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A black mother holds two babies in her arms. the babies look curiously out the nearby window.

Today in America, if you are poor, you are also more likely to suffer from poor health. Low socioeconomic status—and the lack of access to healthcare that often accompanies it—has been tied to mental illnessobesityheart disease and diabetes, to name just a few. 

Imagine now, that in the future, being poor also meant you were more likely than others to suffer from major genetic disorders like cystic fibrosis, Tay–Sachs disease, and muscular dystrophy. That is a future, some experts fear, that may not be all that far off.

Most genetic diseases are non-discriminating, blind to either race or class. But for some parents, prenatal genetic testing has turned what was once fate into choice. There are tests that can screen for hundreds of disorders, including rare ones like Huntington’s disease and 1p36 deletion syndrome. Should a prenatal diagnosis bring news of a genetic disease, parents can either arm themselves with information on how best to prepare, or make the difficult decision to terminate the pregnancy. That is, if they can pay for it. Without insurance...