I never really got the argument against augments (in universe as well as from the writers).
All the humanoids in Star Trek are the result of genetic augmentation anyway.
The whole “eugenic wars” thing always felt like a cop-out because the writers were to afraid to tackle a controversial topic during the actual show and pushed it into the past in a “we already had this discussion” kind of way.
Well if someone regrets having their hearing restored it is very easy to reverse that… nobody can take that freedom.
If people really want more children to be born with mental disabilities I have no problem ignoring their wishes, I don’t think that is too controversial of an opinion no?