Carriers of sickle cell disease, identified as having hemoglobin AS, are generally considered healthy and not affected by hemoglobinopathy in the same way individuals with sickle cell disease are. These carriers may actually have a health advantage in malaria-endemic regions due to their genetic makeup, which offers some protection against malaria. However, their health status can be relative to environmental factors and other genetic backgrounds, and there may be slight disadvantages in non-malarial environments. Overall, while carriers are typically healthy, their health can be context-dependent.