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Adverse Selection vs Discrimination Risk with Genetic Testing. An Experimental Approach

机译:基因检测的逆向选择与歧视风险。实验方法

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摘要

We develop a theoretical analysis of two widely used regulations of genetic tests, disclosure duty and consent law, and we run several experiments in order to shed light on both the take-up rate of genetic testing and on the comparison of policyholders' welfare under the two regulations. Disclosure Duty forces individuals to reveal their test results to their insurers, exposing them to the risk of having to pay a large premium in case they are discovered to have a high probability of developing a disease (a discrimination risk). Differently, Consent Law allows them to hide this detrimental information, creating asymmetric information and adverse selection. We obtain that the take-up rate of the genetic test is low under Disclosure Duty, larger and increasing with adverse selection under Consent Law. Also, the fraction of individuals who are prefer Disclosure Duty to Consent Law increases with the amount of adverse selection under the latter. These results are obtained for exogenous values of adverse selection under Consent Law, and the repeated interactions experiment devised has not resulted in convergence towards an equilibrium level of adverse selection.
机译:我们对两种广泛使用的基因检测法规(披露义务和同意法)进行了理论分析,并进行了几次实验,以揭示基因检测的使用率以及在此背景下投保人福利的比较。两个规定。披露义务迫使个人向保险公司披露其检测结果,以防万一发现他们患疾病的可能性很高时有支付巨额保险费的风险(歧视风险)。不同的是,《同意法》允许他们隐藏这种有害信息,从而产生不对称信息和不利选择。我们发现,根据《披露义务》,基因测试的接受率较低,而根据《同意法》的要求,该测试的接受率会随着反向选择的增加而增加。同样,偏好于同意法的披露义务的个人比例也随着后者中不利选择的数量而增加。这些结果是根据《同意法》获得的不利选择的外生价值而获得的,并且设计的重复相互作用实验并未导致向不利选择的均衡水平收敛。

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