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Volume 359:335-337 July 24, 2008 Number 4
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The Genetic Information Nondiscrimination Act — A Half-Step toward Risk Sharing
Russell Korobkin, J.D., and Rahul Rajkumar, M.D., J.D.

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Consider three Americans — one with an increased genetic risk for colon cancer, one with a family history of colon cancer, and one with a colonoscopic finding of several large adenomatous polyps. Under the Genetic Information Nondiscrimination Act (GINA), which was recently signed into law by President George W. Bush, health insurance companies may not refuse to cover and may not raise premiums for the first two people, whose genetic information or family history puts them at higher risk for colon cancer.1 Insurers could, however, refuse to sell the third person an individual policy or could quadruple his or her . . . [Full Text of this Article]


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Mr. Korobkin is a professor at the UCLA School of Law and the UCLA Center for Society and Genetics, Los Angeles. Dr. Rajkumar is a medical resident at Brigham and Women's Hospital, Boston.

A video interview with Francis Collins, director of the National Human Genome Research Institute, about GINA is available at www.nejm.org.




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