E-Health and Commercial Genetic Testing Essay Example
E-Health and Commercial Genetic Testing Essay Example

E-Health and Commercial Genetic Testing Essay Example

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  • Pages: 4 (1017 words)
  • Published: February 11, 2017
  • Type: Case Study
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Veritas Diagnostics is a medical diagnostics company specializing in adult genetic susceptibility testing for a range of heritable and complex genetic conditions. Their main business involves testing for the mutations associated with cystic fibrosis, hereditary kidney disease, as well as breast, ovarian and colorectal cancer.

They have a well-staffed, well-run, sophisticated genetics laboratory capable of rapidly processing hundreds of samples for analysis on their many automated high-throughput DNA sequencers. Veritas considers their testing methodology to be the 'gold standard' and to that end, implement the latest testing technologies as they become available. Further, Veritas maintains good working relations with a number of leading university research laboratories, with whom they regularly verify their testing methods.

Veritas' chief clientele to date has consisted of hospita

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ls, physicians, and private insurers ordering genetic testing for patients. The company has become known for providing quick, accurate, and confidential services at a competitive price. The Veritas Board of Directors has recently decided to expand the existing market and begin offering commercial genetic testing services direct-to-consumer through the company website. As corporate Ethics Officer, you've been asked to work with the Vice President in charge of the new Direct-to-Consumer division to ensure that services are provided in an ethical manner. As far as the VP is concerned, the only ethical issue is consumer privacy, and given that Veritas already has privacy rules in place for dealing with physicians, hospitals, and insurance companies, the VP does not see that much needs to be changed for direct-to-consumer services.

You, however, see the situation as being more complex, and so are faced with convincing the VP that the following ethical

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questions must also be addressed: 1. Should Veritas have a formal ethics policy statement dealing specifically with issues related to marketing genetic tests directly to consumers, and should it be online? 2. What are the information privacy issues for consumers as compared with physicians or hospitals? - E.g., should 'cookies' be used on the website, to store information about potential customers? Will the information gathered be used only for improved customer service or also sold to third parties? - Who owns the genetic material used for testing - the consumer or Veritas? Can the material be sold for research purposes? 3. Will Veritas accept samples sent by employers? That is, will Veritas facilitate questionable workplace genetic testing? 4. Where can Veritas look to find 'best practices' in this area?

Whistleblowing & the Environment: the Case of Avco Environmental

Chantale Leroux works as a clerk for Avco Environmental Services, a small toxic-waste disposal company. The company has a contract to dispose of medical waste from a local hospital. During the course of her work, Chantale comes across documents that suggest that Avco has actually been disposing of some of this medical waste in a local municipal landfill. Chantale is shocked. She knows this practice is illegal. And even though only a small portion of the medical waste that Avco handles is being disposed of this way, any amount at all seems a worrisome threat to public health. Chantale gathers together the appropriate documents and takes them to her immediate superior, Dave Lamb. Dave says, "Look, I don't think that sort of thing is your concern, or mine. We're in charge of record-keeping, not making

decisions about where this stuff gets dumped. I suggest you drop it."

The next day, Chantale decides to go one step further, and talk to Angela van Wilgenburg, the company's Operations Manager. Angela is clearly irritated. Angela says, "This isn't your concern. Look, these are the sorts of cost-cutting moves that let a little company like ours compete with our giant competitors. Besides, everyone knows that the regulations in this area are overly cautious. There's no real danger to anyone from the tiny amount of medical waste that 'slips' into the municipal dump. I consider this matter closed." Chantale considers her situation. The message from her superiors was loud and clear.

She strongly suspects that making further noises about this issue could jeopardize her job. Further, she generally has faith in the company's management. They've always seemed like honest, trustworthy people. But she was troubled by this apparent disregard for public safety. On the other hand, she asks herself whether maybe Angela was right in arguing that the danger was minimal. Chantale looks up the phone number of an old friend who worked for the local newspaper. Questions for Discussion:

What should Chantale do? Would it make a difference if Chantale had a position of greater authority? Would it make a difference if Chantale had scientific expertise?

Business Ethics Case Studies:

Jonica Gunson is the environmental compliance manager for a small plastics manufacturing company. She is currently faced with the decision whether or not to spend money on new technology that will reduce the level of a particular toxin in the wastewater that flows out the back of the factory

and into a lake. The factory's emission levels are already within legal limits. However, Jonica knows that environmental regulations for this particular toxin are lagging behind scientific evidence.

In fact, a scientist from the university had been quoted in the newspaper recently, saying that if emission levels stayed at this level, the fish in the lakes and rivers in the area might soon have to be declared unsafe for human consumption. Further, if companies in the region don't engage in some self-regulation on this issue, there is reason to fear that the government — backed by public opinion — may force companies to begin using the new technology, and may also begin requiring monthly emission level reports (which would be both expensive and time consuming). But the company's environmental compliance budget is tight. Asking for this new technology to be installed would put Jonica's department over-budget, and could jeopardize the company's ability to show a profit this year. Questions for Discussion:

What motives would the company have to install the new technology? What motives would the company have to delay installing the new technology? Why might the companies in this region prefer for the government to impose new regulations?

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