"The approximate haut-wife process is - approximate, here. Certainly if I were operating a consultancy like that I'd take client goals into account. And... We may have different standards of 'health'. I do not feel a strong pull to select my children's eye color or their hormone balances or their metabolic tendencies; I'd do it anyway if I were unfettered by Barrayaran prejudice, because abdicating the decisions in question doesn't seem like an improvement and it just won't take me that much time since I absconded with plenty of genetics helper software on my pen, but I'll abandon that sort of quibbling over genetic details if Miles prefers without complaint. What worries me is that I will have a child who develops - allergies or headaches or arthritis or something. A child who is in pain because I did not argue thoroughly enough with their father, because I left them to the mercies of a process that is not intended to improve their quality of life."