In the United States, only about one-third of people have completed advance directives, which focus primarily on care before death. These documents could potentially be expanded to include preferences for autopsy privacy and genetic testing after death. Autopsies, which aim to determine the cause of death, can reveal incidental health findings not listed on death certificates. For instance, a man in his 40s who died in a motor vehicle accident was found to have a genetic kidney disease, while a 23-year-old had undiagnosed kidney cancer. The Health Insurance Portability and Accountability Act (HIPAA) protects health information for up to 50 years after death. However, the laws governing access to autopsy reports vary by state and even by county. Genetic testing during autopsies can uncover risks for diseases unrelated to the cause of death, raising ethical questions about sharing this information with relatives. A young woman discovered through a genetic test that she had a 28% chance of developing late-onset Alzheimer’s by age 75 and a 60% chance by age 85, illustrating the potential stress such information can cause.
Source: www.technologyreview.com

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