Three recent reports on genetic screening published in the United King
dom, Denmark and the Netherlands are discussed. Comparison of the Dutc
h report with the Danish and the Nuffield reports reveals that the Dut
ch report focuses on the aim of enlarging the scope for action, Emphas
ising protection of autonomy and self-determination of the screenee mo
re than the other two reports. The three reports hare in common that t
he main concern is with concrete issues such as stigmatisation, discri
mination, protection of the private sphere and issues linked with labo
ur and insurance. Some potential long term consequences, however, tend
to be neglected or underestimated. These omissions are pointed out.