 Several ethical concerns piggy back on those associated with prenatal testing generally; for instance, earlier and less risky testing may facilitate selective abortions, encourage the commodification of children, or, conversely, amplify the coercive technological force of prenatal testing as a medical intervention required for responsible parenting (de Jong and de Wert 2014). Each of these concerns picks up on the likelihood of greater routinization of prenatal testing given the tests' non-invasiveness, low medical risk to the pregnant woman and fetus, and high accuracy. Some commentators worry that these features of NIPT, particularly its lower medical risk, may serve to justify loosening, limiting, or even discarding informed consent requirements (e.g., Deans and Newson 2011). Other problems with increased routinization may also include affirmation of anti-disability bias and devaluation of disabled lives, particularly regarding Down Syndrome (Kaposy 2013). NIPT carries most of the same ethical issues as traditional testing and screening methods, and may exacerbate some.