I haven’t been breeding my minis - but I’ve bred my APHA horses for years and used to stand an AQHA stallion.
LWO has always been a very important test in both breeds simply because it can hide- I know several people with phenotypically solid horses (one has solid/breeding stock APHA papers actually) but they’ve tested positive for LWO. The association has made some changes to give full papers to genetic carriers, since it wasn’t their fault the pattern didn’t show but they’re still an asset to the breed.
I say all of that to say, we have the tools and it is SO important to use them. There are several genes that are absolutely fine to have single copies of, but are lethal in the homozygous form. There are also many genes where a single copy is problematic - I know one poor lady who unknowingly purchased a n/PSSM1 colt and now is going to have problems with him the rest of his life, since he became symptomatic at 3. Some people are willing to take those risks, others are not - but the key is the knowledge so that the choice CAN be made.