Table 1.
Benefits to patient | Costs | Who pays? Testing and treatment | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Development | Testing and treatment | Cost savings | |||||||||
At time of genetic test | In the future | Genetic test | Treatment | Genetic test | Treatment | Adverse events | Future healthcare costs | Third party Payer | Patient | Private company | |
Screening/risk assessment | |||||||||||
(i) Preventive healthcare treatments available | + | + | + | + | + | − | + | ||||
(ii) No preventive healthcare treatments available | +? | + | + | + | +a | +b | |||||
Diagnosis and treatment | |||||||||||
(iii) Better use of existing treatment | + | + | + | + | + | − | − | + | |||
(iv) New drug or treatment | + | + | + | + | + | + | − | − | + | ||
Drug development | |||||||||||
(v) Facilitate development of other treatments | + | − | + | + |
aPay for future health costs
bPay for genetic test