[WHATDOESIT]

In practically any country with socialized healthcare you will be strongly encouraged to terminate a child that might turn out unhealthy, and in a lot of them you will lose "benefits" (on which you depend because you were forced to pay mandatory social insurance before, taking away your ability to save/invest by yourself) if you don't listen/go to the doctors as "you are supposed to because that's the system". Where I live in Central Europe, going to the gynecologist and listening to their recommendations is a requirement to get full parental social benefits - and the policy most certainly is also based on what's economical for the state/"the system", and only parents that were previously working can get the benefits.

Additionally, you will have to pay the full price for any treatment that's outside their recommendations, this often turns out higher in absolute prices than in any US hospital - even though the people are much poorer.

Then once an unhealthy child is born they often don't get the full benefits of socialized healthcare as they should according to the constitutions, the administration will say "the system works in a different way and you went outside it, so you need to take care of it yourself" and the parents are forced to pay for treatments and medical equipment by themselves because what "the system recommends" is not nearly enough (we are talking about US$ millions of additional out-of-pocket expenses in some real world cases that I follow locally). That could be interpreted as a form of tax too, especially since you are forced to pay mandatory health insurance in most of these countries.