Table 3 Participants’ perceived risks of participating in GeneScreen

From: Age and perceived risks and benefits of preventive genomic screening

Risk

Representative quote (age of respondent)

Discrimination

People [can use this] for billing or insurance purposes to say that “Oh. You know he’s got a preexisting condition.” So it would be hard to find health insurance or find premiums that people can live with. So that’s my biggest fear, and I kind of fear that more than the actual [positive] results that could come out of it cause like if you can’t find health care and get yourself treated, then what’s the point of doing the test? (34)

 

If it gets compromised or you know hacked into and exposed, or if at some point you know I did have to go out and find insurance on a marketplace. You know hopefully it wouldn’t be an issue, but I suppose they could always find—a health insurance company could find another reason to deny. (48)

 

That file will be in my permanent record…I felt a little twinge possibly know[ing] that [it could] affect insurance coverage in any way. (61)

Worrying

There’s a chance I could find out you know I do have a gene mutation that I otherwise would not you know have known about until something went wrong. So I mean I think it gives people of course a little bit of anxiety until they receive their results. (23)

 

I am still a little concerned of if you know what the result is and how I will react to it and what—you know how it’ll affect my daily and future thoughts and worries and all that kinda stuff. (48)

 

[My friends] said “Do you really want to know?” I mean, regardless. You know one of the things that I’ve been aware of by reading some articles is that sometimes what happens when you—like the old thing about if you gave everybody a full-body MRI, you’d find something to work on, and I think that concerned me. I really don’t want to poke around so much that I—I want to make a value judgment, and I don’t want to, like, have somebody scare me half to death. (74)