Living in NY for thirty-some years, Downs kids were a rarity. I knew they existed, I knew the statistic was something like 1 in 300, and on occasion would see one, but they were _RARE_.
Then I moved to GA.
Downs kids _everywhere_. Like about 1 in 300 ... oh.
As in, a "physician" (well, somebody with an MD degree) chops them up with a dull knife.