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36 Idaho L. Rev. 345 (1999-2000)
New Twist to an Old Injustice - Genetic Discrimination and Medicare Reform

handle is hein.journals/idlr36 and id is 353 raw text is: NEW TWIST TO AN OLD INJUSTICE' -
GENETIC DISCRIMINATION AND
MEDICARE REFORM
COMMENT
TABLE OF CONTENTS
I.  INTRODU    CTION   ........................................................................ 345
II. DISCOVERIES AND CONCERNS OF THE HGP .................... 348
III. GENETIC DISCRIMINATION .................................................. 351
A .  G enerally  ................................................................................ 351
1. Arguments for Access to Genetic
Inform  ation  ........................................................................ 352
2. Arguments Against Access to Genetic
Inform  ation  ........................................................................ 352
B. Genetic Discrimination and the Elderly ............................... 354
1.  M edicare  Generally  ........................................................... 354
2. The Current State of Medicare ......................................... 357
IV .  LEGISLATIO    N   ............................. * .............................................. 357
A .  State  Legislation  .................................................................... 358
B .  Federal  Legislation  ................................................................ 361
1.  G enerally  ........................................................................... 361
2. Legislation Specifically Applicable to
M edicare ............................................................................. 364
V. MEDICARE'S NEED FOR FEDERAL LEGISLATION ........... 365
A. The Right to Privacy and the Constitution ............ 366
1. Developments of the Law ................................................. 366
2. Health Care Insurers as State Actors .............................. 367
B.  Insufficient State  Laws ......................................................... 370
C. The Role of Managed Care: Medicare + Choice ................... 373
D. Federal Objectives of Medicare ............................................. 376
1. Affordable Health Care ..................................................... 376
2. Managing Increasing Health Care Costs ......................... 377
VI.  CO N CLU  SIO N   ............................................................................ 377
I. INTRODUCTION
In 1999, approximately 563,100 Americans died from            cancer.2
Out of the newly diagnosed 1,221,800 cases, sixty-four percent con-
1. DEPT OF HEALTH & HUMAN SERvs., 105TH CONG., HEALTH INSURANCE IN
THE AGE OF GENETICS 11 (Comm. Print 1997) [hereinafter AGE OF GENETICS].
2. See American Cancer Society, Cancer Facts and Figures 1999: Basic Cancer
Facts, (visited Feb. 10, 2000) <http://www.cancer.org/statistics/cff99/ basicfacts.html>
('Cancer is the second leading cause of death in the U.S., exceeded only by heart dis-
ease.!).

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