In the Law and Order SVU episode "Inconceivable", Detectives are investigating the theft of a group of embryos from a clinic. In the list of subjects they compiled was a dwarf named Jocelyn Miller (played by Meredith Eaton Gilden) who the detectives interviewed for a more detailed motive and means to do it. Prior to the theft, she had given her eggs to the clinic for embryo development. They were made, and when she screened them, she had made an uproar at the clinic. Her embryos being part of the group that was stolen, Detective Fin Tutuola and Det. Chester Lake questioned her about the nature of her screening and argument with the doctors, and this conversation followed:
Jocelyn: It's humane to get rid of the defective ones. Babies born with homozygous achondroplasia usually die within a year. Their tiny chest cages cause constriction, resulting in respiratory distress. It's a nasty death.
Fin: That's what you were screening for?
Jocelyn: We [her and her husband] had a little girl named Rose who had it. She died in my arms.
Chester: I am so sorry.
Jocelyn: My husband is also a dwarf, which gives us a 25% chance of having a baby with the condition.
Fin: So you had them weed out the embryos with the death sentence attached?
Jocelyn: I donated them to research.
Chester: Sounds like the clinic helped, but we heard you caused a disturbance.
Jocelyn: Yea, after all of that, my doctor refused to implant one of my healthy embryos.
Fin: He refused to implant because of your size?
Jocelyn: No, because of babies. He wanted to use an embryo that would become what you call "normal" size. I wanted an LP.
Chester: LP? Little person.
Fin: You wanted to purposely create a child with a disability?
Jocelyn: Size is not a disability. We have normal lifespans and lives. Why shouldn't I be allowed to have a child who looks like me? Everybody else can.
Jocelyn: I think someone would have noticed if the thief was 4 foot one.
This was a great episode, but this scene stuck out in my memory the most.
What's the prevailing approach that decides the baby's fate?
Yes, the doctor has the ability to make the baby "normal-sized", and not to live as a possible outcast amongst society. He could be trying to save the child the burden of all the possible ridicule Jocelyn has suffered, but he neglects and hurts Jocelyn's pride in the process. But, as Jocelyn clears up for Det. Fin, having small stature is not necessarily a disability. The public chooses to view dwarfs this way. To ridicule them and treat them like they're some sort of rejected drawings God threw away in pursuing the perfect picture of man. A doctor who is possibly too conscious of widely-held opinion would try to push something like that on to Jocelyn.
I see something a bit noble in Jocelyn wanting to continue her family line as it is. Having small-stature is not what she chose for herself, but it is what she is. She realizes that she has plenty to offer to humanity regardless of how small she is, and her child will too. However, this can also be construed as selfishness, bringing unwarranted and easily-avoided ridicule onto her child in the future.
At the end of it all, both of these opinions are morally null and void, since it should really be up to the person (baby) to be who they want. Of course, an embryo cannot pick this for themselves, so they'll inevitably be subject to some kind of existential guilt (being a normal sized person ashamed of their parents) or embarrassment and anger (being an LP and being outcast) at some point in their life. It is for these people that I pray they have the strength and faith to go on.