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Canadian Insurance Companies Can Legally Practice 'Genetic Discrimination'

They're allowed to peek at your genetic sequence and charge you extra for bad genes.
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Right now, in Canada, there's a battle going on for its citizens' genes, as health insurance companies are using genome sequencing to assess risk (read: increase rates) for patients who are predisposed to certain diseases.

The country's privacy commissioner issued a policy statement last week saying that the government would really appreciate if health insurance companies left genetic testing out of whatever actuarial algorithms they're using, but hasn't banned the practice outright.

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While Canada has universal health care that's highly subsidized by (and often free for consumers), there are still plenty of private insurers. And, right now, the country's health insurance industry has instituted a voluntary moratorium on asking people to specifically undergo genetic testing when they apply for coverage. But that doesn't mean it never happens—it just happens in a different way. If a person has already undergone genetic testing in the past, insurance companies will regularly request that data from a prospective client's doctors.

"If genetic testing has been done and the information is available to the applicant for insurance and/or the applicant’s physician, the insurer would request access to that information just as it would for other aspects of the applicant’s health history," the Canadian Life and Health Insurance Association stated as its official policy on the issue.

The practice sets a pretty scary precedent that some have worried about for years—what happens when and if a baby is genetically tested at birth and is determined to be a risky investment for an insurance company? Some countries, including the United States have (sort of) already banned the practice, but there's still no law against it in Canada.

“Some of these tests—as time goes on, and now—are important indicators with respect to risk,” Frank Zinatelli, a lawyer with the CLHIA, told Canada's Globe and Mail. “So yes, we feel it’s important to be able to have access to those types of information.”

An insurance company flak would say that. There's no denying that knowing whether someone is predisposed to having Alzheimer's or Parkinson's or certain types of cancer is valuable information for an insurance company. It's, perhaps, the most important thing an insurance company can learn about a person, from a business standpoint.

It's also why the United States, a country that seemingly protects its citizens' privacy much less than Canada does passed a ban on genetic discrimination back in 2008. There are loopholes in that law, sure (it only covers health insurance and employment, not life insurance), but it's better than any sort of "voluntary moratorium," especially when the industry is champing at the bit to expand the practice. Meanwhile, a bill that would actually ban genetic discrimination has been sitting in Canadian parliament since October, with little indication that it's going to move forward.