Document de travail

How Is the Trade-off between Adverse Selection and Discrimination Risk Affected by Genetic Testing?

Theory and Experiment

David Bardey, Philippe De Donder et Cesar Mantilla

Résumé

We compare two genetic testing regulations, Disclosure Duty (DD) and Consent Law (CL), in an environment where individuals choose to take a genetic test or not. DD forces agents to reveal the test results to their insurers, resulting in a discrimination risk. CL allows agents to withhold that information, generating adverse selection. We complement our model with an experiment. We obtain that a larger fraction of agents test under CL than under DD, and that the proportion of individuals preferring CL to DD is non-monotone in the test cost when adverse selection is set endogenously at its steady state level.

Mots-clés

Consent Law; Disclosure Duty; Personalised Medicine; Test take up rate; pooling health insurance contracts;

Codes JEL

  • C91: Laboratory, Individual Behavior
  • D82: Asymmetric and Private Information • Mechanism Design
  • I18: Government Policy • Regulation • Public Health

Remplacé par

David Bardey, Philippe De Donder et Cesar Mantilla, « How is the Trade-off between Adverse Selection and Discrimination Risk Affected by Genetic Testing? Theory and Experiment », Journal of Health Economics, vol. 68, décembre 2019, p. 102223.

Référence

David Bardey, Philippe De Donder et Cesar Mantilla, « How Is the Trade-off between Adverse Selection and Discrimination Risk Affected by Genetic Testing?: Theory and Experiment », TSE Working Paper, n° 17-777, mars 2017, révision juillet 2019.

Voir aussi

Publié dans

TSE Working Paper, n° 17-777, mars 2017, révision juillet 2019