A genetic minefield
By SIMON KEARNEY, national political reporter
28may00

GENETIC information identifying everything from the likelihood of a 
drinking problem to susceptibility to cancer will be used in job 
interviews, the Privacy Commissioner has warned.

NSW Privacy Commissioner Chris Puplick said yesterday genetic information 
contained in electronic records was being used overseas to discriminate 
against people -- and he said the practice should be banned in Australia 
immediately.

Mr Puplick, speaking at the Australian Medical Association's national 
conference in Canberra, said a range of proposals by federal and state 
governments to develop widespread and easily accessible electronic health 
records could also include such genetic markers.

"It is happening already," he said. "As technology improves so will using 
these genetic markers ... there is a growing tendency for them to be used."

Mr Puplick said that last year US President Bill Clinton had acted to ban 
the use of genetic screening for public service positions in the US.

He said the first electronic records proposal was a system whereby 
Australians would be given a PIN known as a unique health identifier which 
could be used to access their medical records in every surgery, pharmacy 
and hospital in the country.

"We need to control these so they don't become potential identity cards," 
Mr Puplick said. "I think the law has to provide a prohibition on genetic 
discrimination."

AMA vice president Dr Sandra Hacker said the medical organisation was 
relatively supportive of electronic records as long as the privacy concerns 
were addressed.

"It's likely to be a PIN number to provide access to link various health 
records," she said.

Dr Hacker said the Federal Government was also working on another system of 
electronic health records, containing medical histories on a smart card. 
She said the AMA would only support the cards where they were voluntary, so 
only people who needed them would get them, and they would not become de 
facto identity cards.

In the recent federal Budget a similar electronic system of recording and 
accessing medications in pharmacies was introduced.

Dr Hacker said the AMA was confused about the introduction of the scheme 
because there were now three separate proposals for remote electronic 
access to people's records.



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