Finishing off my original post (the backroom just moves too fast for me!):
About a corrupt system:
The system could go completely wrong and become corrupted. For example: Doctor sees a teenage mum of thirteen give birth. After having it she decides that she doesn't want the child and, out of sympathy for the mother who could not cope with the child and give it a good life, the doctor, on the orders of the mother, claims the baby has a disability, even though it does not, and lets it die. This is a bit of an extreme, but it could happen. Also if a law like this was to be passed then eventually it could lead to even more extreme laws, and this one is extreme enough anyway.
Another point, that should also be taken into consideration, is that in the child's lifetime then a cure may be discovered for the problem that they originally had. In that case then they would have died unnecessarily.
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