Choosing Better

The Selection Effect: Prenatal Screening and the Quiet Disappearance of Down Syndrome

July 24, 2026·1h 6m
Episode Description from the Publisher

When does prenatal screening determine whether a child will be born at all? In this episode of Choosing Better, Enoch and Tim explore Down syndrome, abortion, eugenics, and the quiet social pressures that shape “choice.” From viral controversy and global termination rates to Tim’s research on Down syndrome birthrates, they ask what we are missing when children with disabilities are screened out and disappear from our communities. The conversation ends with a call to choose better by building communities where families facing a pregnancy with Down syndrome are met with courage, support, and love.Commercial referenced in the episode can be found here: https://www.youtube.com/watch?v=Ju-q4OnBtNU. Tim’s full public lecture can be found here: https://www.youtube.com/watch?v=ULqFaSh3nG0.

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