HD Genetic Testing

US Military Genetic Discrimination

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Discrimination Against Genetic Disorders - The US Military Practice of
"Test & Be Discharged or Court-Martialed"
Some of these were posted on an HD on-line group August 18, 2007. This article states that even when the Senate passes the Genetic Information Nondiscrimination Act it will not apply to military personnel. It's outrageous to think that our tax dollars that provide the discretionary money [not mandatory] for funding the Defense Budget yet they don't have to abide by the same laws that apply to the rest of us!
 
Bottom line:  If you or your child are at-risk for HD and enlist [or are enlisted] in the military never tell anyone of your at-risk status unless you've been enlisted 8 years or more.  According to this article, they can order you to get the genetic testing if they know your at-risk status then medically discharge you without benefits if you test positive, even if you're not symptomatic!  Period.  And if you get the test outside the military you could be court-martialed because that violates the uniform code of military justice.  What justice? [Justice is defined as a concept involving the fair, moral, and impartial treatment of all persons, especially in law.]
 
Testing Discouraged - Military doctors now discourage their patients from getting potentially life-saving genetic tests.
.......recalled counseling a 22-year-old soldier whose father had just been diagnosed with Huntington's disease. The soldier had 50-50 odds of developing the disease. A neurologist at Walter Reed Army Medical Center ordered a genetic test for Huntington's, and it turned up positive. "He was discharged from the military on the basis of the Huntington's disease gene even though, at that level of gene expansion, there was expected to be another 25 years before he would display any symptoms"
 
For many in the military, the best course is to simply refuse all genetic tests, even though they may be needed for an accurate diagnosis. Getting genetic tests through civilian channels is not an option because it would violate the uniform code of military justice. "You could get court-martialed if it were revealed that you had sought medical treatment or testing outside the system"
US Military Practices Genetic Discrimination in Denying Benefits
By Karen Kaplan - The Los Angeles Times
Saturday 18 August 2007
Those medically discharged with genetic diseases are left without disability or retirement benefits. Some are fighting back.
Click above title to read entire article.

Testing Discouraged

Military doctors now discourage their patients from getting potentially life-saving genetic tests, undermining their ability to provide top-notch care. "If someone called me up with regard to genetic testing, I had to say, 'That might not be something you want to pursue,' " Nunes said. "That's very hard to say."

In her 26 years in the Air Force, Fries said she often dissuaded women from getting tested for the BRCA1 and BRCA2 mutations that dramatically increase their risk of developing breast cancer.

 She recalled counseling a 22-year-old soldier whose father had just been diagnosed with Huntington's disease. The soldier had 50-50 odds of developing the disease. A neurologist at Walter Reed Army Medical Center ordered a genetic test for Huntington's, and it turned up positive.

"He was discharged from the military on the basis of the Huntington's disease gene even though, at that level of gene expansion, there was expected to be another 25 years before he would display any symptoms," said Fries, now director of genetics and fetal medicine at Washington Hospital Center in Washington, D.C.

Click on title to read entire article.
Does the 2002 change pass constitutional muster?
Does a commander violate the Fourth Amendment’s ban against unreasonable searches and seizures when he requires a service member to provide a DNA sample that can later be used as evidence against him in a criminal prosecution, absent a warrant, probable cause, or even individualized suspicion that he has committed a crime?
January 10, 2006 Genetics Perspectives on Policy Seminar - click on title to read full article.
 
In any workplace, genetic testing raises complex and troubling questions. But when the boss is the U.S. military and the employee wears a uniform, those dilemmas multiply. The law provides civilian workers some protections against certain uses of their genetic information, and Congress is considering comprehensive legislation on the privacy of genetic testing. But these safeguards don’t equally apply to military service members, who work in a unique environment.

The federal government may not request, require or use genetic information from civilian employees. The military, however, routinely considers genetic information from service members -- to make assignments, terminate or promote, and decide health care benefits. At minimum, the military uses genetic test results to keep enlisted individuals safe, avoiding harmful environments or jobs that could trigger disease or exacerbate a health condition. But some question whether the military sufficiently protects the genetic information of enlisted personnel—or adequately informs them how that information is used.

What is fair for America’s men and women in uniform? How can the armed forces strike the right balance between its needs and those of enlisted personnel? A panel of experts, before an audience of journalists, policy analysts, scientists, health care professionals and military service members, wrestled with these questions at Genes in Uniform: Don't Test, Don't Tell, a Genetics Perspectives on Policy (GenePOPS) seminar held January 10 at the Johns Hopkins University campus in Washington, D.C.
 
In conclusion, participants agreed, the military needs to re-examine, and strengthen, the rights of enlisted men and women. Legislation pending in Congress may do this for civilian workers. But it will have no effect on America’s men and women in uniform. Debates over coverage remain.
Mapping Public Policy for Genetic Technologies
Click title to read full article.
In January 1995, two members of the Marine Corps, Lance Cpl. John C. Mayfield III and Cpl. Josephy Vlacovsky, reported for what they expected to be a routine physical. But when they were informed that they were to provide blood and saliva for DNA sampling, they refused.
The two Marines agreed that using DNA to identify remains was benign, but they expressed concern that the military could, at some point in the future, use the DNA samples for some less innocuous purpose, such as the diagnosis of hereditary disease or disorders, and then could disseminate such information. Mayfield and Vlacovsky were court-martialed for refusing to obey an order from an officer.