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Business quadrupled when Steinberg started advertising PGD for gender selection.Steinberg said he never intended to make gender selection his niche.The average cost of a gender selection procedure at high-profile clinics is about ,000, and an estimated 4,000 to 6,000 procedures are performed every year.

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They marketed their clinics by giving away free promotional DVDs and setting up slick websites.

It would cost tens of thousands of dollars, money Simpson and her husband did not have. That has certainly been the case in places like China and India, where couples have used pregnancy screening to abort female fetuses.

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