>First, disease has been a way to naturally select the fittest and thanks to that we've been able to come this far
There are only 7-70 single nucleotide polymorphisms per generation. On the other hand, horizontal gene transfer allows entire genes to enter a genome.
Evolution happens via poisoning and genetic contamination, not survival of the fittest. Convergent evolution happens because the same genes do the same things in all organisms, and the same allele will enter many different organisms and make them all mutate in the same way.
>Second, what is the point of preserving genes that have proven to be useless for humanity?
Most of human diversity emerges from alleles, including many forms of genetic disease. Many genetic diseases require a specific set of alleles to be inherited - G/T, for example. G/G, T/G or T/T won't pass on the disease - only G/T will.
G/T can emerge from a gene pool of mixed G and T alleles, and so the only way to purge the G/T genotype is to isolate G/G and T/T. But even this won't prevent acquisition of diseased alleles via horizontal gene transfer.
44% of the human genome is composed of transposable elements, meaning the genes encoded within this portion of the genome can be pushed in and out without removing any other genes. However, the above figure includes our silent DNA - only 7% of our functional 10,000 genes are transposable.
The answer isn't to prevent people from breeding - it's to assure that all pairings pass on a non-diseased pair of alleles. This entails eugenics, and in most cases a diseased person or carrier could still breed - the government would simply have to force such people to use designer sperm or ova which would result in non-diseased offspring.
Not even the Chinese have the focus and dedication to truly prevent genetic disease - we need a new culture, one where the first question people ask prospective lovers is, 'What are your alleles?'