RT Journal Article SR Electronic T1 Genetic enhancements and expectations JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 433 OP 435 DO 10.1136/jme.2008.026435 VO 35 IS 7 A1 K Sorensen YR 2009 UL http://jme.bmj.com/content/35/7/433.abstract AB Some argue that genetic enhancements and environmental enhancements are not importantly different: environmental enhancements such as private schools and chess lessons are simply the old-school way to have a designer baby. I argue that there is an important distinction between the two practices—a distinction that makes state restrictions on genetic enhancements more justifiable than state restrictions on environmental enhancements. The difference is that parents have no settled expectations about genetic enhancements.