There are roughly 250,000 Amish living in America right now, descended from just 200 founders in the 18th century. They have a higher-than-average rate of genetic disorders, then, because of inbreeding. They have a high infant mortality rate, as well, but they simply view these things as God’s Will, or “Gottes Wille”. Before marrying, the Amish refuse to take any genetic tests to determine if they are somehow, even distantly, related, and thus when they have children, it is a toss-up if they will be born with deformities or a genetic disorder. Seems to me that a simple blood test could help avoid a whole lot of heartache, for both them and their future children. But then, that would require a heart, and after learning about puppy mills, pollution, shunning, and everything else (and there is more to come), I am unsure if heartache is in the realm of possibility for them.