"Disease" can be a lot of things. Your hot takes are not just "I am 100% certain my baby will have Down Syndrome." And even then, I don't believe a person should be forced to have an abortion in that case.
People who have three children should pay higher taxes why? Because their kids will grow up to also pay taxes?
By your standards a lot of people I know should never have been born. My mother had a ton of miscarriages, was of advanced maternal age, family of 3 kids, etc. There was a high chance I could have had some type of disease, but I didn't.