ABSTRACT
This chapter reflects the introduction of predictive medicine in private life insurance and its consequences for the construction of ideals of citizenship. It demonstrates how private insurance, applies the new definitions of health and disease of predictive medicine, contributes to new conceptualizations and ideals of citizenship. The framing of predictive medicine in insurance is consonant with contemporary neo-republican emphases on individual responsibility for health, self-governance and a prudential approach to controlling and transforming one's future. The introduction of predictive medicine enables the insurance industry to control the 'immoral' in a medically and technically mediated way. The emergence of predictive lifestyle risk assessment has taken shape within the historical continuities in insurance. The predictive medicine enables insurers to trace the insurance applicants' moral hazard along with their lifestyle risk factors, or their self-capacity to control health. The role of underwriting citizenship, medicine is tasked with deciding which conditions people have to fulfil to be part of society.
