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New technologies have made prenatal testing for Down syndrome and other genetic disorders much less invasive and can be done far sooner than other tests. This development is causing many advocates for individuals with genetic disorders to express concern whether balanced information from these tests is communicated to parents (Ritter 2011). This article addresses the ethical concerns of prenatal testing and proposes a model describing the impact of doctor-parent communication on pregnancy decisions. It concludes diagnosis communication is a crucial factor in determining what kinds of people we will or will not have.