On the bright side, not "dated and sexist" or "dated and creepy" or "dated, sexist, and really creepy" like some of the male SF writers. But still you do have to take this basic idea of "babies with birth defects are put in indentured servitude running space ships" and just let it go over you before dealing with how all the characters deal with it. In the future, with still a lot of domestic violence. A bit like Jack Vance, in some ways.