  As this short history should make clear, past, state-run, involuntary eugenic endeavors have been unjust and socially disastrous. Yet advances in genomic testing and interventions continue to make possible practices that have eugenic features, albeit framed differently. Prenatal testing and preimplantation genetic testing, for instance, are understood to enhance reproductive choice, even as they are clearly used by prospective parents to determine which individuals should come into existence. Should they be considered eugenic practices? Is that necessarily morally troubling? As technological advances push us to consider what genomic variants we ought to be able to test for, which to choose prenatally, and which to manipulate we may need to reassess our current practices, explore their justifications, and sort through the ways in which they are eugenic and morally worrisome.