Asklemmy

The inherent (and problematic) implication in this concern is that there's a 'good' way to evolve and a 'bad' way. While technology and medicine massively relieves biological pressures, some genetics diseases can be entirely managed, and more people are surviving to procreate, what we'll see in the medium-long term is a major uptick in genetic diversity, some people will be massively reliant on technology, some won't.

As we hopefully know by now, genetic diversity is a Good Thing (tm). As it increases, so will we as a species have more disease resistance, be able to fill more niches, we'll have a wider scope of bodies and brain patterns to have new and cool thoughts etc. I do think cultural and social pressures on sexual selection could be problematic, rather than a good thing, but that'll entirely depend on how society goes.

Though honestly, I think it's overwhelmingly certain that we'll have the capability to alter human genetics on a large scale before any of modern evolutionary pressures become relevant. If you accept that, then the whole discussion becomes rather moot.