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Genetics, society and insurance

Universiteit Utrecht. Genetics, society and insurance. Margo Trappenburg. USBO. Professor John Harris (1945) University of Manchester. General ethical theories. Utilitarian philosophy, e.g. John Harris: maximize overall happiness. Ambition sensitive and endowment insensitive.

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Genetics, society and insurance

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  1. Universiteit Utrecht Genetics, society and insurance Margo Trappenburg USBO

  2. Professor John Harris (1945) University of Manchester

  3. General ethical theories • Utilitarian philosophy, e.g. John Harris: maximize overall happiness. • Ambition sensitive and endowment insensitive.

  4. This is not the way we do it • Moral norms are different in different political communities. • E.g.: abortion/PND in China, India versus abortion in Europa, US • E.g. euthanasia in US versus euthanasia in the Netherlands

  5. Spheres of justice in liberal countries

  6. Sphere of medical care • Distribution according to need (not according to wealth, guilt, not ‘ambition sensitive’) Genetic technology was first developed in this sphere.

  7. Genetics in the sphere of health care • IVF according to medical need • PND for medical reasons • PGD for medical reasons

  8. Crossing borders I • Using medical technology (e.g. genetics) for non medical purposes: debate about eugenics

  9. Crossing borders II • Having a medical condition while being a consumer • Some analogies

  10. Buying life insurance • The history of genetic exceptionalism • Ambition sensitive and endowment insensitive after all? Ine van Hoyweghen, Risks in the Making. Travels in Life Insurance and Genetics 2007

  11. Abandoning genetic exceptionalism? • What would happen? Small group? Large group? • Is life insurance justly perceived as a market good? If not, what is it?

  12. Conclusion • Abandoning genetic exceptionalism seems the right thing to do provided we manage to keep other societal spheres (education, medical care, welfare) free from market interference.

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