Birth defects are one of the leading causes of child abuse, something I know from personal experience. My sister was born with a birth defect. Our parents were not evil people, and I'm sure would have dealt reasonably ok with me alone. But my parents did not deal well with my sister's birth defect. She was beaten for something that was not under her control. I hid, she couldn't. I spent most of my life hiding and she spent most her life fighting the world.
My friend Mike S. was born with a birth defect plus he turned out to be autistic and developmentally disabled. One of his mother's boyfriend's pushed him and his wheelchair down the stairs to try to force him to walk.
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