The practice of in vitro fertilization in the United States is unlike that of almost every other developed nation. Most of our peer nations specifically ban sex-selective IVF, with a few caveats for families facing sex-linked inherited diseases. For many nations, the bans are an attempt to keep families from throwing away girls; some countries still struggle to prevent selective killing of girls in the womb. In this landscape, the United States stands out twice — first, by permitting preimplantation selection by sex, and second, by having communities with strong preferences against boys.

An article published at Cleveland.com lamented that a law protecting preborn children with Down syndrome from eugenics-based abortions is still in place, despite the approval of a state constitutional amendment declaring a right to abortion. The article also shared a loophole in the law to help abortionists kill babies with Down syndrome without repercussions.