Is It Selfish for a Gay Couple to Have Kids via Surrogacy?

My husband and I are gay and are exploring the possibility of having children using an egg donor and a surrogate mother.

Sometimes when we mention this in conversation, people ask us, in a chiding tone, Why don’t you adopt? They often then argue that with so many children in need of good homes, it would be ethically superior for us to adopt, instead of spending a small fortune so we can have children to whom we are genetically tied. In addition, there are ethical issues related to paying women for their eggs or paying women to carry our children as surrogates. Are we acting unethically — or at the least selfishly or self-indulgently — in pursuing biological children instead of adopting orphans who could benefit from what (we like to think) would be a good home? David Lat, New Yorkethical surrogacy

Anybody who is contemplating having a baby, by whatever means, could be adopting a child instead. If those who chide you include people who have biological children themselves, you might want to point this out. Come to think of it, your friends who don’t have children are also free, if they meet the legal requirements, to adopt.

Every child awaiting adoption is someone who could benefit from parental volunteers. There is no good reason to pick on you.

The path you have chosen, it’s true, mixes commerce and reproduction through egg donation and surrogacy. But while acquiring an egg and then working with a surrogate mother are transactions with ethical risks, they can each be conducted in morally permissible ways. The main concerns I would have are avoiding exploitation — so you need to make sure that the donor and the surrogate are acting freely and are fairly compensated — and taking care that your understanding with the surrogate mother is clearly laid out in advance. But any responsible agency that assists you in this should cover these bases.

Wanting a biological connection with your child is pretty normal: We evolved to pass on our genes, after all, even if we’re free to give Mother Nature the side-eye. There are also things you can more likely do for children to whom you’re biologically related — notably, on the organ-donor front. So while it would be terrific if you adopted, it’s no more incumbent on you than it is on any other potential parents.

I’ve worked as an educator and administrator in public schools for over a decade. During this time, I have served as a character witness and written letters on behalf of students who have been arrested. In certain cases, these students have been charged with violent offenses. I often found myself in heated arguments with a loved one over these acts of advocacy, specifically because court proceedings typically take place during the day, which requires me to have someone cover my duties at school. I feel that this advocacy is justified because I am an adult who has invested deeply in the development of the children and knows who they are outside of their offenses. Is it ethical for school staff members to offer their time and efforts to support students charged with violent crimes? Name Withheld

You’re presumably talking about helping the courts to understand the social and educational contexts of students accused of crimes. You’re permitted to testify when the courts find this information relevant in deciding what to do with young offenders. In doing so, you’re helping the courts make what are often very difficult decisions. As long as your advocacy is truthful, it can be a valuable contribution. Asking colleagues to cover for you when you’re doing a public service would seem entirely acceptable; they have good reason to support what you’re doing — and because of that, you should be willing to cover for others when they do the same.

Let me address an issue you haven’t raised: The fact that a student on whose behalf you speak could receive a lighter sentence may upset his or her victims or their families. If the court is doing its job properly, however, the sentence is lighter only because its decision would have otherwise been based on a less complete picture. There is, of course, a question of fairness here, because many young offenders don’t have the advantage of a teacher willing to speak up for them. But you wouldn’t contribute to the overall justice of the situation by denying helpful information in one case on the grounds that it’s unavailable in many others. If you want to help with that problem, you might try to persuade your union to develop ethical guidelines for conducting this form of advocacy.

NYTimes.com, By

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Conscious Surrogacy – Making the Best Decisions For Your Family

Is there such a thing as conscious surrogacy? Yes, and those considering surrogacy will be confronted with some serious ethical questions.

Conscious surrogacy is a process. It is critical to understand some of the questions, and dilemmas, that you will face if you choose surrogacy to help you have your family.  If you are prepared to answer these questions before your surrogacy journey, and if you are comfortable with your answers, then you are ready to have these conversations with a potential surrogate mother.

What are some of the questions that you will face on your conscious surrogacy journey?

Do I want a single embryo or double embryo transfer? Do I want twins?  One of the first questions you will have to consider is whether you want to try and have twins with your surrogate mother.  Many choose this option for economic reasons.  If you know that you want more than one child, consecutive surrogacy journeys may not be an option.  But there is much more to consider.

conscious surrogacy

Twin pregnancies are much harder on the surrogate mother.  It can mean doctor ordered bed rest for your surrogate and more doctors’ visits, particularly in the third trimester.  Twin pregnancies also bring a higher risk of complications for the surrogate, such as preterm labor, and hypertension.

Twins arrive earlier. A normal singleton pregnancy is 40 weeks.  Most twins arrive early, at or before 36 weeks, which means that one or both of the children may require an extended hospital stay in the NICU (neonatal intensive care unit.)  Some doctors state that in 50% of twin pregnancies, a NICU stay is required.  This by itself may give parents pause about choosing a double embryo transfer.  Studies show that consecutive singleton births result in better medical outcomes than a single twin birth.  With all the information, you can make a conscious decision.

Do I want PGD or PGS? Preimplantation genetic diagnosis or screening is now being offered by most IVF facilities.  PGD or PGS allows a parent to view the genetic material of their child before an embryo is implanted in a surrogate mother’s womb.  PGD/S can show whether a child has any genetic disorders, the sex of the child and other genetic traits that may complicate a pregnancy.  While infertile couples who use IVF (in vitro fertilization), or anyone with a preexisting genetic condition,  may be familiar with PGD/S, couples or individuals who have their families with the assistance of a surrogate mother will most definitely be asked whether they want the information that PGD/S provides.

Knowing whether there is a genetic complication prior to embryo implantation may be in the best interests of all parties, however, choosing the sex of your child before it is born ventures into an ethical quagmire. Most families do not have this information and, while the technology exists, you must ask whether you want the information that it can provide.  The mental and physical health of your surrogate mother must be a priority in making this decision.

Do I want to selectively reduce if complications arise? Perhaps the most important questions you will confront is whether or not to selectively reduce, or abort, an embryo or fetus if there is a danger to the surrogate mother or to the child.  In reality, no state will enforce a gestational carrier contract which requires selective reduction.  The surrogate mother will always have the final say.  But you must know what you want first before you can discuss it with your surrogate.

While abortion is one of the most controversial topics in American society, it is routinely a part of conversations that intended parents have with their surrogate mothers. Surrogacy agreements attempt to cover all possible outcomes and obstacles that can arise during a surrogate pregnancy.  The most important aspect of this topic is being able to communicate your beliefs and desires with your surrogate.

There are many more issues that intended parents will face. Conscious surrogacy is about understanding the major decisions surrounding these issues and being able to come to a place of peace with each one, first with yourself, then with your surrogate mother.  Respecting her autonomy during the pregnancy will take you a long way toward reaching this goal.  Maintaining open and honest communication with your surrogate mother will also help to ensure that the journey is successful for all involved.

For more information about surrogacy, please visit https://timeforfamilies.com or email me at Anthony@timeforfamilies.com.

Ethical Surrogacy – Making the Right Choices

Ethical surrogacy is, and must be, the goal of an intended parent (IP) who is looking to have a family with the assistance of a surrogate mother.

Because of the different parties involved and the roles that they play, there must be a guiding, ethical roadmap for intended parents to follow to ensure that everyone has a successful and positive experience, an ethical surrogacy. Up until very recently, no such roadmap existed for intended parents.  Doctors have such guidelines in the ASRM (American Society of Reproductive Medicine) Recommendations for Practices Utilizing Gestational Carriers.  Attorneys also have such guidance in numerous articles and section committees dedicated to issues surrounding surrogacy.

Respect Ethics Honest Integrity Signpost Meaning Good Qualities

Now there is a place where intended parents can go to review best practices and baseline protocols for ethical surrogacy, ensuring that each IP has the tools to create an ethical journey. Men Having Babies (MHB), a non-profit organization of which I am the board chairperson, recently introduced A Framework for Ethical Surrogacy for Intended Parents, available online in English, French, German, Spanish, Italian and Hebrew.  This comprehensive document is supported by several LGBT organizations in America and abroad.

What is Ethical Surrogacy?

MHB’s ethical surrogacy framework revolves around the notion that surrogacy can be a wonderful and fulfilling experience for all parties involved, even if the surrogate is compensated for her efforts, risk and inconvenience. While compensation is part of the process, the act itself is not commercial because the IPs are not buying anything, particularly a child, which is a claim made by some anti-surrogacy activists.  A surrogate efforts should be compensated, even if the journey does not result in a pregnancy or in the case of a miscarriage.

How can Ethical Surrogacy be Achieved?

Regulation is the key to achieving ethical surrogacy. Having laws in place that require independent representation for all parties ( in their home languages), ensuring that all parties are vetted medically and psychologically, limiting compensation so as not to create irresistible incentives for participation and making surrogacy legal in each state and in each country so IPs and surrogate mothers do not have extraordinary distances between them, all work together to create an ethical surrogacy environment.

Reasonable and appropriate legislation should be enacted to allow perspective parents, donors and surrogates enter into legally enforceable agreements for surrogacy arrangements without having to cross state lines or country borders. This fosters more successful and fulfilling relationships between surrogate mothers and IPs.  Steps must also be taken to limit any medical risks that donors and surrogates face in the surrogacy process.

Baseline Protocols for Providers

Several baseline protocols should be implemented by service providers to ensure an ethical surrogacy experience including, but not limited to: informed consent from all parties, medical screening, social and psychological screening, independent legal representation (with language interpretation is required) before any treatments begin, medical insurance review from the surrogate mother and an agreement regarding contact during and after the surrogacy journey.

Best Practices

Best practices are suggestions for “above and beyond” thinking that is required of IPs because so much of the integrity of the journey depends on them. Among these suggestions is the creation of a long term vision about your family.  Who will be the biological parent?  How many journeys do you anticipate? What will the relationships be during and after the surrogacy?  How will you explain your family make-up to your child?  These questions are just a few of those that need to be asked and answered in the surrogacy process.

Above all, the autonomy of your surrogate mother must be respected and supported. While it may be your child that she is carrying, it is her pregnancy.  Insuring that she knows that you, as IPs, understand this distinction is critical to supporting her autonomy.  Her family and community will also play a role in her pregnancy, so getting to know her circle of support is a wonderful way of bolstering that support, making the journey a happy and healthy one for your surrogate mother.

While the MHB Framework for Ethical Surrogacy for Intended Parents goes deeper into the specifics of making your journey an ethical one, this article is designed to begin a conversation about the quality and success of your surrogacy journey.  After all, your family is worth it!  For more information, go to timeforfamilies.com or email Anthony at Anthony@timeforfamilies.com.

Compassionate Surrogacy – Options For Your Family

adoption and surroagcy lgbt family planning

Compassionate surrogacy, sometime referred to as altruistic surrogacy, is the process where a woman, the compassionate surrogate, carries a child of the intended parents with the intention of giving that child to the parents once it is born.

A compassionate surrogate does not receive compensation for her services.  It is a special person who can be a compassionate surrogate.  When is compassionate surrogacy the right choice for your family?  The answers depend upon several factors.

 

  1. Compensated surrogacy is currently illegal in 3 states: New York, Michigan and Louisiana. While that doesn’t necessarily mean you can’t use a surrogate in those states, entering a compensated surrogacy contract could incur criminal penalties depending on your state of residence. Compensated surrogacy means that the surrogate mother receives a fee for participating in the surrogacy process.
  1. If you want to go through compassionate surrogacy in New York, the surrogate cannot accept compensation outside of statutorily allowed medical and legal costs. The surrogate in these cases is often known by, and close with, the intended parents. It may be a family member as well. You will need a lawyer to determine what costs are and are not allowed to be paid by you, and also to draft a Memorandum of Understanding between the intended parents and the surrogate mother to outline the process and provide for all possibilities that may occur during the process from insemination to birth, and beyond.
  2. A surrogacy, or ART (Assisted Reproductive Technology) attorney must have extensive experience in these types of agreements and can help you and your partner or spouse learn what to expect, average timelines, required paperwork, and even let you know the average costs as well as what is and isn’t legal for you to pay for during the pregnancy.
  3. A compassionate surrogacy attorney can help you manage the relationship with the surrogate and provide dispute resolution that may be needed throughout the surrogacy process, in most cases through the surrogate mother’s separate attorney.
  4. The most critical aspect of compassionate surrogacy is establishing the parental rights of the non-biological intended parent.       Your attorney can help the non-biological parent petition for second or step parent adoption so that both parents have a legal relationship established to the child as soon as possible. Read this article for more information about the second/step parent adoption process.
  5. It’s extremely important to have a lawyer draft any agreement or Memorandum of Understanding between the intended parents and the surrogate mother. If there is a misstep in the contract, you and your child could potentially go through a lengthy and painful custody battle (not to mention the aforementioned criminal penalties in NY) should the mother change her mind. It would be devastating to lose your child over a technicality in the contract.
  6. The hardest part of the process to really grasp is that the Memorandum of Understanding is technically unenforceable in New York.  It’s purpose is to have the parties go through the process of discussing the elements of the journey and the possible contingencies that may occur.
  7. It is critical that psychological support services are provided for both the surrogate and the intended parents and that both parties thoroughly understand the process before entering into any agreement.

gay surrogacy, compassionate surrogacy, altruistic surrogacy, New York surrogacy, gay surrogacy, surrogacy

There is currently legislation in New York State that would legalize compensated surrogacy. The Child Parent Security Act would not only make compensated surrogacy a legal option for NY parents, it would also allow both intended parents to be immediately legally recognized as parents at the birth of the child, thus negating the need for the lengthy process of second or step parent adoption by the non-biological intended parent. The CPSA would further protect the rights of surrogates, making sure they are not legally responsible in any way for a child they never intended to parent. While the LGBT community, as well as opposite-sex couples who may need a surrogate, are hopeful it will pass, the bill has been stuck in committee for many years.

If you’re thinking of expanding your family with the help of a compassionate surrogacy, start the process by speaking with an experienced attorney so you can get a solid idea of what to expect, and even if it’s the right decision for your family. As a leading expert in the Family and Estates division of Albert W. Chianese & Associations, Anthony M. Brown is here to help your family with all of its growing legal needs. Call 212-953-6447 or email anthony@timeforfamilies.com to answer any questions you may have concerning compassionate surrogacy or any legal questions concerning same-sex family planning.

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Is a Surrogate a Mother?

A battle over triplets raises difficult questions about the ethics of the surrogacy industry and the meaning of parenthood.

Last year, a 47-year-old California woman named Melissa Cook decided to become a commercial surrogate. Cook is a mother of four, including a set of triplets, and had served as a surrogate once before, delivering a baby for a couple in 2013. According to her lawyer, Harold Cassidy, she’d found it to be a rewarding way to supplement the salary she earned at her office job. “Like other women in this situation, she was motivated by two things: One, it was a good thing to do for people, and two, she needed some money,” Cassidy says.

For her second surrogacy, Cook signed up with a broker called Surrogacy International. Robert Walmsley, a fertility attorney and part owner of the firm, says he was initially reluctant to work with her because of her age, but relented after she presented a clean bill of health from her doctor. Eventually, Surrogacy International matched her with a would-be father, known in court filings as C.M.

surrogacy ethics

According to a lawsuit filed on Cook’s behalf in United States District Court in Los Angeles earlier this month, C.M. is a 50-year-old single man, a postal worker who lives with his elderly parents in Georgia. Cook never met him in person, and because C.M. is deaf, Cassidy says the two never spoke on the phone or communicated in any way except via email. In May, Cook signed a contract promising her $33,000 to carry a pregnancy, plus a $6,000 bonus in case of multiples. In August, Jeffrey Steinberg, a high-profile fertility doctor, used in vitro fertilization to implant Cook with three male embryos that were created using C.M.’s sperm and a donor egg. (According to the lawsuit, the gender selection was done at C.M.’s request.) When an egg donor is under 35, as C.M.’s was, the American Society for Reproductive Medicine strongly recommends implanting only one embryo to avoid a multiple pregnancy, but some clinics will implant more to increase the chances that at least one will prove viable. In this case, they all survived. For the second time in her life, Cook was pregnant with triplets. And soon, the virtual relationship she had with their father would fall apart.

Cook and C.M. are still strangers to each other, but they are locked in a legal battle over both the future of the children she’s going to bear and the institution of surrogacy itself. Because she’s come under pressure to abort one of the fetuses, Cook’s case has garnered some conservative media attention. This story, however, is about much more than the abortion wars. It illustrates some of the thorniest issues plaguing the fertility industry: the creation of high-risk multiple pregnancies, the lack of screening of intended parents, the financial vulnerability of surrogates, and the almost complete lack of regulation around surrogacy in many states.

The United States is one of the few developed countries where commercial, or paid, surrogacy is allowed—it is illegal in Canada and most of Europe. In the U.S., it’s governed by a patchwork of contradictory state laws. Eight states expressly authorize it. Four statesNew York, New Jersey, Washington, and Michigan—as well as the District of Columbia prohibit it. In the remaining states, there’s either no law at all on commercial surrogacy or it is allowed with restrictions.

California is considered a particularly friendly place for surrogacy arrangements. In 1993, a California Supreme Court ruling, Johnson v. Calvert, denied the attempts of a gestational surrogate named Anna Johnson to assert maternal rights. (A gestational surrogate is one like Cook who has no genetic relationship to the fetus or fetuses she caries.) What mattered in determining maternity, the court ruled, were the intentions of the various parties going into the pregnancy: “Because two women each have presented acceptable proof of maternity, we do not believe this case can be decided without enquiring into the parties’ intentions as manifested in the surrogacy agreement,” the court said. It was a victory for Walmsley, who represented the couple who’d hired Johnson as their surrogate.

Slate.com, February 15, 2016, by Michelle Goldberg

Click here to read the entire article.

Surrogacy Ethics – Is It Selfish for a Gay Couple to Have Kids via Surrogacy?

Surrogacy ethics are in the news more and more around the world.  Are gay men’s options for family limited to adoption?

 

Question – My husband and I are gay and are exploring the possibility of having children using an egg donor and a surrogate mother. Sometimes when we mention this in conversation, people ask us, in a chiding tone, Why don’t you adopt? They often then argue that with so many children in need of good homes, it would be ethically superior for us to adopt, instead of spending a small fortune so we can have children to whom we are genetically tied. In addition, there are ethical issues related to paying women for their eggs or paying women to carry our children as surrogates. Are we acting unethically — or at the least selfishly or self-indulgently — in pursuing biological children instead of adopting orphans who could benefit from what (we like to think) would be a good home? David Lat, New York

adopt

Answer – Anybody who is contemplating having a baby, by whatever means, could be adopting a child instead. If those who chide you include people who have biological children themselves, you might want to point this out. Come to think of it, your friends who don’t have children are also free, if they meet the legal requirements, to adopt. Every child awaiting adoption is someone who could benefit from parental volunteers. There is no good reason to pick on you.

The path you have chosen, it’s true, mixes commerce and reproduction through egg donation and surrogacy. But while acquiring an egg and then working with a surrogate mother are transactions with ethical risks, they can each be conducted in morally permissible ways. The main concerns I would have as to surrogacy ethics are avoiding exploitation — so you need to make sure that the donor and the surrogate are acting freely and are fairly compensated — and taking care that your understanding with the surrogate mother is clearly laid out in advance. But any responsible agency that assists you in this should cover these bases.

Wanting a biological connection with your child is pretty normal: We evolved to pass on our genes, after all, even if we’re free to give Mother Nature the side-eye.

New York Times, By

Click here to read the entire article.

Ethical Surrogacy, a Proposed Framework

Ethical Surrogacy guidelines are imperative to a successful journey to parenthood.

At the Men Having Babies 2015 New York Ethical Surrogacy Conference we focused on teaching the public at large about surrogacy and providing tools to intended parents to ensure that their surrogacy journey is ethical and positive.

As part of our mission to promote ethical surrogacy practices that benefits all involved parties, Men Having Babies   is in the process of devising a framework for ethical surrogacy principles, protocols and best practices for intended parents. The latest version drafted by our Board and our Surrogates Advisory Board is available on menhavingbabies.org. The document is already available in English, French and Hebrew, and we are collaborating with several community organizations to translate this document to additional languages and collect feedback. Selected issues from this framework will also be brought up for discussion and public comments at our upcoming conferences.

Men Having Babies (“MHB”) is an independent nonprofit organization dedicated to providing gay biological fathers and fathers-to-be with educational and financial support. We offer the following framework of ethical guidelines and best practices as part of our goal to promote surrogacy practices that minimize the risks and maximize the benefits to all involved. The framework comprises of three levels: a Statement of Principles, Baseline Protocols for Providers, and Recommended Best Practices for intended parents.