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Insurance and the Presymptomatic Diagnosis of Delayed-Onset Disease-Reply FREE

Jason Brandt, PhD; Kimberly A. Quaid, PhD; Susan E. Folstein, MD
JAMA. 1989;262(17):2385-2385. doi:10.1001/jama.1989.03430170044018
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In Reply. —  We thank Quarrell et al for highlighting some of the social issues raised by presymptomatic diagnosis of disease with molecular genetic tests. As clinicians and researchers testing for Huntington's disease, we are concerned that those found to be at increased risk for this illness not be subject to unreasonable discrimination. While Quarrell et al admonish us to be realistic about the needs of the insurance industry, our central concern will always be for the health and well-being of those who seek our counsel, technical expertise, and care.We are very aware that the insurance industry is based on the concept of differential risk. Those who have poor driving records pay higher premiums for automobile insurance, and tobacco smokers often pay higher life insurance premiums. This discrimination, most would agree, is fair and just. However, we as a society have decided that some risk variables should not be

REFERENCES

Faden R, Kass NE.  Health insurance and AIDS: the status of state regulatory activity . Am J Public Health. 1988;;78:437-438.
Holtzman NA. Proceed With Caution . Baltimore, Md: The Johns Hopkins University Press; 1989;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Faden R, Kass NE.  Health insurance and AIDS: the status of state regulatory activity . Am J Public Health. 1988;;78:437-438.
Holtzman NA. Proceed With Caution . Baltimore, Md: The Johns Hopkins University Press; 1989;.
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