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Title: Making the normal deviant : the introduction of predictive medicine in life insurance
Authors: Van Hoyweghen, Ine ×
Horstman, Klasien
Schepers, Rita #
Issue Date: 2006
Publisher: Pergamon
Series Title: Social Science & Medicine issue:63 pages:1225-1235
Abstract: Over the past years, one of the most discussed topics in policy debates on genetics has been the use of genetic testing in insurance. Many of these debates have been rather speculative and abstract. In a recent contribution to this journal, Kaufert therefore urged for "a proper research agenda" to study the issue, arguing for the need of anthropological and sociological research of the insurance world. This article will make a start with this. Based on ethnographic fieldwork in two Belgium insurance companies, this study analyses the ways insurers account for predictive medicine (lifestyle, genetics) during underwriting. We demonstrate how insurers highlight predictive lifestyle health information and how this articulates with a fault based approach in underwriting. Individual responsibility for health risks becomes the golden standard for assessing one's fitness for membership of the insurance pool. Moreover, these developments imply a changed concept of "normal standard" in insurance, increasing the conditions to fulfil to be part of the insurance group. Predictive medicine constitutes new ground in the old debates about individual control, responsibility and blame for health. This goes to the heart of the basis for citizenship and how this articulates with membership--or, if you want, exclusion--of the insurance pool.
URI: 
ISSN: 0277-9536
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Centre for Sociological Research
× corresponding author
# (joint) last author

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