Based on ONE of the following scenarios presented below; evaluate scientific, policy and ethical issues involved in genetic testing and genetic counseling.
Case Scenario 1:
A 45-year-old white premenopausal female arrives for a routine visit without any complaints or significant health problems. She is concerned about her risk for developing breast cancer (BC) and is interested in ways she may decrease her risk. Her mother was diagnosed with invasive breast cancer at age 56 years. Her older sister is currently undergoing chemotherapy after total mastectomy. No other family history of any other type of cancer. As her counselor, you must answer her questions about the genetic link to breast cancer, her prophylactic options and discuss policy and ethical issues.
Case Scenario 2:
A 25 year old male is applying for a first time full time job which offers health insurance. He has a family history of diabetes. The health insurance company contracted with the employer is asking him to pay a much higher premium than the group rate. He would like to know the genetic vs. environmental factors affecting diabetes, genetic testing, policy and ethical issues involved in health coverage. Is the employer justified in his actions?