Having gone through IVF multiple times, there’s usually a pretty rigorous process and it is highly regulated in many countries. In some places you need genetic screenings when using donors. I was unaware that I was carrying a mutation for a difficult to diagnose, fatal but relatively easy to treat disease if caught early, which explained at least two cases in my family history. If the donor happened to carry the same mutation, the chances of having an offspring with the disease was around 25%. So in my view, IVF if done right, could actually make healthier humans. And yes, this genetic screenings are available to anyone not only IVF patients, but it is extremely unlikely that people will use them when conceiving naturally, because first, they aren’t cheap and secondly there’s some sort of tabu about asking your partner for genetic testing, and even if the test comes back positive for some type of disease, what would people do anyway?