"How did this happen?"
"I was born that way."
"And your parents let you live?"
"What kind of question is that? Of course they let me live!"
"No wonder your race is weak. You waste time and resources on defective children."
"First officer's log, supplemental. We've transported the captain and Mr. Paris back to sickbay. As for their... offspring, I've decided to leave them in their new habitat."
I like how a few episodes later when that woman gives birth to the spiky-headed baby and Janeway makes a huge deal about the symbolic importance of the even, nobody is willing to bring this up.