People with Down syndrome are not costs to be avoided through prenatal testing

I shouldn't even have to say this. Continue Reading

A Down Syndrome Mid-Life Crisis

I turn 40 this weekend. As I look back and look forward, I see a mid-life crisis for Down syndrome.  Continue Reading

The ACMG steps out from the crowd with NIPS policy statement

Along with the ISPD, the American College of Medical Genetics and Genomics (ACMG) issued its own policy statement on the newest form of prenatal testing for Down syndrome. The ACMG statement says some of the same things as the other professional medical organization positions, but it sets itself apart on several key points. Continue Reading

A new age of prenatal testing for Down syndrome: a new name, new policy statements, and recognized resources for patients

On the same day, two major medical professional organizations announced their respective position statements concerning the newest form of prenatal testing for Down syndrome. There is A LOT to analyze, but here are some instant highlights from both.  Continue Reading

Does the North Dakota law banning Down syndrome-selective abortions impose an undue burden?

I wrote last week about North Dakota's new law prohibiting sex-selective and Down syndrome-selective abortions. What will the law's impact be, and will it be struck down as unconstitutional? Continue Reading

The nonmaleficent role of NIPT

At last week's ACMG Annual Clinical Meeting, I presented a poster titled "The Ethics of Non-Invasive Prenatal Testing." It turns out that the logic of my argument could very well be reflected in practice guidelines that are soon-to-be-released. I doubt the force of my abstract submitted last winter is to account for the change. But, it is a bit ironic that because NIPT will cause a test with risk to potentially have greater risk, NIPT has justified itself being inserted as a step before the test Continue Reading

North Dakota enacts law banning Down syndrome-selective abortion

Yesterday, the Governor of North Dakota signed House Bill 1305, prohibiting sex-selective abortion and abortion for genetic abnormality. That same day, the Governor also signed a law banning abortion once a fetal heartbeat is detected. As a result, with abortion being invoked, the media reporting and instant comments devolved into pro-life/pro-choice arguments. But let's look at the actual language of the law that concerns Down syndrome abortions and see what it actually says before we choose Continue Reading

Why is there prenatal testing for Down syndrome?

At my very first national medical conference, I received an answer to the question: why is there prenatal testing for Down syndrome? I have shared the response I received in many presentations. At last week’s ACMG conference, I learned of another reason. It struck me as profound. I wonder what you think about it.  Continue Reading