In NY culture, the norm is to abort the predictably disabled.
The more buildup they give being black, for example, with things like "discrimination causes obesity", the closer they get to the Margret Sanger/Fascist ideal of defining specific racial characteristics as a disability and therefore a sufficient reason for society to dictate abortion and/or sterilization of specific racial groups to avoid the cost of such a disability.
That's even more likely when the State runs all medical care and the individual can be denied some types of treatment even if they can afford to pay for them.
From tiny acorns might Oak Trees grow and while most people may say only "some crazy Catholics" oppose contraception it's from the seed of contraception that the mighty Oak Tree of institutionalized State dictated murder is now clearly growing.
Like it or now, we're now close to the Nazis in the thirties when even wealthy families would take their disabled children to be treated for something minor only to be told the child had died from some sort of complications.