Why was my client’s daughter born with a trisomy-18 mutation, and why has she survived until now, when 90% of such cases are fatal?

This is entirely an outcome of her personal karma. She has struggled in other lifetimes in surviving childhood. Times have been tough in the past with much illness, and many childhood diseases that were fatal in prior eras because medical treatments were not yet available, nor an understanding of how to even address the symptoms of such illnesses to help support life and healing of those who were stricken. The Law of Karma is a very powerful force and it does its work dispassionately. A strong karmic setup that leads to tragedy is a very compelling influence on things, and it may well not be the best decision for the divine to simply deflect that eventuality because that simply kicks the can down the road, so to speak, and the individual who would be affected will be hit by the problem in the future, in perhaps the next life, and it may become worse and be at a time and place where the consequences will be more severe for all involved. These are complicated matters and not simply controllable by the normal prayers of parents wanting God to watch over their children and keep them safe, healthy, and happy. Life is more complicated than that. We see the big picture, and so does the Law of Karma, that any history of trauma, especially when repeated, will grow and become more intense and more likely to reoccur and to be compounded as a consequence and more harmful, and this wounds everyone involved, directly and indirectly, as is always the case. People are not islands, they are part of a family unit or a partnership in the case of spouses, and so on. One life can affect many other lives, and all of these influences go into all that happens in the future as a consequence of the present—the past always looms over you through a kind of crosstalk and a looping of time. The Law of Karma will seize on opportunities to do its work of presenting difficulties for restitution, rebalancing, and healing whether or not the individual or their loved ones are fully prepared or even aware of what is at stake, and the dynamics of what is taking place, to deal with it effectively. That is because it is dispassionate and it is intended to keep driving the message home until humans go through enough of a learning curve to see the trends, put two and two together, and devise a means for getting effective divine help, not as a helpless supplicant begging for mercy but a partner with Creator, standing strong despite their suffering and learning the ropes in how things work, and using every source of wisdom from the divine available to them to devise better ways of communicating for an effective partnership that can truly get things done for the betterment of themselves and their loved ones, and the broader world and beyond. This is what humanity has been going through for its entire existence, a gradual learning curve to get to the point today where things are coming to a head and you have been given, finally, greater clarity than ever before through your channel in knowing what is wrong and what is needed to right it. Your daughter is caught up in all of this dynamic, so it is not a failing of you or your wife in any respect, but simply your daughter's responsibility to escape from her karmic history. As her caregivers, you are the only ones right now who can weigh in, and without your help that would remain so, because she is unlikely to become normal enough on her own to have any capability for working on her own healing beyond inner yearnings of her soul which are, at best, a starting point. She, indeed, would have died without your strong faith, and that of your wife, despite the karmic history the daughter has as a liability, so that is very much to your credit although it brings with it the ongoing burden of dealing with a young life with great burdens to bear and challenges. We can tell you this is not something to regret, although that is hard to understand or to see from your vantage point because it is so painful to be a part of. Every bit of the struggle and the suffering involved here is informing your soul, and the wisdom you are gaining will stand for all of time as a strengthening and an enrichment of your personal understanding of negativity and how to surmount it. You will understand this down the line better than you can right now. So you can know this was not our doing, our instruction, or any kind of mandate or direction to inflict this on your daughter for any reason, this was simply the Law of Karma seeing the past karmic history and doing what it does; in this case, lowering the boom on her and presenting a quite severe challenge to her survival. Your making it possible for her to continue her life does not trap her in a life of torment and suffering when she would be better off simply dying and returning to the light, it is helping her to work through the karma itself in a way she could not, in other lifetimes, face and deal with the challenges of those particular circumstances. So what you can do in the way of healing to add to her personal struggle for survival here will make you both champions, and will be a tremendous karmic gain for all in the family to be witness to and a part of this saga. So on the surface, it is a tragedy and a painful one. At a deeper level, it is an opportunity for a rebirth from dire circumstances that will catapult you forward, eventually, from the learning and wisdom it provides for you, your wife, and your daughter in particular.