Inquiry into Surrogacy Submission 70
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Transcript of Inquiry into Surrogacy Submission 70
2
Structure of this Submission
1. Summary of FINRRAGE Principles on Surrogacy p. 2
2. Summary of FINRRAGE Responses to Terms of References p. 7
3. Short- and Long Term Harms of Surrogacy for Women p. 18
4. CoRP et als. International Protocols and Conventions that surrogacy
violates p. 22
1. SUMMARY of FINRRAGE Principles on Surrogacy
• FINRRAGE thoroughly disagrees with the theory and practice of
surrogacy, both as a regulated capitalist enterprise
(compensated/commercial surrogacy), and as a form of uncompensated
love and kindness (so-called altruistic surrogacy) that is based on
patriarchal values which state that it is in women's nature to be
nurturing, kind and generous, as well as giving for free, often at the
expense of their own well being.
• We define surrogacy as the exploitative
commissioning/buying/renting by well to do/rich people of the body
and soul of a poor/er woman who becomes a ‘breeder’ for a third party
and has to relinquish her baby/ies made from her own blood and bones.
In the USA and poor countries, this often entails well off ‘white’ baby
buyers and ‘marginalised white/black/brown’ surrogate mothers. We
have yet to see a (white) CEO to be a surrogate for her (black) cleaner.
We also believe that surrogacy fosters eugenic practices through the
unlawful enforcement of prenatal testing, foetal reductions, abortions
and abandoning resulting children with disabilities or the 'wrong' sex.
• For someone to get a baby through surrogacy, one or two women’s
lives are put at risk (if an egg provider is required. This is not an
acceptable way to become a parent/form a family. It is selfish
exploitation that well to do/rich people engage in which can only
happen through the harming of two other human beings (egg provider,
surrogate) as well as violating the human right of the resulting child to
remain with her/his birth mother.
• Women are not containers to be used as baby makers and then discarded. We
believe the term ‘gestational carrier’ is an insult. The harms caused by the many drugs
involved in the practice of egg extraction and surrogacy have never been properly
researched with long-term studies. Anecdotally, many serious short- and long-term
adverse effects such as loss of fertility and reproductive cancers are well known, but
mostly dismissed by IVF doctors and not brought to the attention of egg providers and
surrogate mothers. For this reason we consider the ‘consent’ by women to ‘donate’
their eggs or act as so-called surrogate mothers to be null and void. Similarly, the idea
that egg provision/surrogacy can be a woman’s ‘choice’ has no foundation as a) she
does not know the harms that might befall her, and b) the birth mother cannot know in
Inquiry into SurrogacySubmission 70
3
advance how the pregnancy and birth will affect her.
• We argue that surrogacy can be likened to reproductive slavery, reproductive
prostitution, the sale of children, and trafficking in children. We suggest all of its
forms should be abolished. The practice of surrogacy is also contrary to the goal of
gender equality as stipulated in the United Nations Convention on the Elimination of
All Forms of Discrimination against Women (CEDAW) which the Australian
government has signed (for a List of International Protocols and Conventions which
Surrogacy Violates, see 4. in this Submission, pp. 22-28).
• We strongly refute the concept of surrogacy as ‘work’. Likening the growing of a
human being in a woman’s womb over nine months to, say, the manufacture of a car
by calling it ‘work’, reduces human beings to commodities. Women’s bodies are not
production lines. Babies grown in a woman’s womb are not ‘things’, They are human
beings who must be afforded dignity and human rights, as does their egg provider and
birth mother.
• FINRRAGE rejects the theory that the ‘genes’ in the embryo of the
commissioning heterosexual couple are more important than nine
months of 24/7 gestation and growing of human life in a woman’s
body.
• There is also a deep hypocrisy in gay men emphasising their desire
for genetic ties to the growing baby when half the genes always come
from an egg provider. This is not talked about and must be
acknowledged. Donor conceived people are, often desperately,
searching for both their sperm and egg donors. Surrogacy is already
producing exactly the same problems
(<http://theothersideofsurrogacy.blogspot.com.au/>.
• We believe that the dissociation taking place when a surrogate
mother calls herself an ‘oven’ or ‘incubator’ and talks of the growing
baby as ‘her little passenger’ because the baby does not have her genes
might have serious repercussions for her mental health in years to
come. This dissociation is strongly supported by all pro-surrogacy
parties involved as they do not want the 'messy situation of a birth
mother not relinquishing her baby (see discussion in Kajsa Ekis
Ekman's Being and Being Bought, 2013, pp. 188-190). Dissociation
during pregnancy can also influence the baby’s development in the
womb and impact her/his future development.
• Children are not commodities to be bought and sold. Children resulting from
surrogacy did not consent to not be able to connect with their birth mother or egg
provider. They did not consent to be given away. In 1990, Australia ratified the
United Nations Convention on the Rights of the Child (1989). Article 7 of the
Convention affords children the right, as far as possible, to know and be cared for by
their parents. Article 35 also stipulates that "State Parties shall take all appropriate
national, bilateral and multilateral measures to prevent the abduction of, the sale or, or
traffic in children for any purpose or in any forms." Australia endorsing the practice
Inquiry into SurrogacySubmission 70
4
of (transnational) surrogacy, which is trafficking/selling of children, clearly violates
this Convention.
• There is no right to a child, genetic or otherwise. We know that infertility can be
extremely traumatic, but a deep desire for a child is not a need. And there is no right
to a child or ‘family formation’ when in the process of baby-making two women are
harmed: the egg provider and the so-called surrogate mother (and her family).
• In March 2013, a bi-partisan National Apology for unethical (known as ‘forced’)
adoption policies and practices prior to the 1980s was made by then Prime Minister
Julia Gillard. She stated:
We resolve, as a nation, to do all in our power to make sure these practices are
never repeated. In facing future challenges, we will remember the lessons of
family separation. Our focus will be on protecting the fundamental rights of
children and on the importance of the child’s right to know and be cared for by
his or her parents.
The practice of surrogacy breaches this undertaking. If the numbers of Australians
affected by surrogacy increases, Australia will need to issue another apology to
children produced by surrogacy in 30 years.
• FINRRAGE acknowledges that transnational surrogacy has become an increasingly
global business over the last 20 years with many Australian citizens flaunting laws in
QLD, NSW and the ACT which make going overseas for surrogacy a criminal act.
But with many developing countries having rightly closed their border to foreigners
(e.g. India, Thailand, Nepal, Latvia, Cambodia, the only state in Mexico where
surrogacy was practised, Tabasco), we believe it is a good time for Australian states
and territories to stop all transnational surrogacy (including to some states allowing
surrogacy in the USA, Russia and Ukraine). This would bring us in line with many
European countries such as France, Germany, Switzerland, Austria, Belgium, Holland,
Sweden, Norway, Denmark, Norway, Spain, Italy, Holland etc who prohibit
surrogacy.
• The number of babies born in Australia from so-called altruistic surrogacy remains
very small. According to the National Perinatal Statistics Unit, in 2011, there were 23
babies born from surrogacy in Australia and NZ which represented a success rate of
16%. In 2012, there were four fewer babies born (19), representing a success rate of
15.7%. In 2013, there were 35 babies born from surrogacy, representing a success rate
of 19.9%. (No NPESU figures available for 2014/15.) This amounts to a mere 77
babies born from 2011 to 2013. Allowing for another 60 babies having been born in
2014 and 2015, this will bring the total number of babies born from surrogacy in
Australia and NZ to fewer than 150! Yet the pro-surrogacy propaganda espoused by
most of the media, IVF clinics, surrogacy lawyers and consumer groups would have
the average Australian believe that we are talking about thousands of babies!
• FINRRAGE contends that it is this small number of babies born from ‘altruistic’
surrogacy arrangements in Australia that motivates pro-surrogacy groups including
consumer groups, IVF clinics, and surrogacy lawyers to lobby judges, politicians and
law makers to support uniform ‘regulation’. Many favour the introduction of
commercial surrogacy in Australia as this will increase their financial profits: it is a
Inquiry into SurrogacySubmission 70
5
new business opportunity! This is particularly true for the faltering IVF Industry
which is currently under investigation by the ACCC for creating ‘false hope’ for their
customers (as reported on the ABC 7.30 report, 10.2.16,
<http://www.abc.net.au/7.30/content/2015/s4403422.htm>).
• FINRRAGE calls on the Members of the Surrogacy Inquiry to reject this blatant
push for a new Fertility Industry through 'compensated'/commercial surrogacy which
is based on exploitation. It would make Australia a pariah among countries in Europe
who ban commercial surrogacy, and make us equal to the ‘wild west’ surrogacy
practices in US states. We urge members of the Inquiry to have an open mind and ask
themselves why most European countries can prohibit all forms of surrogacy, yet
Australia should encourage, diversify and commercialise it? (see
<http://corethics.org/wp-content/uploads/Surrogacy-Laws.pdf> for a 2015 list of
countries prohibiting surrogacy. Why should Australians not comprehend the unethics
and injustices in surrogacy that Europeans have recognised?
The Australian IVF industry and surrogacy lawyers are pushing the view that
surrogacy in the US is perfectly regulated and that we should follow their model. This
is a blatant untruth. Legislation in US states is messy and varies from total prohibition
to anything goes (e.g. in California). Just in the last few months, a surrogate mother
died of placental abruption. C-sections, the preferred birth method in surrogacy
greatly increase this risk. The woman had already given birth to three children by her
and her husband, and five babies via surrogacy (twin and singlets).
(See article on higher risk of placental abruptions after C-sections
<http://www.ncbi.nlm.nih.gov/m/pubmed/16582111/>).
Two other surrogate mothers caused a public storm by rejecting the demand by the
baby buyers for foetal reductions (see <http://www.myajc.com/news/news/public-
affairs/california-surrogate-atlanta-dad-demands-i-abort-a/npXhc/> and
<http://nypost.com/2015/11/25/surrogate-carrying-triplets-says-dad-demanding-she-
abort-one/>).
Over the many years since 1988 when commercial surrogacy began in the US, there
have been countless court cases. It is also well known that it is predominantly
marginalised white women as well as Black and Hispanic women that are exploited as
surrogates. A group that is frequently targeted is the wives of serving Army personnel
who welcome the pay cheque to bolster their meagre income and are indoctrinated
that, like their husbands, by becoming surrogates they engage in 'service' to their
country. To suggest that Australia should use the USA as a model for our surrogacy
laws defies common sense!
• We also strongly reject the push to pay women for egg ’donation’ currently
prohibited in Australia. In 2014 and 2015 FINRRAGE submitted two opinions to the
NH&MRC on this topic as well as on sex selection. The harms to young women of
being severely harmed from OHSS (ovarian hyperstimulation syndrome), losing their
own fertility, and suffering from reproductive cancers in later years would never stand
up to OH&S standards in any other ‘job’.
The US is again a good example of what not to do (blue-eyed and blond women with
a high IQ –attracting college students–can be paid exorbitant amounts of money for
Inquiry into SurrogacySubmission 70
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their egg cells: $5-10,000 as a minimum; prices can be as high as $50,000 dollars and
egg donation websites often resemble pornography pages (e.g. see eggdonation.com
which has photos of 'donor angels' on their home webpage; viewing of the egg donors'
profiles is no longer allowed without registering).
The Age ran no less than two stories on payments to South African egg ‘donors’
coming to Australia on the same day in the week before Submissions to the Surrogacy
Inquiry closed: 9.2.16, <http://www.theage.com.au/national/-gmmvyi.html> ,
<http://www.theage.com.au/national/-gmo8qn.html>.
• FINRRAGE joins concerned groups in Australia such as VANISH, ARMS, the
Women’s Bioethics Alliance, Real Choices, faith based groups as well as many
individuals who are opposed to surrogacy. Internationally, we have joined the
thousands of signatories to Stop Surrogacy Now
<http://www.stopsurrogacynow.com/#sthash.TLVYueqx.dpbs > and European groups,
amongst them the Swedish Women’s Lobby, the European Women’s Lobby, the CLF
(Coordination Lesbienne en France) and CoRP (Collectif pour le Respect de la
Personne).
• We ask Members of the Inquiry to take note that, contrary to the predominance of
writings by pro-surrogacy groups in the media, there are many groups and individuals
in- and outside Australia who do not support surrogacy.
We also ask Members of the Inquiry to take note of the huge discrepancy in funds,
media coverage and links to politicians between those groups and businesses who
support surrogacy because an introduction of commercial surrogacy - or even
government support for more 'altruistic' surrogacy - would lead to financial gains for
them. Conversely, those of us opposed to surrogacy have absolutely no financial gain
from the abolition of surrogacy.
• We also call on the government to begin a nation-wide campaign against the
practice of surrogacy along the lines of respect for human rights and decency: We
must not support practices to procure a baby at any price that are based on causing
harm to egg providers and surrogate mothers and injustice to the resulting child for
removing her or him from their birth mother.
• There are thousands of existing children in Australia that need Permanent Care in a
loving family. These arrangements are open to gay couples and single people in the
state of Victoria. FINRRAGE encourages all states and territories to embrace similar
arrangements so that many more children find a good home and people who really
want to have children in their lives can have fulfilling relationships with children in
need.
FINRRAGE believes that a world without surrogacy is possible.
Inquiry into SurrogacySubmission 70
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2. SUMMARY of FINRRAGE Responses to Terms of Reference
Please note that we are approaching these Terms of Reference from the position that
we believe this Inquiry could decide to
a) prohibit all forms of surrogacy; OR
b) tighten the laws around ‘altruistic’ surrogacy and make them uniform in all states
and territories;
c) extend existing laws in QLD, NSW and the ACT prohibiting transnational
surrogacy to all states and territories and enforce them nationwide;
d) keep commercial surrogacy prohibited in all states and territories.
We urge Committee Members to have an open mind when seeking answers to the
Terms of Reference. You could decide to stop all surrogacy in Australia! We
believe you do not need to follow the pro-surrogacy lobby's desired pathway to
introduce new forms of regulated surrogacy arrangements into Australia. Worryingly,
this latter approach seems to have been implied in an interview on the day before
Submissions to the Surrogacy Inquiry closed, 10 February 2016, on ABC Brisbane
with the Deputy Chair of the Inquiry, MP Sharon Claydon: "It's been a long time coming [the Inquiry], and a long time overdue," she said.
"I think a lot of parents and want to be parents, and indeed children being born into those
relationships, will be very interested in the recommendations which will come forward."
Ms Claydon said it was ludicrous that would-be parents are turning to online search engines to
learn more about surrogacy
She said it is a complex issue, made more difficult by inconsistent regulations.
"Families, they are jumping onto Google and finding out how to navigate their way around,
across the internet," she said.
"Now, I would suggest that is probably not the most ideal way that we would inform people
considering surrogacy — that would not be our preferred method."
(<http://www.abc.net.au/news/2016-02-10/mp-says-parliamentary-probe-will-
address-inconsistent-surrogacy/7154282>).
We trust Ms Claydon's views were simply reported within the existing pro-surrogacy
framework that the media espouses, and that she too is open to the option that
surrogacy might be disallowed in Australia.
**************
1 The role and responsibility of states and territories to regulate surrogacy, both
international and domestic, and differences in existing legislative arrangements.
FINRRAGE contends that all states and territories must have the same laws on both
international and domestic surrogacy arrangements. In order to guarantee uniformity
in both laws and enforcement, it might be preferable if the Federal Government
creates a new Statutory Body that is responsible for surrogacy. If such a re-
arrangement is deemed too complicated, expensive and/or in breach of states'
autonomy, the Attorneys General of all states and territories must agree to co-operate
on creating/reinforcing uniform laws on surrogacy. If this does not happen, 'shopping
around' for more lenient states will take place (as it does now).
Inquiry into SurrogacySubmission 70
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a) On international surrogacy, we believe the laws in QLD, NSW and ACT which
make going overseas for surrogacy a criminal act must be extended to all other states
and the NT.
Contrary to current non-enforcement of these punishable acts, we believe, they must
be enforced. However, we believe participating surrogate mothers and egg providers
should not be punished. Instead punishments should be meted out to any IVF clinic,
surrogacy lawyer, egg 'donation' agency or consumer group who take part in aiding
and abetting baby buyers aka 'intended parents' to embark on surrogacy outside
Australia. This includes engaging in (and advertising for) the recruitment of egg
providers and surrogates, practising egg extractions and creating embryos in IVF
clinics. It also includes putting a stop to inviting overseas IVF clinics to market their
services at annual pro-surrogacy conferences by consumer groups such as Families
Through Surrogacy that is currently planning their 2016 conference in June in
Brisbane (http://www.eventbrite.co.uk/e/2016-australian-surrogacy-conference-
tickets-21444727758>). If 'crowd funding' for a baby via 'altruistic' surrogacy were
still legal (<http://www.couriermail.com.au/questnews/logan/male-couple-hoping-to-
have-a-baby-by-surrogate-open-crowdfunding-account-what-do-you-think/news-
story/fe1160fdf8b18f31b9069fdd1747933c), perhaps journalists might be made to
adhere to a Code of Ethics which requires them to remind readers that the Australian
government does not condone surrogacy.
Enforcing these prohibitions for Australian citizens to engage in the transnational
procurement/purchase of a baby will require strict rules by Australian
embassies/consulates globally when it comes to issuing passports and travel papers
for newborn babies of Australian citizens abroad. Contrary to the current rules where
papers get issued after a DNA test confirms parentage by one parent, female
applicants would have to supply proof of giving birth to the baby and being the legal
or de facto partner of the male applicant. Should 'fake' attempts be detected where a
baby is presented as a legitimate couple's own child, the child has to be denied an
Australian passport and travel papers. These are harsh rules and can create 'stateless'
children, but a number of European countries have repeatedly applied them (see this
2015 case from Switzerland < http://www.swissinfo.ch/eng/surrogate-law_a-child-is-
not-a-commodity--says-top-swiss-court/41575816>). In order to avoid such
distressing situations which forces the 'intended parents' to stay in the country where
the baby is born, the federal and state/territory governments will need to fund and run
a coordinated information campaign that going overseas is prohibited, and if is
attempted, will end in tragedies. (There are clear precedents for such a campaign, e.g.
the current publically articulated and well known prohibition by the Australian
government for Australian citizens to travel to Iraq and Syria.)
b) So called 'altruistic' surrogacy within Australia. As we have stated in the
FINRRAGE Principles above, we oppose all forms of surrogacy, because we see
them all as causing harm to, and exploit, two women: the egg provider (if required)
and the birth mother aka so-called surrogate. In fact, we know from anecdotal
evidence that asking a family member to become a surrogate mother can lead to
permanent hurtful divisions in families when, for instance the birth mother refuses to
hand over her child. (It is difficult to document these cases because the pain and
trauma caused was often so great that the women involved –including their own
husbands and children–do not want to subject themselves and their families to the
Inquiry into SurrogacySubmission 70
9
glare of the media and persecution by pro-surrogacy groups.)1
If however, the Surrogacy Inquiry, and later Australian Parliamentarians, can not
withstand the pressure from pro-surrogacy groups and opt to keep the practice of
uncompensated 'altruistic' surrogacy, we strongly suggest that all states and territories
adopt and reinforce the same laws.
The model pioneered by VARTA, the Victorian Assisted Reproductive Treatment
Authority, might be a starting point. In this model, all parties are required to undergo
psychological screening (i.e. counselling) and a criminal check (so that a potential
baby buyer such as Gammy's paeedophile father would supposedly have been weeded
out); women acting as surrogates need to be more than 25 years of age and have had
at least one child; their partners need to be involved in the approval process. So-called
'traditional' surrogacy where the birth mother is inseminated with the sperm of the
baby buyer, is prohibited. Only 'gestational' surrogacy is permissible (where an
embryo is transferred into the birth mother's uterus). Every surrogacy has to be
approved by a Patient Review Panel. Surrogates and egg 'donors' can not be
compensated for loss of income during pregnancy. Advertisements for surrogates and
egg providers are illegal. Contracts should remain unenforcable, so that in the event a
birth mother changes her mind, she can keep her baby. (See
<https://www.varta.org.au/information-support/surrogacy/thinking-being-surrogate>.)
However, a number of important changes would need to be made for the VARTA
model to become a guide for other states. Firstly, VARTA would need to stop openly
supporting and advocating for surrogacy as VARTA does on its website and has done
repeatedly in conferences and forums over the last year.2 Instead it would need to be
objective and also include arguments against surrogacy and not just feature 'feel good'
stories and incomplete medical 'lite' information about potential risks to egg 'donors'
on its website.
Another important change that would need to happen concerns the birth certificate.
Adoptees in Victoria have gained the right to be issued with an 'integrated' birth
certificate. This certificate includes details of their birth mother and birth father (if
there was one) as well as details of the mother and father who adopted them. Such an
1 There is also persecution by peers, i.e. other surrogates. When, in 2009, a US
surrogate mother, Laschell Baker, decided to keep her twins and not hand them over,
she was subjected to hate campaigns on multiple on-line surrogate forums. As Kajsa
Ekis Ekman describes it in Being and Being Bought (pp. 188-189): "She was called
'shameful', a 'witch', 'just evil', 'worse than a whore'. A woman who had been a
surrogate five times wrote: 'This whole thing is DISGUSTING and makes me SICK.
As a surrogate it is NOT your decision where these babies go ... GIVE these helpless
little babies back to their parents ...' ." 2 In the 2014 conference in Melbourne by Families Through Surrogacy, VARTA was
a sponsor. A staff member was a co-organiser and VARTA staff acted as panel chairs
and spoke up at the conference in favour of surrogacy. At the 2015 conference in
Sydney, VARTA was again a sponsor. We do not think this pro-surrogacy bias should
be permissible for an organisation that is funded by all Victorian tax payers. VARTA
should at least try to be 'objective'. We have directly complained to the Chair of
VARTA, to no avail.
Inquiry into SurrogacySubmission 70
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integrated birth certificate restores information of the birth mother's identity and
ethnicity (if relevant) and gives the adopted person an option to reconnect with her
(extended) family of origin. Children born from 'altruistic' surrogacy too should be
able to connect with their birth mother, egg 'donor' (if there was one) and her other
children. At present, the birth mother's name on the birth certificate is deleted and
superseded by the baby buyers', aka commissioning parents', names.
Should 'altruistic surrogacy remain legal in Australia, great care will have to be taken
by the relevant state/territory or federal authorities to ensure that it isn't young women
from poor economic circumstances and/or unemployed women who are seduced by
false propaganda of bestowing 'the gift of life' to become egg 'donors' or surrogates.
Another group of young women, currently trafficked into Australia to enter the sex
industry, are at risk of being recruited by the surrogacy industry. Similarly, poor
women in countries that have now outlawed surrogacy for foreigners such as India
and Thailand could be 'invited' to visit Australia for a nine months' 'holiday', all
expenses paid.
Please note that, as we write these lines, we believe 'altruistic' surrogacy will always
be a harms regulation practice, something we know from the regulation of
prostitution will have loop holes that can be exploited by unscrupulous parties (e.g.
for every legal brothel in Victoria, there are 3 illegal enterprises and the harm to
persons in prostitution continues). Strict penalties will have to be applied to any
offending organisations or individuals.
2 Medical and welfare aspects for all parties involved, including regulatory
requirements for intending parents and the role of health care providers, welfare
services and other service providers
Since we advocate for commercial surrogacy to remain prohibited and
would prefer 'altruistic' surrogacy to be prohibited also, we do not wish
to provide 'harm minimisation' strategies for the listed groups. In the
next part of this Submission–3. Short- and Long Term Harms of
Surrogacy for Women–we will supply further details of the harmful
nature of surrogacy to the egg 'donor' and the birth mother.
Suffice to say here that a ban on transnational surrogacy as well as
commercial surrogacy in Australia has to be clearly communicated to
all health care providers, welfare services and other service providers.
In this context, the IVF industry and surrogacy lawyers will have to be
watched very closely, as they will not happily accept the evaporation
of their lucrative profits from surrogacy contracts and IVF treatments
involving egg 'donors', surrogates and, in some cases, former patients
who underwent IVF ten or more times until they were a) too old or b)
too sick to continue. With surrogacy legitimate, these women can now
become part of the 'commissioning parents'. If their egg cells can still
be used, they will remain patients of the IVF clinic and continue to pay
bills.
Inquiry into SurrogacySubmission 70
11
3. Issues arising regarding informed consent, exploitation,
compensatory payments, rights and protections for all parties
involved, including children
As we have already stated in the FINRRAGE Principles above, we
do not believe that egg 'donors' and so-called surrogates can be
properly informed about the harms inherent in surrogacy, both to their
physical and mental health at the time of undergoing egg 'donation' and
surrogacy as well as years later. (We will add to this in 3. Short- and
long term Harms of Surrogacy for Women, see below.) We see
surrogacy in principle based on exploitation as well as class and race
power differentials.
We absolutely oppose payments for egg 'donors' as payments would
entice many young women (including students as in the US) to risk
their health and future fertility for supposedly 'easy' money. We are
most concerned that we responded to a 2014 survey by the NH&MRC
on payments for egg provision - only to receive yet another, almost
identical, survey in 2015. We worry greatly that the NH&MRC will
endorse this unethical practise, when what doctors should always abide
to is the principle of 'do no harm'.
We also believe, as already stated, that surrogacy a priori causes harm
to the resulting child because she or he was never consulted to be
removed from their birth mother. As stated above in Principles, we
believe this is a violation of the UN Convention on the Rights of the
Child which Australia has signed. Furthermore, IVF treatments carry
greater risk of premature birth and increased rates of diseases later in
life. And we can only speculate about potential emotional scars that a
child grown for nine months by a woman who has been indoctrinated
to say "this is not my child" will have. A perusal of advice given to
'ordinary' pregnant women about how to spoil their growing baby with
special foods, loving thoughts, preferred music, etc. indicates that
these scars might be substantial.
4. Relevant Commonwealth laws, policies and practices (including
family law, immigration, citizenship, passports, child support and
privacy) and improvements that could be made to enable the
Commonwealth to respond appropriately to this issue (including
consistency between laws where appropriate and desirable) to
better protect children and others affected by such arrangements.
We have already commented on immigration, citizenship and passport
under the first Term of Reference (see above, p. 7) as we advocate for
a prohibition of all transnational surrogacy arrangements. As many of
these issues are regulated by the Commonwealth, we believe there is a
strong rationale to create a new federal Statutory Body to oversee
surrogacy. However, we expect this will be resisted by
states/territories. We repeat that we believe it is absolutely crucial that
there is a uniformity of laws and their enforcement across Australia.
Inquiry into SurrogacySubmission 70
12
We find the inclusion of 'child support' in the list above interesting. We
would go as far as to suggest that should a birth mother within an
'altruistic' surrogacy arrangement change her mind and keep her baby,
the relevant state/territory (or federal agency) might have to pay her
child support because, after all, their laws made it legal for her to enter
such a harmful arrangement.
5. Australia's international obligations.
FINRRAGE agrees with our European sister organisations CoRP et al.
that by allowing any form of surrogacy to be practised in Australia, we
are violating the following international Conventions and Protocols
(see pp. 22-28 for further details):
• The United Nations Slavery Convention;
• The International Convention on the Rights of the Child;
• The Optional Protocol to the Convention on the Rights of the Child on the Sale of
Children, Child Prostitution and Child Pornography;
• The Convention on the Elimination of All Forms of Discrimination Against Women
(CEDAW);
• The Protocol to Prevent, Suppress and Punish Trafficking in Persons, Especially
Women and Children, Supplementing the United Nations Convention against
Transnational Organized Crime.
In addition to violating these international Conventions and Protocols, FINRRAGE
believes it is mandatory that Australia respects all countries that have closed their
borders to Australian citizens who wish to engage in surrogacy. We have not
discussed our objections to surrogacy in poor countries in this Submission because a)
it is so blatantly obvious that poor and illiterate women have been grossly exploited
(most notably in India, Thailand and Nepal) by baby buyers and their accessories (e.g.
surrogacy lawyers, consumer forums), but also, because the exploitation of these
women is generally accepted and has been documented frequently. Disturbing
viewing is afforded by these documentaries:
<http://www.sbs.com.au/news/dateline/story/indias-baby-factory>
<http://www.abc.net.au/foreign/content/2014/s3986236.htm>
<http://www.madeinindiamovie.com/>
Google Baby <http://blogs.wsj.com/speakeasy/2010/06/16/google-baby-
documentary-sheds-light-on-outsourcing-surrogacy/>
Unfortunately as more countries close their borders, others, such as Russia and
Ukraine expand their surrogacy 'services' and attract more Australian buyers. See
<http://www.rferl.org/content/womb_for_hire_ukraine_surrogacy_boom_is_not_risk_
free/24215336.html>. This story also lists the case of a French couple that is stranded
in Ukraine because France does not recognise babies born from surrogacy as French
citizens.
Great hopes appear to be pinned on a current working group on an International
Surrogacy Convention of the Hague Conference on Private International Law. In
December 2015, the federal Attorney General, Mr Brandis, appointed well respected
Chief Judge John Pascoe as the Australian delegate to this working group. The Hague
Conference, similar to the UN, produces a number of international Conventions such
Inquiry into SurrogacySubmission 70
13
as the Hague Intercountry Adoption Convention.
If an International Surrogacy Convention (months if not years from being formalised)
were to follow in the footsteps of the Hague Intercountry Adoption Convention, it
might allow transnational surrogacy but restrict it severely. The Intercountry
Adoption Convention places great importance on the rights of children and is in part
responsible for slowing down the rate of Australian intercountry adoptions over the
last decade that was reversed by the previous Abbott government allowing for
dangerous 'one-stop adoption' practices that are in the interests of adopting parents,
but not the children, to be re-introduced.
Moreover, the French Collectif pour le Respect de la Personne (CoRP) and affiliated
European and US sister organisations have sharply criticised the establishment of this
working group. They state (translation from French):
We have followed the project launched in 2011 by the Permanent Bureau of
the Hague Conference on Private International Law regarding the status of
children, in particular the conventions pertaining to surrogacy at the
international level.
A preliminary study and a preliminary document were published in March
2014. The preliminary document described plans for an international
instrument to facilitate mutual recognition and define “minimum standards” in
the domain of surrogacy. Given the impact of this kind of legal instrument on
the growth and legitimation of the practice in question, it is clear that studies
cited in these documents cannot be conducted without the broadest and most
inclusive consultation possible.
Indeed, the development of surrogacy contracts and, more broadly, of
numerous uses of surrogacy pose very serious questions in terms of
biomedical ethics, human rights, and the dignity of human persons and their
bodies.
To date, the Permanent Bureau has based its studies on its own preliminary
documents and on responses to questionnaires that it addressed to the States
and to the various participants in the transnational surrogacy process,
including health professionals, lawyers faced with situations of “surrogacy of
a transnational nature,” and surrogacy agencies.
In other words, the Permanent Bureau only included the perspectives of
professionals who are actively involved in surrogacy, not only stakeholders
but also promoters of the practice. ...
The question of any potential ban against the practice was not even raised,
despite the fact that it is strictly forbidden in a number of countries.
Beyond the respondents to the questionnaires, only sponsors or “intended
parents” were in fact asked for “feedback” from those involved in a surrogacy
convention of an international nature.
No questionnaire was directed towards the general public or NGOs committed
to defending human and more specifically women’s rights.
Inquiry into SurrogacySubmission 70
14
No discussion of the soundness of the practice or its compatibility with human
rights was initiated.
It is therefore unsurprising that the study’s conclusions are oriented towards
defining “minimum standards” and the need to harmonize the regulations
concerning recognition of foreign decisions concerning legal parentage.
Significantly, the preliminary document and the March 2014 study abundantly
cite lawyers involved in the market to support the idea of working on a text on
mutual recognition and regulation. The study never entertained the idea of
abolishing surrogacy as was done with slavery.
It is indispensable that the abolitionist point of view be considered and
that the defenders of human rights and human dignity be heard. The
Hague Conference should therefore not develop an international
instrument that, under cover of mechanisms for mutual recognition
associated with “minimum standards” would legitimize and oversee
surrogacy and the gigantic market that derives from it. This kind of
practice has no place in a civilized world.
FINRRAGE completely endorses the views of CoRPs and sister organisations. We
also support their call for a UN Convention for the Abolition of Surrogacy. As they
state:
CoRP therefore requests that the Hague Conference firmly recall that
transnational surrogacy is contrary to the principles underlying the Convention
on Intercountry Adoption as well as to the instruments for the protection of
human rights referred to earlier. It is imperative to go further by working at the
international level towards the abolition of surrogacy. The proper institutional
framework for developing one or several legal instruments to promote this
goal globally is the United Nations.
FINRRAGE sincerely hopes that Members of this Inquiry will take note that there are
thousands of concerned women and men around globe who do not support the
regulation of surrogacy and instead want this unethical and exploitative practice
abolished.
No doubt the Inquiry will be swamped with Submissions from pro-surrogacy forces.
Indeed, high profile Brisbane surrogacy lawyer Stephen Page (who is of course
entirely entitled to his views) had the following advice on his blog of 4.2.16 for the
Surrogacy Inquiry (<http://surrogacyandadoption.blogspot.com.au/>):
What I see needs to occur is quite simple:
enable the payment of surrogates and donors here, subject to a cap, so as to avoid exploitation
have a national model, with consistent laws, so that there is a seamless national approach
have a cascading approach for those going overseas- both before they go and after they come
back.
The simple steps of having a national approach will greatly decrease demand for those
wanting to undertake surrogacy overseas.
There will always be some intended parents who will nevertheless want to go overseas.
The cascading approach- for those who would still want to go overseas
Inquiry into SurrogacySubmission 70
15
Any regulation of those who go overseas is with the limitation of what happens before any
Hague Convention comes into effect, or concerning those countries that do not sign up.
Most of us have great confidence that surrogates, donors, intended parents and above all, the
children, are not exploited in some countries, such as New Zealand, US, Canada and the UK.
For those who wish to undertake surrogacy in these places, there should not be any barriers
for those who wish to bring their babies back to Australia- provided that citizenship issues
have been dealt with, there should be automatic recognition of the parent-child relationship.
For those who don't go to those countries, to undertake surrogacy overseas would be a
two stage process:
before they go-get approval from a court here. It would be assumed that for the purposes of
any guidelines that commercial surrogacy would be appropriate. The purpose of approval
would be to ensure that everything was above board, and in particular that it is clear that there
is a need for surrogacy, no exploitation of the surrogate or donor, and that the child will have
the opportunity of knowing who his or her donor might be- after the child turns 18.
then either get a court order from the overseas country; OR
get a court order from a court here.
It is not a requirement currently as a matter of law to tell the Department of Immigration and
Border Protection that a child was conceived via surrogacy. It ought to be.
For Australian expatriates who undertake surrogacy overseas, then the same basic rules apply,
except not requiring them to get court approval here first.
FINRRAGE sincerely hopes that Members of the Surrogacy Inquiry will not heed Mr
Page's advice.
6. The adequacy of the information currently available to
interested parties to surrogacy arrangements (including the child)
on risks, rights and protections.
This Term of Reference might be the only one where FINRRAGE
agrees with pro-surrogacy advocates, albeit for very different reasons:
we believe objective information on surrogacy is difficult to find in
Australia.
As with everything else we do in life, these days, Google is the answer:
Pro-surrogacy information is readily available from IVF websites,
consumer forums such as Surrogacy Australia, VARTA
(<https://www.varta.org.au/information-support/surrogacy/thinking-
being-surrogate>), other states' websites (e.g. Queensland's
<https://www.qld.gov.au/law/births-deaths-marriages-and-
divorces/surrogacy/>), and various websites from legal firms. The
Human Rights Law Centre has an overview article on surrogacy
<http://hrlc.org.au/regulating-surrogacy-in-australia/>.
The Family Law Council offers its views that commercial surrogacy
should become legal in Australia:
<https://www.ag.gov.au/FamiliesAndMarriage/FamilyLawCouncil/Do
cuments/family-law-council-report-on-parentage-and-the-family-law-
act-december2013.pdf>.
Inquiry into SurrogacySubmission 70
16
Searching for 'critiques of Australian surrogacy' brings up articles by
ethicist Bernadette Tobin and academic Sonia Allan, and
commentaries by Melinda Tankard Reist:
<http://www.theage.com.au/comment/surrogacy-laws-may-be-a-
bridge-too-far-for-australia-20150420-1mosw7.html>
<http://theconversation.com/not-for-profit-the-case-against-
commercial-surrogacy-18512>
<http://melindatankardreist.com/2014/02/mother-erasure-how-the-
global-surrogacy-industry-discards-birth-mothers/>
<http://melindatankardreist.com/2014/08/surrogacy-reproductive-
prostitution-and-child-trafficking/>
We also found two of our own critical articles:
<http://www.theage.com.au/comment/baby-gammy-has-shown-the-
need-for-debate-on-surrogacy-20140819-105pfx.html>
<http://www.abc.net.au/religion/articles/2015/05/18/4237872.htm>
Simply typing 'Surrogacy' into Google yields 'about 1,820,000 results (0.52 seconds)'.
It is here where people desperate for their own children go and drown in information.
It should indeed be one of the Inquiry's first Recommendations that a Webpage be
created with relevant up to date information on surrogacy, both its legal status as well
as critiques and stories from those portraying it in a good light. Should 'altruistic'
surrogacy be allowed to continue in Australia, but be put under federal oversight
and/or uniform legislation in all states/territories, pertinent correct information must
be listed. Importantly, a realistic summary of the harm surrogacy can cause to egg
'donors' and so-called surrogates, has to be included. And an in principle definition of
what surrogacy is at its core: the exploitation of one or two women.
7. Information sharing between the Commonwealth and states and
territories.
As we have already indicated in our responses to the earlier Terms of
Reference, such sharing is currently woefully inadequate and must be
centralised and improved.
8. The laws, policies and practices of other countries that impact
upon international surrogacy, particularly those relating to
immigration and citizenship.
Again we have already commented on these issues under Terms of
Reference 1, 4 and 5. If (as we sincerely hope will not happen),
Australia were to introduce some form of 'compensated commercial
surrogacy', this could potentially open us up as a destination for
'Reproductive Tourism'. Whilst the pro-surrogacy lobby would no
doubt greatly welcome this financial gain (and the Australian
Government could reap taxes from such a lucrative increase), a new
category of 'surrogacy refugee' might need to be created both for the
parents from countries that prohibit surrogacy (i.e. most European
countries) and their children borne of surrogacy arrangements in
Australia.
Inquiry into SurrogacySubmission 70
17
We sincerely hope, that members of the Surrogacy Inquiry will not
want to go down this frightening path!
***********
Overall we were disappointed not to find a Term of Reference that
asks about overall prohibition of all surrogacy arrangements, or, at a
minimum, of continued prohibition of compensated/commercial
surrogacy. The terms of Reference seem to be geared towards
regulation and harms minimisation - approaches we truly hope will not
come to pass.
Inquiry into SurrogacySubmission 70
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3. Short- and Long Term Harms of Surrogacy for Women3
In surrogacy, three women are harmed: the so-called surrogate mother, the egg
provider and the female partner in a heterosexual commissioning couple.
The part of the process to achieve a pregnancy is the most invasive in terms of daily
drug injections necessary to ‘ready’ the womb and endocrine system of the surrogate
mother for the embryo insertion. For the egg provider (who is a third party, or the
female partner), this phase involves putting her first into chemical menopause and
then dousing her with fertility drugs for superovulation: the production of dozens of
good healthy egg cells that can be extracted and then fertilised by the buyer’s sperm
to create embryos.
Daily painful injections, headaches, nausea, cramping, becoming bloated,
feeling sick, dizzy and emotional and putting on weight are just some of the
unavoidable adverse effects. Ovarian hyperstimulation syndrome (OHSS) can be life
threatening and has resulted in serious injury such as pulmonary complications when
the lungs fill with fluid which needs to be extracted, as well as stroke, and even death.
Equally worrying are the largely unknown long-term adverse effects of the drugs.
Many of them, such as Lupron, are used ‘off-label’, which means that they were never
registered for use in IVF, and as a consequence, no research was conducted to find out
about any short- or long term adverse effects when used in women. (In the USA the
FDA registered Lupron as treatment for prostate cancer.) It is a breathtaking and
world-wide scandal that no country including Australia has ever mandated its IVF
clinics to undertake short- and long term follow-up of the health of women
undergoing IVF and compare ill health to the drugs that were used in individual
treatments.
This is good news for pharmaceutical companies because such are the
variations in drugs used in IVF since the early 1980s that, even if such comprehensive
studies were finally (retrospectively) undertaken, it will be impossible to link certain
long-term adverse effects such as ovarian, uterine and breast cancer with specific
drugs. At best what can be established is that women who underwent IVF end up with
higher rates of these cancers, but not which drug(s) caused them. Or else it is the
women themselves who are blamed for the higher cancer rates.
This is what happened in October 2015 when a relatively large study that included
250,000 IVF users in the UK between 1991 and 2010 concluded that these women
had a one-third greater chance of developing ovarian cancer.4 Immediately women
were reassured that firstly these numbers weren’t very large and secondly, it was not
possible to prove ‘cause and effect’ of whether any of the IVF drugs were responsible
for the increased number of ovarian cancers. Rather, the researchers suggested it was
likely that infertility or ‘childlessness’ itself might be the cause(s) of the higher cancer
rates.
End of story, panic averted, back to IVF business as usual which of course
includes surrogate mothers and especially egg providers who often undergo the
‘eggsploitation’ procedure many times. ‘Eggsploitation’ is the name of a powerful
documentary produced by the US Center for Bioethics and Culture Network (2010-
3 This is an extract from a commissioned work in progress by FINRRAGE member Renate Klein.
4 <http://www.theaustralian.com.au/news/world/landmark-study-finds-fertility-trouble-linked-to-
ovarian-cancer-risk/story-fnb64oi6-1227575335254> Landmark study finds fertility trouble linked to
ovarian cancer risk. 20 October 2015.
Inquiry into SurrogacySubmission 70
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2013) which through interviews with US women who had ‘donated’ their eggs as well
as health practitioners shows the serious dangers inherent in the process.5
This might be a good moment to address the point so much laboured by neoliberal
(feminist) pro-surrogacy groups, namely that it is these women’s ‘choice’ to become a
surrogate or egg ‘donor’ and that they had consented freely. A perusal of a dozen IVF
websites is enough to see that the possibility of serious adverse effects is not
mentioned. As one woman put it succinctly in ‘Eggsploitation’: “They don’t fill you
in on the health risks.” Even the rare mention that there might be some ‘unlikely’
long-term problems such as an increased number of cancers, is still incorrect. What
ought to be said to all women considering ‘donating’ eggs or going through IVF is
that in fact the studies have not been done, the research is not there: no one knows
what the health risks are!
Eggsploitation is defined succinctly in the documentary:
To plunder, pillage, rob, despoil, fleece, and strip ruthlessly a young woman of
her eggs, by means of fraud, coercion or deception, to be used selfishly for
another’s gain, with a total lack of regard for the well being of the donor.
Of course, the story does not end with the drugs. Egg harvesting, which takes place
under anaesthesia with a needle inserted through the vagina, then piercing the ovaries
and sucking ripe eggs out, can lead to the loss of an ovary when the puncture wounds
become infected or blood vessels are hit when retrieving the egg cells. This has
necessitated later blood transfusions if the bleeding remains unnoticed. It can also
lead to bladder or even bowel injuries if the needle is inserted wrongly.
Viewing ‘Eggsploitation’ should be mandatory for anyone even thinking of using an
egg ‘donor’ to fulfill their desire for an ‘outsourced’ child. This is especially
important for gay men as they always need an egg donor. The question we all must
ask is: how can anyone justify jeopardising a young woman’s health and possibly
life? How can such selfishness be publicly sanctioned by pro-surrogacy groups and, in
some countries, the state?
And there are many more problems with surrogacy as reproductive slavery.
What is rarely mentioned is that throughout the preparatory phase the three women
involved undergo a roller coaster of emotions. The egg provider may curse the
sickness and discomfort caused by the drugs that often severely interfere with her
daily life and work, but, if she is paid between $US 5’000 and 10’000 (or more) per
egg retrieval, as is customary in the USA, the prospect of good money will make her
grit her teeth and ignore the pain. The surrogate mother, already medicalised with
daily injections and frequent ultrasounds to monitor the lining of her uterus and
hormonal levels, is entering the next nine months of bondage where her life is not her
own anymore.
And what about the female partner of the commissioning couple who is not
the egg donor? To the outside world she is a happy part of Team Baby when on the
inside she might feel like a phenomenal failure: she should be the one getting
pregnant, but she cannot. Selecting an egg provider by looking at porn-like photos of
young beautiful women on the internet and ‘choosing’ the provider of half the genes
of what will become ‘her child’ can unleash painful emotions that cause deep grief.
5 In 2015, the Center for Bioethics and Culture Network also produced a follow up documentary
‘Maggie’s story’ who tells the sad story of Maggie who ended up with advanced breast cancer after
more than ten egg extractions. Another excellent documentary on the subject of surrogacy is called
‘Breeders: A Subclass of Women’ (2014), see <http://breeders.cbc-network.org>
Inquiry into SurrogacySubmission 70
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And if she has any knowledge of the potential risks to the egg provider, her
conscience about potentially injuring another woman might cause her sleepless nights.
If the embryo transfer is successful and a pregnancy starts, this brings many new
challenges and potential health problems. Because the IVF clinic wants to ensure that
the commissioned baby will be free of ‘defects’, the pregnant woman has to submit to
a battery of prenatal tests which may even lead to a mandated abortion, possibly
against her own beliefs. If more than one embryo was inserted and too many ‘take’,
selective foetal pregnancy ‘reduction’ may be done which entails the grueling
injection of potassium chloride (a salt) into the heart of one of the growing foetuses
which then shrivels away in the body next to the foetus(es) that are ‘allowed’ to
continue to grow. This is difficult to envisage even for women who support a
woman’s right to abortion, but must be close to unbearable for a woman who is pro-
life. Yet the contract the so-called surrogate signed mandates it. There may also be
repair surgery on the foetus conducted in utero if the commissioning couple is
determined to have a baby at any price. It’s one thing to write these lines: imagine if
you were the woman in whose body such procedures are carried out?
The answer to such unwanted pain is the idea of dissociation. It is crucial that
the pregnant woman is told again and again - until she internalises it herself - that
these growing cells in her uterus that are sustained by blood vessels she develops
exclusively for this purpose and which feed the developing baby nutrients including
calcium from her bones has nothing to do with her: because she did not contribute her
genes to the baby.
But genes are not the only bond between a mother and her baby. It is not well
known that even decades after her child is born the birth mother still has a few of her
or his cells in her body. Likewise some of her own cells are passed on to the child.6
And during pregnancy so much else is shared as discussed in advice books for
‘ordinary’ pregnant women about the importance of stress, smoking, alcohol, certain
foods and the moods of a pregnant woman as well as the music she listens to which
are said to all influence the health and likes of the future child.7
It is bizarre to hear commissioning couples proclaim that the baby growing in
another woman’s body is ‘their’ genetic child – even more so when they have used an
egg donor who contributed half the nuclear genome (nDNA) to the developing child.
But it gets even more bizarre because every egg cell also includes mitochondrial DNA
(mDNA): different and separate from nDNA. “Mitochondria are the energy-
producing factories of the cell: without them a cell would not be able to generate
energy from food” (Beekman, 2015).8 And mDNA is passed on only via the mother;
6 In ‘Cell Migration from Baby to Mother’ (Gavin S. Dawe et al. 2007) the authors describe how a
small number of cells traffic across the placenta during the pregnancy and how “this exchange occurs
both from the fetus to the mother (fetomaternal) and from the mother to the fetus.” 7 Life before birth, now renamed ‘foetal programming’ or ‘disease origins’ is increasingly frequently
examined. See for example, Thin Vo and Daniel B Hardy (2012) ‘Molecular mechanisms underlying
the fetal programming of adult diseases’ <http://www ncbi nlm.nih.gov/pmc/articles/PMC3421023/>.
As to food regulations, no alcohol, no salt, no sugar might be the basics to start with, but no doubt
many other forbidden foods might be added including a host of recommended supplements. And how
do you forbid stress?
8 ‘Do you share more genes with your mother or your father?’<http://theconversation.com/do-you-
share-more-genes-with-your-mother-or-your-father-
50076?utm_medium=email&utm_campaign=The+Weekend+Conversation+-
+3848&utm_content=The+Weekend+Conversation+-
Inquiry into SurrogacySubmission 70
21
as Madeleine Beekman puts it: “Because all mitochondria you received come from
your mother only, you are technically more related to your mum than to your dad.”
Your ‘mum’ in a surrogacy situation is thus the egg ‘donor, your ‘mother’ is the birth
mother in whose body the baby develops and swaps cells. Sperm donors beware: you
are only half as important as you think you are.
But to the brainwashed general public including the media, the egg ‘donor’
does not exist and the birth mother is a suitcase, an oven, in which a ‘passenger’ (a
term increasing frequently used by surrogates themselves) spends a few months until
s/he plops out of the womb into the arms of their ‘real’ parent, their father. It is the
21st century’s legacy of the Homunculus theory promoted by Aristotle in the fourth
century BCE when he assumed that a pregnant woman was but a vessel for the male
sperm (formed in the brain!) which already contained a fully formed male human
being! Is this science or neoliberal ideology?
Stripping both egg ‘donor’ and pregnant woman of their vital importance goes
to the core of the dream of reproductive biologists to one day produce the motherless
baby. But until ectogenesis is perfected, the real-life pregnant woman is so truly
brainwashed that she agrees with the fallacy that this is not her child and happily calls
herself a ‘surrogate’ mother – postmodernism gone wild.
Lastly, the birth, usually marking the beginning of a new human being’s
entrance into their mother’s life, sadly, in the context of surrogacy, is the end of this
relationship forged over nine months. In most cases the baby is born via a caesarian
section which means that the birthing woman is anaesthetised and often does not get
to see her baby. What she is left with is a heavy heart and breasts full of milk. But as
she has been indoctrinated to consider this baby her great act of kindness for a
deserving couple, this is what she will tell herself, trying to forget whatever bond
there was – until for some women, not all, the experience will surface as pain, regret
or anger, often years later.
And what about the female partner in a heterosexual couple that now has to be
the joyous parent to a brand new baby that is not hers? While some women will
happily adopt this long wished-for role, for others, this baby will be a daily reminder
of what she perceives to be her greatest failure: to become a mother herself. This
chapter of the surrogacy story remains unwritten because no one has yet bothered to
find out what these 'social mothers' feel and think and what relationships they will
develop with this 'foreign' child.
+3848+CID_61a7cc1a201fc294d7e8dd96475391da&utm_source=campaign_monitor&utm_term=Do
%20you%20share%20more%20genes%20with%20your%20mother%20or%20your%20father>
Inquiry into SurrogacySubmission 70
22
4. CoRP et als. List of International Protocols and Conventions
that Surrogacy Violates.
Excerpt of pp. 13-23 (minus FNs), translated from French, from:
Contribution of a grouping of Feminist and Human Rights Organizations to the work of The
Hague Conference on Private International Law regarding legal issues concerning international
surrogacy conventions (“parentage/surrogacy project”)
Comments on Preliminary Document No 3 B of March 2014 and Preliminary Document No 3A
of February 2015
III ANY INSTRUMENT TENDING TO ORGANIZE OR REGULATE THE PRACTICE OF
SURROGATE MOTHERHOOD IS INCONSISTENT WITH THE INTERNATIONAL TEXTS
CURRENTLY IN FORCE
A) The practice of surrogacy is contrary to the objectives of THE Convention on
inter-country adoption
Studies such as that proposed by the preliminary document of March 2014 risk placing the Hague
Conference in an untenable internal contradiction.
Every international instrument, binding or not, whose purpose or outcome is to endorse, organize, or
supervise the practice of surrogacy will be in open contradiction with the founding principles of the
Convention on Protection of Children and Co-operation in Respect of Intercountry Adoption, playing
havoc with its objectives.
Of course, adoption and surrogacy are not identical in every way, because within the framework of
surrogacy, the genetic material of one or more of the sponsors is utilized, at least in theory.11
Nevertheless, in both cases, it is a question of abandoning parental rights, at least by the birth mother,
and the breaking of legal parentage. Parental rights are transferred to other persons, and a legal
parentage is established between these other persons and the child.
Under some laws, the implementation of surrogacy also entails the abandonment of parental rights by
the partner of the surrogate mother, the child’s presumptive father.
Furthermore, in a certain number of laws, the legal mechanism chosen to implement surrogacy is
rigorously inspired, from a formal perspective, by the mechanisms of adoption. For example, in the
United Kingdom (although there are other examples), the surrogate mother is the legal mother of the
child at birth, and the sponsors acquire “parental” status only through judicial issuance of a “parental
order,” for which an application must be filed with the court within six months of the birth.
Moreover, the entire mechanism of surrogacy is in complete contradiction with the expressed goal of
protecting the weak that underlies the Convention on International Adoption.
Indeed, the Convention on Intercountry Adoption is not intended solely to protect the legal security of
transnational adoptions.
The Convention also seeks to ensure in a deeper sense international adoptions, with the objective of
giving a family to a child who cannot be raised by his or her birth parents nor be adopted in his or her
country of origin; these regulations are not meant to cover practices of purchasing and selling children
or exploiting the reproductive services of third parties.
To this end, Article 4 of the Convention specifies that “An adoption within the scope of the Convention
Inquiry into SurrogacySubmission 70
23
shall take place only if the competent authorities of the State of origin: (...) c) Have ensured that (...)(3)
the consents have not been induced by payment or compensation of any kind and have not been
withdrawn, and (4) the consent of the mother, where required, has been given only after the birth of the
child (...).”
The Convention thus simultaneously forbids any arrangement prior to the birth of a child and all
remuneration, whether monetary or in compensation for the remittal of the child by its genitors, and in
particular by his or her birth mother.
This is not simply a question of legal terminology.
This regulation has meaning.
Its purpose is to ensure that transnational adoption does not cover a practice consisting, for residents of
wealthy countries, in appropriating the reproductive capacities of poorer countries, based on financial
exchanges.
Surrogacy is founded on a strictly contrary logic: It explicitly assumes in every case a prior
arrangement and also always includes, whether explicitly or de facto, quasi- systematic monetary
compensation.
1) The prior arrangement is the very basis of surrogacy:
1 The child is conceived to be remanded to the contracting couple;
2 The surrogate mother carries out the pregnancy, with all of the associated risks and psychological
and affective implications, to satisfy the request of a third party;
3 In many cases, the mother cannot legally question her consent after the child is born or employ any
other effective legal means of preserving her maternal status (see in particular on this point
American jurisprudence relating to conflicts of parental rights in the context of surrogacy).
When legislation preserves in theory the surrogate mother’s right to change her mind, it
does not fundamentally change the situation: There is a prior agreement. It is to execute this
prior agreement that the surrogate mother carries the pregnancy. Ultimate consent can be
given legally after the birth, but that does not remove the fact that the surrogate mother
committed herself beforehand to carry the pregnancy and to remit the child to the
commissioning couple or individual whose “genetic material” (or that of at least one of them)
has generally been utilized. The freedom that the surrogate mother disposes of to renege on
this commitment is purely theoretical. Not only is the situation psychologically inextricable
(keeping a child conceived for a third party), it is legally impossible to rule on. In fact, it is the
contracting couple who, by emphasizing the eminently manipulable notion of the best interest
of the child or the parties’ intentions, usually obtain satisfaction.12
When the law
systematically sides with the commissioning couple or individual, the surrogate mother’s
chances of asserting her rights are non-existent.
2) There is always compensation, usually monetary:
• Openly commercial surrogacy does not conceal the existence of the remuneration, although the
precise terms used do vary (“fees,” “compensation,” etc.).
• Even when the law authorizes only supposedly non-commercial surrogacy (also called “altruistic”),
the “reasonable expenses” paid to the surrogate mother, which are added to medical expenses,
in reality mask a form of remuneration, albeit modest.
• The use of the term “payment of compensation” or “reasonable expenses” is often intended to mask
remunerative practices. The practical difference between remuneration and compensation for
expenses is very often a highly delicate question of bio-ethics. The amounts, duration of the
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period covered, and the basis for the compensation can transform it into true remuneration. As
a consequence, compensation for lost wages, when it covers an extended period of time, as is
the case for surrogacy, plays precisely the same role as that of a salary. The case is similar
with the question of clothing or other expenses. The flat-rate nature of such “compensation”
approaches the idea of remuneration. For example, in the United Kingdom, “reasonable
expenses” pre-established by the parties and validated by the judicial system, which cover
clothing and transportation and loss of wages, can be higher than 10,000 £.
The COTS
announces expenses that must be paid to the surrogate mother of between 12,000 and 15,000
£.The Permanent Bureau furthermore recognizes itself that it is extremely delicate to
distinguish between commercial and non-commercial surrogacy (see the “glossary” of the
preliminary document of March 2014).
• Therefore, without creating profound incoherence in its legal system, the Hague Conference
cannot legitimate within the framework of surrogacy practices that it seeks at the same time to
suppress in the framework of adoption. It cannot simultaneously combat the marketing of
children and the exploitation of the reproductive capacities of others in the context of
international adoption and, on the other hand, organize the same practices in the context of
surrogacy provided that safeguards (weak ones, moreover) are created.
B) The practice of surrogacy is incompatible with numerous other international legal
instruments
1) The United Nations Slavery Convention
Article 1 of the convention of September 26, 1926 concerning slavery defines slavery as
“ the status or condition of a person over whom any or all of the powers attaching to the right of
ownership are exercised.”
According to this definition, there can be a situation of slavery even in the absence of appropriation, as
was the case in older forms of slavery, of the entire person. It is enough to appropriate the usage or
products of a person.
Surrogacy closely resembles a modern form of slavery according to this definition.
Commissioning couples or individuals acquire a real right over the body of a woman because they
acquire the right to use her person and her body (because pregnancy implicates considerably more than
her uterus).
They also acquire the right to take the fruit of the woman’s body (or rather the products), i.e., one or
several children.
Because the surrogate mother cannot in reality withdraw from the arrangement, and is not always
authorized under the law to do so once the pregnancy has begun, she loses control of her body and
finds herself in a situation that is comparable to slavery.
3) The International Convention on the Rights of the Child
Article 7 § 1 of this convention stipulates “The child shall be registered immediately after birth and
shall have the right from birth to a name, the right to acquire a nationality and. as far as possible, the
right to know and be cared for by his or her parents.”
The International Convention on the Rights of the Child does not define what is meant by “parent.” It
is nevertheless unarguable that the first individuals who should be considered as “parents” are a child’s
so-called “biological” parents, and in particular the mother who carried him or her.
Children thus have the right, to the extent possible, of knowing the mothers who brought them into the
world and carried them for nine months, and to be raised by her.
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There are circumstances under which this is not possible. In addition to cases of death or certain
particular situations of separated parents, the abandonment of children, regardless of the reasons,
creates a situation in which the child does not have the possibility of being raised by his or her birth
mother, or even of knowing her.
In the case of the parents’ death or abandonment, the parental role is assumed, whenever possible, by
adoptive parents. But in no case should the abandonment of the child or of his or her separation from
the mother who brought them into the world be brought about to benefit the interests of the contracting
couple or individual, regardless of who they are and their ability to raise a child.
It is not sufficient to modify the legal definition of what is a “parent” and to deny the status of the
woman who brought the child into the world to evacuate the meaning of the provisions of the
International Convention on the Rights of the Child.
Surrogacy thus violates Article 7 § 1 of the Convention on the Rights of the Child.
Article 9 § 1 of The International Convention on the Rights of the Child furthermore stipulates that
“States Parties shall ensure that a child shall not be separated from his or her parents against their will,
except when competent authorities subject to judicial review determine, in accordance with applicable
law and procedures, that such separation is necessary for the best interests of the child. Such
determination may be necessary in a particular case such as one involving abuse or neglect of the child
by the parents, or one where the parents are living separately and a decision must be made as to the
child's place of residence.”
The practice of surrogacy in many cases leads to a violation of this stipulation. For example, in general,
the surrogate mother who changes her mind after the birth can preserve her status as mother and her
parental rights sees these rights refused by the law, either in the name of the prior commitment or of a
supposed best interest of the child interpreted in favor of the contacting couple (see again American
jurisprudence, as well as British law, as referred to above). The result is in effect the separation of the
child from his or her mother, against the mother’s wishes and despite the fact that she cannot be
accused of mistreating or neglecting the child nor any other omission.
Finally, Article 35 of The International Convention on the Rights of the Child stipulates “States Parties
shall take all appropriate national, bilateral and multilateral measures to prevent the abduction of, the
sale of or traffic in children for any purpose or in any form.”
The practice of surrogacy consists of entrusting a woman in exchange for remuneration (sometimes
called “compensation”) the task of carrying and birthing a child destined to be remitted to the
contracting couple or individual after the birth.
This thus represents the sale of a child in the sense of Article 35 of the International Convention on the
Rights of the Child.
4) The Optional Protocol to the Convention on the Rights of the Child on the sale of children, child
prostitution and child pornography
The terms of Article 2 a) of this Protocol stipulate:
“Sale of children means any act or transaction whereby a child is transferred by any person or group
of persons to another for remuneration or any other consideration (...).”
As indicated earlier with regard to Article 35 of the International Convention on the Rights of the Child,
the practice of surrogacy, to the extent that it organizes the conception, gestation, and relinquishment of
the child in exchange for remuneration or other compensation, constitutes the sale of a child in the
sense of the Protocol.
Furthermore, Article 3 of the Protocol stipulates:
“1. Each State Party shall ensure that, as a minimum, the following acts and activities are fully
covered under its criminal or penal law, whether such offences are committed domestically or
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transnationally or on an individual or organized basis: (a) In the context of sale of children as defined
in article 2: (...) (ii) Improperly inducing consent, as an intermediary, for the adoption of a child in
violation of applicable international legal instruments on adoption.”
It is recalled that the practice of surrogacy is contrary to the convention on international adoption.
It thus cannot be authorized by government legislative action, or a fortiori by an international legal
instrument, but should instead be suppressed by criminal law.
4) The Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW)
Article 3 of this convention stipulates that “States Parties shall take in all fields, in particular in the
political, social, economic and cultural fields, all appropriate measures, including legislation, to ensure
the full development and advancement of women, for the purpose of guaranteeing them the exercise
and enjoyment of human rights and fundamental freedoms on a basis of equality with men.”
The practice of surrogacy involves appropriating in a specific manner the reproductive capacities of
women. It leads to the implementation of an extremely firm control over every aspect of women’s lives
during pregnancy and endangers their physical and psychological health in order to satisfy the desires
of sponsoring third parties.
In this sense, the practice is profoundly discriminatory and is contrary to the objective of the full
development of women and of progress towards women’s full enjoyment of their fundamental human
rights.
Further, Article 6 of the CEDAW convention stipulates that“ States Parties shall take all appropriate
measures, including legislation, to suppress all forms of traffic in women and exploitation of
prostitution of women.”
Surrogacy involves exploiting the economic and/or social vulnerability of certain women in order to
encourage them, in exchange for remuneration, to place their reproductive capacities at the service of
richer individuals. This practice therefore can be seen as similar to the trafficking of women.
5) Protocol to Prevent, Suppress and Punish Trafficking in Persons, Especially Women and Children,
supplementing the United Nations Convention against Transnational Organized Crime
According to the terms of Article 3 of this Protocol: “ “Trafficking in persons” shall mean the
recruitment, transportation, transfer, harboring or receipt of persons, by means of the threat or use of
force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a
position of vulnerability or of the giving or receiving of payments or benefits to achieve the consent of
a person having control over another person, for the purpose of exploitation. Exploitation shall include,
at a minimum, the exploitation of the prostitution of others or other forms of sexual exploitation, forced
labor or services, slavery or practices similar to slavery, servitude or the removal of organs.”
The exploitation of the reproductive capacities of women by making her body and mind available for
many months in order to implant an embryo in her and have her carry a pregnancy to term for the
purpose of giving up the child to the contracting couple or individual resembles a form of sexual
exploitation.
Further, while there is clearly no removal of organs, there is organ rental, i.e., the rental of the woman’s
uterus (without even considering all of the other organs that are impacted), for the purpose of
fabricating a child intended to be handed over.
This therefore counts as exploitation in the sense of Article 3 of the Protocol.
In addition, there is often trickery concerning the reality of the physical and psychological risks
involved as well as systematic abuse of the economically or socially—or even psychologically and
emotionally--vulnerable situation of the woman used as an incubator by third parties.
This can therefore be considered trafficking.
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6) Regional Instruments
For the same reasons indicated involve the Convention on International Adoption, surrogacy is
contrary to the objectives of the European Convention on the Adoption of Children, which stipulates in
Article 5 that “A mother’s consent to the adoption of her child shall be valid when it is given at such
time after the birth of the child, not being less than six weeks, as may be prescribed by law, or, if no
such time has been prescribed, at such time as, in the opinion of the competent authority, will have
enabled her to recover sufficiently from the effects of giving birth to the child..”
The explanatory report on this convention clearly demonstrates that the goal of this disposition is “ to
avoid premature adoptions to which mothers give their consent as a result of pressure exerted before
the birth of the child or before their physical health and psychological balance have been restored
after the child’s birth.”
Even when legislation contains provisions for final consent by the surrogate mother following the birth
and beyond the terms contained in this convention, the objective of this stipulation is disregarded:
Everything is set up in the framework surrounding surrogacy to encourage the surrogate mother to
agree to hand over the child at the specified time. Furthermore, it was for this sole purpose that she was
recruited and the embryo was implanted in her body. The entire system is a collection of pressures
intended to encourage abandonment and submission of the child by the mother who bore him or her.
Surrogacy is also, for the same reasons as those discussed earlier for the Protocol on human trafficking,
contrary to the Council of Europe Convention on Action against Trafficking in Human Beings, the so-
called Warsaw Convention.
Similarly, it is contrary to Article 21 of the Council of Europe Convention on Human Rights and
Biomedicine, the so-called Oviedo Convention, which stipulates, “The human body and its parts shall
not, as such, give rise to financial gain.”
The professionals and intermediaries who are involved in the surrogacy process earn profits that are in
fact significant on a pregnancy brought to term by a surrogate mother whom they have engaged for the
purpose. Moreover, in carrying a pregnancy to terms, in the best of cases, the surrogate mother does
not supply labor, but purely and simply places her body and biological processes linked to the state of
pregnancy at the disposal of the agencies and contracting couples and individuals.
Exploiting the biological processes of a woman’s body in this way, surrogacy uses the human body as a
source of profit, contrary to the stipulations cited earlier.
C) The legal instrument as proposed in the preliminary document of March 2014 must be
rejected
The Hague Conference should therefore not develop an international instrument that, under cover of
mechanisms for mutual recognition associated with “minimum standards” would legitimize and
oversee surrogacy and the gigantic market that derives from it. This kind of practice has no place in a
civilized world.
Further, any system of mutual recognition would make the situation even more delicate for the States
which, for ethical reasons recalled in part II, forbid surrogacy, because it would incite the resident of
those countries to go abroad in order to evade the domestic legal ban on the practice.
Let us consider Spain. Although the practice of surrogate motherhood is forbidden and criminalized in
Spain, the resulting birth certificates and other civil documents are recognized, even though this
recognition is limited to biological paternity since a ruling by the Constitutional Tribunal. As a result,
Spanish clients are actively targeted by surrogacy agencies, particularly Ukrainian and Mexican, and
their numbers exploded to over 800 in 2013).
CoRP therefore requests that the Hague Conference firmly recall that transnational surrogacy is
contrary to the principles underlying the Convention on Intercountry Adoption as well as to the
instruments for the protection of human rights referred to earlier.
It is imperative to go further by working at the international level towards the abolition of surrogacy.
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The proper institutional framework for developing one or several legal instruments to promote this goal
globally is the United Nations.
IV FOR THE ADOPTION OF AN INTERNATIONAL CONVENTION TO ABOLISH
SURROGACY
In spite of the numerous texts cited earlier that enable surrogacy to be considered contrary to
international legal framework established to protect human rights, a specific instrument is needed to
effectively promote the abolition of this practice as firmly as possible.
It is therefore urgent that an international convention abolishing surrogacy be developed within the
framework of the UN based on the working model achieved against slavery and analogous practices for
the 1926 Slavery Convention and the Supplementary Convention on the Abolition of Slavery, the Slave
Trade, and Institutions and Practices Similar to Slavery in 1956.
In order to render a ban on surrogacy and the struggle against this practice fully effective, provisions
also need to be established stipulating legal punishments that criminalize surrogacy, or at least the
intermediary activities surrounding surrogacy.
These stipulations could either constitute part of the abolition convention or be included in an
additional protocol thereto. This second option could enable the abolition convention to generate
broader support concentrated on banning the principle and measures to be taken to cause the practice to
decrease. This would permit the most willing States to establish criminal cooperation to more
effectively combat the practice.
This protocol could be inspired by texts related to criminal cooperation that already exist relative to the
field of trafficking in its broader sense, including:
• The Convention for the Suppression of the Traffic in Persons and of the Exploitation of the
Prostitution of Others;
• The Protocol to Prevent, Suppress and Punish Trafficking in Persons, Especially Women and
Children, supplementing the United Nations Convention against Transnational Organized Crime.
• The Optional Protocol to the Convention on the Rights of the Child on the sale of children, child
prostitution and child pornography.
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