The Surrogacy Question
Are we owed a child? Is it a human right to be able to have one?
In a recent Instagram piece, Olympic diver Tom Daley posted a picture of himself, his husband Dustin and their toddler son with baby Phoenix Rose, the new addition to their family. It’s a variation of the same family picture we’ve seen thousands of times. The comments were full of excited congratulations from friends and fans alike. Again, something we’ve seen thousands of times.
What some pointed out however, was the lack of the person who had given birth to the little one: the surrogate.
Such images are common online. New parents show off their new child, but they do not show the surrogate. Some may mention her, but she is now shown. In a move that irks many, the parent or parents may sit in the hospital bed, holding the baby as though they have given birth to it.
It begs the question: is surrogacy acceptable?
What is surrogacy?
Surrogacy is the act of a woman carrying and birthing a child for another person or couple. There are two types of surrogacy:
Gestational Surrogacy: the surrogate is biologically unrelated to the baby. The eggs come from the intended adopted mother or a donor.
Traditional Surrogacy: the surrogate’s eggs are used. She is biologically related to the baby.
There are two types of surrogate services. One is altruistic, in which the surrogate is doing this as a favour and without payment. Commercial surrogacy allows payment and it can include medical fees or even more than that.
Who uses it?
Surrogacy can be used by heterosexual couples, same-sex couples and single people. Those who use surrogacy may do it for a variety of reasons. Reasons include:
● Unable to carry a child
● Single person
● Same-sex couple
● Unable to adopt
● Older person
● Does not want to be pregnant
● Worry about pregnancy
● Medically required
Celebrities that have used surrogates:
Heterosexual Couples:
● Grey’s Anatomy star Ellen Pompeo and husband Chris Ivery
● Jonas Brothers member Nick Jonas and actress Priyanka Chopra
● Rapper Kanye West and reality star Kim Kardashian
● Actor Matthew Broderick and actress Sarah Jessica Parker
● Fast and Furious star Jordana Brewster and producer Andrew Form
● Frasier star Kelsey Grammer and reality star Camille
● Actor Courtney B. Vance and actress Angela Bassett
● Star Wars creator George Lucas and wife Mellody Hobson
● Actress Nicole Kidman and singer Keith Urban
● Actor Robert DeNiro and model Toukie Smith
● Model Tyra Banks and photographer Erik Asla
● Twitter owner Elon Musk and singer Grimes
● Actor Alec Baldwin and yoga instructor Hilaria Baldwin
● Actress Cameron Diaz and singer Benji Madden
LGBT Couples:
● Modern Family star Jesse Tyler Ferguson and husband Justin Mikita
● Actors Neil Patrick Harris and David Burtka
● Singer Elton John and filmmaker David Furnish
● Singer Ricky Martin and artist Jwan Yosef
● Glee creator Ryan Murphy and husband David Miller
● NSYNC singer Lance Bass and husband Michael Turchin
Single Parents:
● Pitch Perfect star Rebel Wilson
● Talk show host Andy Cohen
● Journalist Anderson Cooper
● Actress Lucy Liu
● Blogger Perez Hilton
● Footballer Cristiano Ronaldo
● Singer Michael Jackson
● Actress Amber Heard
What’s the Law?
Laws vary country to country. Altruistic surrogacy is more likely to be legal than paid surrogacy as it’s believed there is less exploitation. Laws may restrict access to non-nationals or non-married straight couples.
UK: Surrogacy is legal in the U.K., but a surrogate is not allowed to be paid beyond reasonable expenses. Contracts are not legally binding. Surrogates are automatically regarded as the legal parent, whether or not she is biologically related to the baby. It is a criminal offence to advertise your search for a surrogate, advertise that you wish to be one, for a third party to receive payment, and to broker a surrogacy agreement. This means commercial surrogacy is banned.
USA: Surrogacy laws vary from state to state. Surrogacy is totally banned in Michigan. Only straight married couples using their own eggs can use surrogacy in Louisiana, but commercial surrogacy is banned. California allows both altruistic and commercial surrogacy to all and allows pre-birth orders to establish legal paternity.
Australia: Altruistic surrogacy is legal across all states and territories.
Canada: Altruistic surrogacy with reasonably paid expenses is allowed everywhere except Quebec, where all surrogacy is banned.
France: Surrogacy is illegal.
India: Surrogacy is legal for married heterosexual Indian couples who meet certain criteria such as age and length of marriage. Certain single women are also permitted to use surrogacy. India previously allowed foreigners to use surrogates. This was limited to straight couples in 2013 before it was banned for all foreigners in 2015. Prior to 2015, India was a hugely popular destination for fertility tourism due to easiness and relative cheapness.
Iran: Surrogacy is totally legal and is a popular destination in the Middle East for heterosexual couples.
Russia: Surrogacy is legal for Russian couples. The lower house of government has passed a bill banning foreign parents from using surrogacy.
Ukraine: Surrogacy is legal for heterosexual married couples. As it’s easy to get and often relatively cheap, Ukraine is a very popular destination for fertility tourism.
Popular destinations for surrogacy include the United States, Ukraine, Colombia, Georgia and Mexico.
Religious Perspectives
Religious views on surrogacy vary even within the same faith. Different denominations have different views on the accessibility of surrogacy and the conditions that merit it.
Catholicism opposes surrogacy and all other types of reproductive assistance. One paragraph of the Catechism of 1992 states: ‘Techniques that entail the dissociation of husband and wife, by the intrusion of a person other than the couple (donation of sperm or ovum, surrogate uterus), are gravely immoral.’ The Church believes that conception cannot and should not be separated from the sexual intercourse between a married, heterosexual couple. As surrogacy uses an outside source, it is deemed immoral by the Catholic Church.
The Church of the Jesus Christ of Latter-day Saints (Mormons) still disapprove of surrogacy and strongly discourage it, but believes it is down to the individual married couple. One of Mitt Romney’s sons has used surrogacy and three have used IVF, both of which the church disagrees with.
The Russian Orthodox Church strongly opposes surrogacy. They will not baptise children born of surrogacy unless the biological parents repent.
Judaism has not got a clear line on surrogacy. The worry is the child would belong to the surrogate mother and as Judaism tends to be matrilineal, it’s an issue if the surrogate is not Jewish. Couples are usually urged to seek the help of their rabbi. Some rabbis and scholars believe it is exploitative. It’s recommended that there’s a list of Jewish surrogates to ensure there are no accidental sibling marriages. Some authorities prefer that the surrogate is not a blood relation of the father and that she is not married.
The views between the two main sects of Islam, Sunni and Shia, vary. Sunni Islam explicitly prohibits surrogacy as it is introducing the sperm of a man who is not married to the surrogate. Islam has very strict views on lineage and blood, hence why adoption in the Western sense is not permitted. Shia Islam generally permits surrogacy, and the Shia nation of Iran is actually one of the leading pioneers in fertility treatment.
Hinduism has not got a particular stance on surrogacy. Whilst there is no prohibition, the use of surrogacy by Hindus is generally quite rare. India was a popular destination for surrogacy for many years before the ban on commercial surrogacy came in, so many surrogate mothers are members of the Hindu faith.
Buddhism has not spoken out about surrogacy, but it’s generally approved of. It can be seen as an act of charity and kindness that gives one good karma.
What is right?
Few issues unite left-leaning feminists and the religious right like surrogacy does. They are united in their condemnation of the practice that they say exploits women, children and the poor. Their reasons may be different but they ultimately join together. To them, and perhaps those who don’t even subscribe to either ideology, surrogacy is wrong.
Surrogacy seems to be everywhere. As stated above, many celebrities seem to be using surrogacy in order to start their own families. The language used when reporting it does nothing to bring attention or praise to the surrogate. One article reported that Paris Hilton ‘gave birth with the help of a surrogate.’ No, Ms. Hilton did not give birth. The surrogate did. Instantly, the non-surrogates are proclaimed to be the parent. Legally that is not always true. Ethically? It’s a bit murky.
The immediate concern is for the surrogates themselves. Long have women wished to be parted from the notion that they are a walking womb, yet the role of surrogate seems to push them into that box. She may be given money and expenses and lavish items, but they are not for her, but for what she can do. The care is ultimately for the baby or babies she is carrying. Her value is what is in her womb.
Surrogacy is not without risks. Pregnancy in itself can be a danger. Pregnancy and childbirth are two very taxing, tiring things that can do a number on one’s mind and body. That is not to say that the end result is not one of joy, but it is not an easy thing to enter into. The surrogate is giving birth to a child that she is biologically attached to but will be given away almost as soon as possible.
There’s also somewhat of an obsession with perfection within surrogacy. Parents want the perfect baby. They’ll refuse a child seen as ‘defective.’ Plans are made so that the baby will look a certain way. Paris Hilton even edited her baby’s fingernails on Instagram. That is not true of all surrogate parents, but your child should not have to be perfect.
She is also bound by agreements. Whilst they are not legally binding in some places, the contracts can reward the prospective parent a lot of power over the woman’s body. It is possible for them to even control any medicine that she needs. In one episode of Chicago Med, a young surrogate comes in and ends up needing to deliver early. She refuses, as the parents won’t accept the baby or pay if she delivers before forty weeks. If the baby is disabled or the wrong gender, then they may even ask for an abortion. The woman is poor and desperate and has agreed to these terms.
This is what it all circles back to: exploitation.
India banned all foreign couples from using surrogacy in the country over concerns about the treatment of surrogates. The Indian surrogates were generally poor women who were desperate to make money for their families. These women, often uneducated and living hand-to-mouth, are giving up so much. Despite getting paid, the expenses often aren’t enough. Most of the money paid by parents goes to agencies, not the surrogate. They are often shafted. They are no given what they are due for the service they are providing. India is known for having crushing poverty so it’s no wonder these women offer themselves.
Surrogacy is not cheap. In the USA, it can cost between $100-200K. That’s not pocket money. That is money that very few people can easily spend. The costs are so astronomical which is why so many go abroad. Some even turn to loans. This means those who pursue surrogacy have means. Contrast this with the surrogate. Surrogates are more often than not much less wealthy than the parents. This creates a case of wealth buying a baby.
Once the pregnancy is done and a baby is born, the woman is disposable. The baby will be given to their new parents immediately and separated from the woman who gave birth to them. That’s hard for a woman who has just given birth- it’s a haze of hormones and feelings. Is there aftercare?
Surrogacy has not been without its scandals and controversies. One popular fertility clinic in Ukraine saw its owner and its head physician locked up for human trafficking. In places where surrogacy is less regulated, there can be cases of abuse that fly freely. It’s not an uncommon connection. Human trafficking is something that horrified any good person. Whilst even critics of surrogacy may not go as far as to compare it to human trafficking, the potential for the two to be linked is great.
Unrestrictive policies allow abuses to happen. One Japanese man gained thirteen children through surrogacy and was given custody of them by courts. The children had been found in Bangkok, attended to by nannies. Commercial surrogacy in Thailand is banned, yet this was allowed to happen.
Thailand was in the spotlight in 2014 regarding a very contentious surrogacy. An Australian man named David Farnell and his wife Wendy went to Thailand and got a gestational surrogate. When it turned out that one of the twins their surrogate Pattaramon Janbua was carrying had Down’s Syndrome, the Farnells told her to abort him. Pattaramon did not wish to and gave birth to both children. The other twin was born healthy and was given to the Farnells. Miscommunication meant that the Farnells went back to Australia with their baby daughter Pipah, whilst Pattarmon kept baby Gammy.
Controversy further arose when it was discovered that Farnell had been convicted for child sexual offences. In the 1990s, Farnell had been jailed for molesting two girls under ten and had further assaulted three women. Thai law said that the birth mother of a child was the mother, yet little Pipah was allowed to go home with this man. The courts eventually ruled that Farnell was not allowed to be alone with Pipah. He would eventually die in 2020.
That is not to say that every parent who has children the traditional way or adopts is perfect. The adoption process has seen its fair share of issues. That being said, adoption does have more restrictions. Adoption can be so strict and time consuming in the US that many go abroad to adopt in places like China.
I cannot begrudge a person or persons for wanting children. It has been the natural order of things since time immemorial. Infertility is a desperately sad thing for those who want to have a family. It circles back to the question of whether a baby is a right or a privilege. Not everyone who uses a surrogate is infertile either. It can come down to simply not wanting to be pregnant.
At the end of the day, somebody has to be pregnant in order to have a child. The question is: who should it be?
Against assisted dying
It is unsurprising the government is rushing through ‘assisted dying’. Having decimated what little political capital it possessed after a hollow election victory, Labour is clearly desperate to shore up as many achievements as quickly as possible; successes which can be fashioned into something resembling a coherent and tangible legacy at a later date, showing little-to-no regard for the common good.
What is surprising is how limp-wristed and tepid the opposition to this policy has been, especially from Britain’s commentariat. In no uncertain terms, the assisted dying bill is one of the most radical proposals for social liberalisation in decades, yet our opinion-having class has alarmingly little to say, at least when compared to other matters. Those eager to broadcast their intelligence on other issues – which they’re similarly unqualified to write about (that’s not a bad thing, by the way; far from it!) – are inexplicably scared to take a crack at this offputtingly complex but highly important matter which affects us all.
What little discussion has occurred in the commentariat (never mind Parliament) has revolved around the foreseeable practical issues of such a policy, typically pointing to the results of Canada’s assisted dying policy (MAID; Medical Assistance in Dying), the initial proponents of which say is being abused. As such, opponents of assisted dying in Britain essentially oppose it on the basis of negative and unintended consequences, specifically the gradual loosening of safeguards overtime, killing people who should’ve received non-lethal forms of care.
None of this is wrong per se, although it’s hard to treat this angle as anything other than unsatisfying. It does not bode well for a civilisation that its only barricade against its destruction is the ineptitude of the barbarians.
More than a total lack of faith in anything improving at all, it suggests that we are caught between our reluctance to end life yet struggle to justify such an instinct; we retain the form of a society which professes something like the sanctity of life, but lack any of the substantial belief, frightened to unlearn that which can’t so easily be relearnt once lost to history as another primitive superstition.
It’s difficult to be truly hard-line on something like assisted dying because it elicits so much sympathy. No right-minded person wants people to suffer, never mind be made to feel that they are forcing people to suffer. After all, humans are motivated by aversion to pain more than most things. However, advocates of assisted dying use this fact to strongarm more hesitant individuals into agreeing with assisted dying in principle, disagreeing solely on the technicalities of implementation.
More often than not, support for assisted dying is couched in the idea that if you’re in ‘unbearable’ pain, you might as well be given the choice to end your life, especially if you’re going to die in six months anyway. Putting aside the remarkable precision of such a prediction, it never occurs to advocates that if you’re going to die in six months anyway, you might as well tough it out, if not for the sake of yourself or your loved ones, then for the sake of ensuring that society-at-large doesn’t suffer the wrath of short-sighted policy.
Of course, this is assuming unbearable pain is the main reason for assisted dying, contrary to plenty of evidence to suggest otherwise.
According to data from places where it’s already legal, the main reasons for assisted dying are the inability to fulfil day-to-day tasks and engage in ‘meaningful activities’. Even abstract notions like autonomy and dignity are cited as more important than pain. Even fear about being a burden on one’s family is reportedly just as common.
A real shame, that’s for sure. There are few greater exertions of autonomy than refusing to die for someone else’s benefit, and there is nothing more ‘undignified’ than having so little sense of self-worth that you sacrifice yourself for others in your most intimate and personal moment. If we can’t reserve ourselves for our own death, it’s no surprise that things like sex and marriage continue to lose any sense of exclusivity.
Concepts like ‘anarcho-tyranny‘ and ‘two-tier policing’ are typically used in discussions surrounding criminal justice, but the underlying logic surely applies to a system which releases unrepentant, serially violent criminals as it provides the sick and vulnerable – many of whom needlessly swell with guilt over their condition – with the option to end their own life. This sense of guilt will only become stronger when someone in a position of medical authority – in a culture which reveres expertise, even when it fails us – tells them they can make it go away. That which is legally a ‘right to die’ will feel like the duty to die, and by extension, those expected to sign-off on the procedure will feel as though they have a duty to kill.
Far from acting as a safeguard, medical professionals will act as affirmers to something which they’ve been told is not theirs to dictate in the first place. When the option is available, like the patient, the fact something can be done will weigh down upon them, and whilst they may be motivated by a desire to alleviate or prevent suffering, those once hesitant are now incentivised to act with urgency.
Indeed, the same can be said of the patient’s family, the consultation of which is notably absent from the bill’s supposedly stringent requirements, although they’ll certainly weigh on the patient’s conscience. If patients don’t feel burdensome to their loved ones, they’ll absolutely feel burdensome to the NHS, an institution our country continues to revere with mindless zealotry.
Courtesy of the selfish (but outwardly generous) nature of our present culture, the patient’s expectation of good care risks being outweighed by the ’empathy’ we demand them to have for others in a different position. Assisted dying is not yet legal and yet many already feel (perhaps not without reason) that the elderly are spitefully overstaying their welcome on this mortal coil.
Advocates of assisted dying (similar to advocates of abortion) like to believe that leaving something up to choice absolves the decisions made of any and all comparable virtue. Far from removing an ideological imposition on society, this notion that we have no choice but to leave everything up to choice, that all options must be on the table, is one of the most duplicitous and tyrannical value systems afflicting contemporary society; so much that life itself is ceasing to be the default, becoming just another option for which one is cruelly judged behind a veil of strained, artificial tolerance.
Extending the comparison, liberalising assisted dying doesn’t just implicate those who’ll be inevitably and unjustifiably killed in the name of healthcare, it devalues death outside of the circumstances in which assisted dying would be viewed as an option. When abortionists downplay (or functionally deny) the value of the child, they’re implicating any baby which (for whatever reason) doesn’t make it. A procedure once permitted for the sake of saving the mother’s life, balanced against the life of the child, is now a simple matter of preference, exalted as a form of empowerment.
Followed to its conclusion, an involuntary miscarriage, rightfully treated as a tragic incident deserving sympathy, can only be regarded, in all sincerity, as ‘tragic’ as receiving a bad hand in a game of Blackjack. Of course, insincerity is the essence of civility, and therefore integral to any tactful interaction, but this is not the same as having a genuine moral compass. The tragedy lies in the fact we know something deeply valuable has been lost. We say “I’m sorry for your loss” not “better luck next time” for a reason. As such, unless you intend to engage in mental gymnastics to suggest “terminating” highly viable babies past the legal limit is worlds apart to killing newborns, the recent movements for decriminalisation should be concerning, even if wholly in-step with our opponents’ revealed attitude towards the unborn.
In a similar vein, if assisted dying should be liberalised to alleviate suffering on the basis that our life is ours to use as we see fit, then suicide becomes just another expression of individual choice which needs to be destigmatised. After all, why should we need to suffer? Why would such a precondition exist if life didn’t have an inherent value, and if life has an inherent value, how could we justify a policy like assisted dying in the first place? Because the suffering outweighs that inherent value? How would you know when suffering outweighs this value? After all, suffering is extremely subjective. You can make this assessment for your own quality of life, but not for another person’s. Confronted with the potential suicide of another person, there’s not a lot you could do. You needn’t assist the act or condone it, but you’d be a hypocrite for showing or feeling anything more than defeated indifference. After all, who are you to judge? Again, it’s not your life. In order to override them, you’d need to believe life has a value beyond quantification, which it certainly does.
If one’s suffering is one’s business, then it becomes one’s business to deal with it, using their preferred option of the many made available. Although plausibly convenient, it makes life less rich, for what good are the virtues of mercy, assurance, and even heroism itself? More than rendered obsolete by consent-based ethics, they are contorted into acts of undue, arbitrary interference.
Life is worth suffering, not merely because of what can be done between our birth and death but due to its facticity; it is given, not chosen. Nobody derives meaning from the things they consciously choose; at least, not for long. There will always be the sense that relying on such things feels constructed, inviting us to seek something more essential. We don’t choose our nationality, our sexuality, our name, our family, and so forth, and so the importance of these things is heightened in an era with an abundance of choice.
The present political landscape serves as testament to this fact, not solely in the form of progressive-left identity politics. Regardless of how his economic prospects ebbed and flowed, the Englishman could rely on having won the lottery of life. He was born into a community with just cause and proficient capability to take his welfare seriously, as well as provide him with a sense of rootedness in an otherwise changing world. He had a cultural heritage which suggested he was part of something greater than himself; any belief in his abilities was well-founded and any shortcoming would surely be redeemed by the successes of his kin. Confronted with large scale demographic change from immigration, he feels himself in revolt against a class which has not yet taken everything from him, but is in the process of trying to destroy his few but cherished saving graces.
Even things which aren’t pleasurable, such as personal tragedies, supply us with a greater and much needed confrontation with the involuntary nature of our existence than even the most high-brow, profound, and enriching pastimes.
It is often said that the value of life lies in its depth, not its length; in other terms, life is about having a good time, not a long time, and whilst there’s certainly truth in this idea, it detracts from the distressing fact that we have time at all; a fact we tend to avoid truly thinking about until we’re out of it. Indeed, I suspect many have thought about how they’d spend their last day on Earth before resuming their lives as if their mortality was part of the hypothetical. The fact death takes us without our prior consent frightens us; it goes against what we regard as the basis for permissibility, so we’re inclined to ignore it.
The simple fact of the matter is that assisted dying is never abused; it merely comes to better embody the spirit in which it was introduced. The process misconstrued as the ‘slippery slope’ is nothing more than a superficially innocent argument being carried to its garish but logical conclusion. The ever-ambiguous safeguards aren’t meant to shield against improper uses of the system, merely to shield against uses which haven’t achieved mainstream acceptance, and could be used as a justification to prevent (or outright reverse) its full implementation. Things called insane right-wing conspiracy theories today will be referred to as inevitable and necessary progress tomorrow.
So, let’s cut to the chase. Instead of obsessing over regulations which will be altered or subverted, let’s be very frank about our fundamental and irreconcilable differences, and eagerly embrace the intellectually demanding and morally sensitive nature of this matter.
Those in support can make their case for life’s essential hollowness, and that our time on Earth is nothing more than taking the path of least resistance to the grave, filling our time with surrogate activities until it becomes too much, at which point we hop-off the existential ride. As for those opposed, we must more staunchly make the case for death as it comes for us, as it does. Just as we can gain value from being born here rather than there, from being this rather than that, the same must be said of our death. We do not view life as an empty vacuum to be filled with things that matter. The fact we do what we do, in the knowledge that our time is finite, makes what we do meaningful. Life gives meaning to our activities, not the other way around.
The advocates of assisted dying are right about one thing. We don’t get to choose what we do with our life, but it is because of this fact that our death remains our own. Therefore, the only way to ensure our death remains truly ours, something indivisibly belonging to us as individuals, free of aggregated social pressures and bouts of false consciousness, immune to last-minute bargaining and uncontaminated by ambiguity over cause-and-effect – altogether free from the risk of coercion – is to prevent it from being turned into a choice in the first place.
Photo Credit.