Mark Leach is an attorney with a Master's in Bioethics, focusing on health law and public contracts. His interest in bioethics concerns the issues surrounding prenatal testing and Down syndrome.

It’s Friday, let’s have some fun

I'll resume my series on the new policy statements on the newest form of prenatal testing for Down syndrome next week. But, it's Friday, so let's have some fun. Enjoy the video of Kaitlyn, a 16 year old with Down syndrome, showing off her skills hula-hooping during halftime. Not many of us can hula-hoop that well or have performed a halftime show, at any level. Impressive stuff. Enjoy. Continue Reading

Does the ISPD have its own version of Voldemort?

The International Society for Prenatal Diagnosis (ISPD) has issued a new position statement on prenatal testing for Down syndrome. I have reported on what the statement says in the past several posts. Now, we turn a critical eye to the statement to provide an ethical assessment of it. What is most glaring is what is not stated in the new statement. I wonder if the ISPD has it's own version of Voldemort. 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

Happy birthday, Baby Doe

Today would have been Baby Doe's birthday. But, when Baby Doe was born in 1982, he was born with Down syndrome and his doctor believed some individuals with Down syndrome were "mere blobs." The doctor's medical advice to Baby Doe's parents was that they should let their child die from lack of care. I wrote about this in 2010. Re-reading the column, I was reminded of then-current examples of these views still being expressed and practiced. Lest we think this attitude towards withholding care to Continue Reading

The ISPD has a serious concern about new prenatal testing for Down syndrome

The International Society for Prenatal Diagnosis (ISPD) issued a policy statement that sets forth its position on prenatal testing for Down syndrome. The policy statement was prompted by the new prenatal testing for Down syndrome called Non-Invasive Prenatal Screening (NIPS), where a mother's risk assessment is recalculated based on testing cell free DNA in her blood stream. ISPD has a "serious concern" about NIPS. Read on to find out why.  Continue Reading

What is the optimal prenatal testing protocol for Down syndrome?

Last week, both the American College of Medical Genetics and Genomics and the International Society for Prenatal Diagnosis (ISPD) issued position statements on the latest developments in prenatal testing for Down syndrome. I selected highlights here. In this post, I cover what the ISPD statement claims is "optimal" for prenatal testing for Down syndrome.  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

Outlawing abortion won’t help children with Down syndrome? History might suggest otherwise.

Earlier this week, the New York Times Motherlode blog featured a post by Alison Piepmeier with the headline: "Outlawing abortion won't help children with Down syndrome?" Much of what she wrote echoed points I have made previously, but there is a distinction based on historical examples. Continue Reading