This paper considers the revolutionary developments occurring in the field of genetic mapping and the genetic identification of disease propensities. These breakthroughs are discussed relative to the ethical and economic implications for the insurance industry. Individual's privacy rights and rights to employment must be weighed against the insurers desire for better estimates of future loss costs associated with health, life and other insurances. These are in turn related to the fundamental conception of insurance as a financial intermediary versus insurance as (...) a vehicle for social policy. (shrink)

Everyone knows that something has gone wrong, in the United States, with the conventions of privacy. Along with a vastly increased tolerance for variation in sexual life we have seen a sharp increase in prurient and censorious attention to the sexual lives of public figures and famous persons, past and present. The culture seems to be growing more tolerant and more intolerant at the same time, though perhaps different parts of it are involved in the two movements.

The primary thesis of this article is that the rights and powers of corporations--to collect, recombine, and resell personal data--have accrued in such a way as to fundamentally circumvent traditional and conventional conceptions of privacy, especially with respect to the sphere of informational privacy. In so doing, informational capitalism has also altered in fundamental ways the public and social sphere itself, the sphere through which one might expect these corporate forces and uses of technology to be controlled.

With respect to the right of privacy, some of the most difficult concerns arise from the map, and especially the modern, computer-generated map. Maps support a view in which the local--and the private--are unimportant, as they represent the world in ways that make places seem fundamentally alike. By geocoding he location of people, places, and events, maps offer a universal set of identifiers, one much more difficult to regulate than traditional identifiers like the social security number. At the same time, (...) they support the development of a system of geodemographic profiling in a way that creates "digital individuals" over whom most people have little control. And when these data are placed on a map, the problems are exacerbated, just to the extent that the reading of maps is a highly culturally determined practice; different people often interpret the same map in very different ways. This collection of problems suggests that in the context of a rapidly diffusing commercial mapping system, the traditional conception of the right to privacy is under attack, and that in the process that right is being redefined. (shrink)

: The market success of managed health plans in the 1990s is bringing to medicine the easy availability of electronically stored information that is characteristic of the securities and consumer credit industries. Protection for medical confidentiality, however, has not kept pace with this information revolution. Employers, the managed care industry, and legal and ethics commentators frequently look to the concept of informed consent to justify particular uses of health information, but the elastic use of informed consent as a way of (...) responding to managed health plans' disclosure of information to third parties fails to address underlying questions involving substantive value choices. (shrink)