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This is a stupid take as well. There is also evidence that the federation does practice the correction of birth defects and disabilities when appropriate.
And why would they not? Allowing such impairments to exist when the medical technology to prevent it is available seems insanely unethical to me. Like breeding pugs because if people stopped doing that the breed would cease to exist, ignoring the fact that being a pug is a miserable existence for the animal.
I believe the most sensible policy for the federation (and us in real life) would be to correct any and all birth defects, disabilities and impairments wherever possible, while accommodating and fostering compassion and acceptance for the cases where it is not possible.
Disabled people are not lesser than anyone else and should have the same capacity to participate in society, but that doesn't mean we shouldn't try everything to prevent people from being disabled.
It's a matter of quality of life. If someone without conventional hearing can have the same quality of life through other means, then there is no need to "fix" them, unless that's what they want.
Obviously debilitating illnesses and pain are still dealt with, but stuff like missing limbs or other traits that we might call handicaps are not the same impediment in the future as they are to us, because there are so many possible paths for every individual to choose, and many of those might even be better suited to someone with a unique physiology.