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Pro Darwinist might even argue that this is a imperative that we SHOULD abort below average fetuses and do everything medicine can to continue the evolution of our species.
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Being a Darwinist myself I'll state it doesn't really matter. The species will continue to evolve no matter what. Selection pressures will be based on the environment at hand. There is no direction for this evolution. Mothers aborting their fetuses healthy or otherwise still fit the mold of evolution.
Modern medicine does allow some diseases back into the gene pool that under 'natural' conditions would not survive, a Darwinist doesn't worry about it.
There is more to this of course, but no a Darwinist doesn't care. What you are confusing Darwinist with is a eugenist. Eugenics is the concept of a directed evolution, its much poopooed do to the Nazi connection with humans but its what we've done with all of our domesticated plants and animals.