It's possible to make sense of what's morally at stake in an appreciation of the gift of life, or the gift of a child, without necessarily presupposing that there is a giver. What matters is that the gift - in this case, the child - not be wholly our own doing, our own product.

If parents are aiming at choosing children who will be good athletes, or great musicians, or who will get into Ivy League schools, or who will be tall enough to make the basketball team, then there is a danger that the life of the child will bear the burden of that expectation; and the risk of disappointment and the cost of disappointment will be even higher than they are now, and even now they can be considerable.

I would include non-medical sex selection as one of those practices that I think is morally questionable and that can carry adverse social consequences.

The majority of American states had laws by the 1930s that allowed for forced sterilization of socially undesirable categories of people, so-called feeble-minded, for example, and with Hitler culminating in genocide.

I do think it is very important that the religious communities do try to bring their teachings and their insights to bear on the stem cell debate and on the debate about genetic engineering.

It's true that to speak of an ethic of giftedness, which is very much the ethic that I deploy in raising questions about designer children and genetic engineering - an appreciation of the giftedness of the child or the giftedness of life does have religious resonance, because a great many religious traditions emphasize the sense in which the good things in life are not all our own doing; they are gifts from God.

I am trying to get at the moral arguments and the ethical status of various attempts at enhancement, or genetic engineering, or the bid for designer children. But there are implications for society at large.