetic discrimination (the "asymptomatic ill"), existing and future genetic testing or screening programs need review by medical, scientific, legal, and social policy experts, as well as the public, and may require modification.
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                Author and article information

                Journal
                Genome Med
                Genome Medicine
                BioMed Central
                1756-994X
                2009
                20 January 2009
                : 1
                : 1
                : 6
                Affiliations
                [1 ]Center for Medical Ethics and Health Policy, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
                Article
                gm6
                10.1186/gm6
                2651591
                19348693
                cb18a823-c482-44c8-9203-bd4afd514f8e
                Copyright ©2009 BioMed Central Ltd
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                Commentary

                Molecular medicine
                Molecular medicine

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