No. I think this is a cruel and ignorant thing to say.

Wanting to have a child who is not special needs is not an evil thing. Choosing to not bring a a child with special needs to term is not evil.

Having a special needs child can dominate your finances, your life, and the lives of your family members and already existing children. People have a right to choose what what they want out of life, especially in the context of before a child is born.

The alternative is to take the same energy you'd spend on that one unlucky human being and spend it raising 3 healthy children who will go on to live full lives.

Parenting is an enormous time investment and families that take on the burden of raising disabled children almost universally reduce their family size. This is not a decision without cost, to those who lose their chance at life.

It's fine for you to live in whatever fantasy world that allows you to never have to make any hard life choices, but you shouldn't go out of your way to try to make others feel guilty for having the unfortunate fate of having to live in the real world.

Many of these conditions would in the past have been fatal in infancy, and it is only through modern medicine that children can survive them at all. It's fair to expect medicine to provide the solution to the problem it has created. There's nothing natural about children having to live their lives in and out of a hospital.

with one of those cards being a lifetime of medical debt

It's still a full time job that precludes you from doing a great many normal family activities for the child's entire lifetime. There is also the danger that your state may elect budget hawks who decide to cut funding for the programs halfway through your child's life, leaving you on the hook for ruinous medical expenses. It can also be very unfair to your other children who are going to basically lose out on activities because their disabled sibling requires too much care.