|
Fairness in the use of genetic information
|
|
• insurance
|
|
• employment
|
|
• the criminal justice system
|
|
• the education system
|
|
• adoptions
|
|
• the military
|
|
The impact of knowledge of genetic variation on the individual
|
|
• stigmatization
|
|
• ostracism
|
|
• labeling
|
|
• individual psychological responses
|
|
Privacy and confidentiality
|
|
• ownership and control of genetic information
|
|
• consent issues
|
|
The impact of the Human Genome Project on genetic counseling
|
|
• prenatal testing
|
|
• pre-symptomatic testing
|
|
• carrier status testing
|
|
• testing when there is no therapeutic remedy
|
|
• counseling and testing for polygenic disorders
|
|
• population screening versus testing
|
|
Reproductive decisions influenced by genetic information
|
|
• effect of genetic information on options available
|
|
• use of genetic information in the decision-making process
|
|
Issues raised by the introduction of genetics into mainstream medical practice
|
|
• qualifications and continuing education of all appropriate medical and allied health personnel
|
|
• standards and quality control
|
|
• education of patients
|
|
• education of the general public
|
|
Uses and misuses of genetics in the past and the relevance to the present
|
|
• the eugenics movement in the United States and abroad
|
|
• problems arising from screening for sickle-cell trait and other recent examples
|
|
• the misuse of behavioral genetics to advance eugenics or prejudicial stereotypes
|
|
Commercialization of the products of the Human Genome Project
|
|
• intellectual property rights
|
|
• property rights
|
|
• impact on scientific collaboration and candor
|
|
• accessibility of data and materials
|
|
Conceptual and philosophical implications of the Human Genome Project
|
|
• the concept of human responsibility
|
|
• the issue of free will versus determinism
|
|
• the concept of genetic disease
|
|
SOURCE: Adapted from Understanding Our Genetic Inheritance: The U.S. Human Genome Project: The First Five Years, FY 1991-1995, U.S. Department of Health and Human Senices, Public Health Service, National Institutes of Health, and U.S. Department of Energy, Office of Energy Research, Office of Health and Environmental Research (Bethesda, MD: National Center for Human Genome Research, NIH Publication No. 90-1580, April 1990).
|