First of all, the criticism is warranted because an ultrasound is part of routine care. Most spina bifida cases are diagnosed through that manner. Why are they suggesting that an AFP test be done as the first approach? It is usually not necessary (in regards to spina bifida) only if you opt out of the sonogram. They should have specified that this is an available option IF you have any issues with taking a sonogram. Presenting medical advice based on your personal choices alone is not ethical.
Furthermore, surgery in utero is becoming increasingly more popular in this field and in many other areas as well. Insurance companies are beginning to approve it more frequently as well, especially since they realize that the cost of the surgery will be lower than lifelong or extensive care. Even if would be done only sparingly, I still think parents have the right to be aware of the option. You never know if they will or won’t be approved for it (or find another way to have it done), if you don’t even give it a go.
I never discounted any value in taking vitamins, I actually fully support it as well. I was just pointing out that vitamins alone is not a guarantee that this situation won’t arise, so the proper medical advice is warranted.
As for Obamacare, I’m in complete agreement with you. Let’s hope and pray that this disaster is averted before it has a chance to be fully placed in effect.