Surrogacy and Bioethics: Debates and Dilemmas in Modern Times of Parenthood

Об агенстве Aurora-Georgia
27.09.2024 Surrogacy and Bioethics: Debates and Dilemmas in Modern Times of Parenthood

Surrogacy, especially in the context of ethical issues has brought hope to many families who are in need because of sterility or any other health-related factor that made pregnancy difficult for them. However, as with most advances in medical sciences and technology, there comes a set of ethical dilemmas and moral debates surrounding surrogacy. Besides that, these questions also focus on the intended parents and the child born from surrogacy in addition to the rights and roles of the surrogate mother. Surrogacy is fraught with critical bioethical questions delineating parenthood, autonomy, and morality. 

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1. Introduction to Surrogacy: A Modern Dilemma

It includes a surrogate who carries and delivers a baby for another couple or intended parent. Surrogacy is decided on mostly because one of the intended parents is either medically or otherwise incapable of carrying the pregnancy. There are two types of surrogacy: 

Traditional Surrogacy: This requires the use of the surrogate’s egg and thus genetically makes her the biological mother of the child.

Gestational Surrogacy: The surrogate is not genetically related to the child; the egg and sperm belong either to the intended parents or donors. 

Learn more about the types of surrogacy here.

While it is not as common today, both types of surrogacy raise very strong ethical arguments. Everything from questions about the surrogate’s autonomy to issues regarding the rights of the child, questions relating to commodification, and exploitation are some of the attacks which surrogacy launches against the concept of traditional parenthood.

Learn how Aurora-Georgia provides comprehensive surrogacy services to support intended parents through ethical and medical challenges.

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2. Ethical Issues in Surrogacy: Hot Debates

Surrogacy and Bioethics: Re-defining Parenthood

a. Rights of the Child

A significant ethical issue relates to the rights and well-being of the child being born through surrogacy. There are questions about the child’s rights to know who their biological and genetic parents are, especially in cases where anonymous donors have been employed. Some bioethicists have argued that children have an inalienable right to know their genetics, and surrogacy, in particular, anonymous surrogacy, denies them this right.

There is also the potential long-term psychological trauma on children born of surrogacy. While a majority of them continue to live in families that are full of love, perhaps the fact that their birth was a result of a deal may be overwhelming emotionally or cause identity issues when they turn older.

b. Exploitation and Informed Consent

Surrogacy has raised questions as to whether surrogates, particularly in economically poor regions of the world, are fully informed and capable of consent. Critics fear that surrogates will be coerced through economic advantage or social pressure to agree to carry a child without being fully counseled regarding potential physical, emotional, and legal consequences.

Proponents say that with proper regulation, along with appropriate contracts and legal protections, surrogacy can minimize exploitation. Informed consent, however, remains one of the key points in the ethical debate, especially when considering countries that have either scant or unenforced laws regarding surrogacy.

Aurora-Georgia ensures that surrogacy is practiced ethically, with full transparency and legal protection of the interests of all parties.

3. Altruistic vs. Commercial Surrogacy

One more critical point of discussion within the ethical debate on surrogacy is the systems of altruistic versus commercial surrogacy.

Altruistic Surrogacy

In altruistic surrogacy, the surrogate mother receives no form of compensation other than medical expenses. She is often reimbursed for other reasonable expenses related to the pregnancy, such as travel costs, maternity clothing, and loss of earnings. It is often seen as much more ethical given that it removes the profit factor from the process and brings forth the need to help others on behalf of the surrogate. Altruistic surrogacy occurs between relatives or close family friends where emotional connections could be a major determinant factor in the decision-making process.

However, altruistic surrogacy is criticized on counts of undue emotional pressure in the form of obligations on the surrogate to carry a child for someone they know. No compensation means financial hardships for the surrogate who is sacrificing much-needed time and well-being without appropriate recognition.

Commercial Surrogacy

In commercial surrogacy, the surrogate is paid for her services and raises several other ethical considerations. Critics argue that it commodifies both the surrogate and the child, turning pregnancy into a commercial transaction. Supporters say that commercial surrogacy can help provide compensation to women who will be bearing the physical and emotional burdens of pregnancy and that when carefully regulated, can be a mutually beneficial contract.

In countries that permit commercial surrogacy, the only guard against exploitation is regulation. They say that rather than a ban on commercial surrogacy, governments must move to work toward strict laws that protect the rights of both the surrogate and the intended parents.

4. Surrogacy and Parenting: A Re-definition of Family

Surrogacy challenges the traditional sense of parenthood, especially when the surrogate has no genetic connection with the child. In gestational surrogacy, the use of donor eggs or sperm during conception makes the biological relationship between the child and the intended parents more complex.

The Role of Genetics in Parenthood

One of the more basic questions in the bioethical debate is: What constitutes a parent? Is it through genetic linkage, or is it through rearing and bringing up the child? In surrogacy, many commissioning parents find themselves getting closer to this child through biology, especially in gestational surrogacy where the genetic material of the parents is used. This could be complicated when donor eggs or sperm come into the picture.

Bioethicists counter that it may be important to have genetic links, but parenthood is actually about creating those emotional, psychological, and social bonds between the child and their caretakers. Surrogacy reconstitutes family in one pivotal way: through love and care, rather than biological linkage.

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Picture Courtesy: Vecteezy 

5. The Dilemmas Faced by Intended Parents

a. Moral and Emotional Complexities

However, surrogacy does present intended parents with a moral and emotional predicament. On one hand, surrogacy offers them the chance to have a biological child when they might otherwise be unable to do so. On the other, intended parents have to grapple with ethical implications regarding asking another woman to carry their child, particularly in commercial surrogacy arrangements.

Surrogacy is emotionally draining as well. The intended parents will always depend on the surrogate to carry the child in utero, while the intended parents experience anxieties and hope for the future. It is expected that both intended parents and the surrogate will go through emotional ups and downs, especially when there are disagreements or even medical complications arising during the pregnancy.

b. Legal Complications

Apart from morals, there are several legal concerns about surrogacy intended parents have to reckon with. Laws on surrogacy vary greatly from country to country, and often even state by state, so intended parents need to be informed about the laws both in their hometown and where the surrogacy is.

In some countries, the surrogacy contract is not legally binding, and the surrogate may change her mind about relinquishing the child. In others, the intended parents may also find themselves facing legal challenges to becoming parents, particularly if they bear no genetic relationship to the child. Legal ambiguities add another layer of confusion in the process of surrogacy.

At Aurora-Georgia, we offer emotional and legal support for intended parents to feel confident in surrogacy management.

6. Global Perspective on Surrogacy: Regulation and Ethics

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 Picture Courtesy: Vecteezy 

The laws regarding surrogacy vary around the world, with some countries accepting it as a legally and ethically appropriate method of adding to one’s family, while others ban the practice altogether. These discrepancies in regulation significantly heighten ethical challenges, especially in cases of cross-border surrogacy.

Aurora-Georgia operates within tight legal frameworks; therefore, it takes care of surrogates and intended parents in the best possible way internationally.

Countries With Strict Regulations

This is achieved by establishing stringent laws that safeguard the rights of both the surrogate and the intended parents. Surrogacy contracts are strictly overseen in these countries, and there are clear statements of rights on all sides. However, such regulations typically come with a price hike, which means surrogacy becomes accessible only to more financially capable intended parents.

Countries With No or Very Little Regulations

On the other hand, India and Ukraine have for long been the preferred options for couples seeking surrogacy abroad on account of relatively lower costs and lax regulations. But these countries, too, have had their share of criticisms for failure to ensure that the rights of surrogate mothers usually from the economically deprived classes are duly protected.

These criticisms have driven certain countries to adopt more restrictive laws on surrogacy or the outright ban thereof. For example, in 2015, India banned commercial surrogacy to save poor women from exploitation. However, this has led to many more intended parents reaching out to countries that offer even lesser protections, which in turn raises grave ethical concerns about vulnerable population exploitation.

7. Conclusion: Navigating the Ethical Landscape of Surrogacy

Surrogacy brings forth a multitude of ethical dilemmas that question the meaning of autonomy, parenthood, and even morality. Much as surrogacy provides an invaluable opportunity for intended parents to conceive in the case of infertility, significant concerns arise over the commodification of women’s bodies, the rights of the child, and the potential for exploitation.

If surrogacy is truly considered an ethical practice, careful regulation, with protections for all parties involved, must be put into place. The intended parents must navigate through such moral dilemmas.
At Aurora-Georgia, we are committed to providing ethical surrogacy solutions that prioritize the well-being of all parties involved. Visit https://globalaurorasurrogacy.com/ to learn how we can help you through each step of the surrogacy journey with care, transparency, and legal support.