ISSUES OF REPRODUCTIVE TOURISM: ETHICAL AND LEGAL ASPECTS
Keywords:
surrogacy, reproductive health, reproductive tourism, gestational surrogacy, altruism, commercial surrogacy, risksAbstract
Reproductive tourism or "cross-border reproductive assistance" is a phenomenon in which people across international borders to gain access to reproductive technologies. One of the fastest growing categories of cross-border reproductive assistance is international surrogacy, where infertile clients travel the world to use the paid services of foreign surrogates. It is a multi-billion dollar global industry that faces unique legal, ethical and risk management challenges. All parties to a transaction face certain risk. The risk for surrogate mothers is that they agree because of their economic vulnerability and the possibility of being exploited, even if at an unfair price. At the same time, the need to travel for reproductive services is determined by legal restrictions that force people to leave their home countries, and the availability of services that attract patients to foreign countries to access these services. In all types of medical tourism, the goal is usually cost-effectiveness and affordability, referring to the cost of services abroad, as well as the ability to bypass waiting lists for services or domestic legal barriers to receiving services. However, the reasons for cross-border support can be complex and depend on the nature of the service requested.
References
Matorras R. Reproductive exile versus reproductive tourism. Hum Reprod. 2005;20(12):3571.
Бабажанова Д.И. Сравнительно-правовой анализ суррогатного материнства в некоторых зарубежных странах европейского континента //Инновационные технологии современной научной деятельности. – 2022. – С. 114 (Babazhanova D.I. Comparative legal analysis of surrogate motherhood in some foreign countries of the European continent // Innovative technologies of modern scientific activity. - 2022. -P. 114.2. Babazhanova D.I. Comparative legal analysis of surrogate motherhood in some foreign countries of the European continent // Innovative technologies of modern scientific activity. - 2022. -P. 114.).
Бабажанова Д. Суррогатное материнство и международные права человека //Научные исследования и инновации в индустрии 4.0. – 2022. – Т. 1. – №. 1. – С. 252-257 (Babazhanova D. Surrogate motherhood and international human rights // Scientific research and innovation in industry 4.0. - 2022. - Vol. 1. - No. 1. -P. 252-257.).
Бабажанова Д. Деликтное право и суррогатное материнство: ответственность будущих родителей за отказ от соглашения о суррогатном материнстве //Общество и инновации. – 2022. – Т. 3. – №. 7/S. – С. 274-284 (Babazhanova D. Tort law and surrogate motherhood: the responsibility of future parents for the refusal of the agreement on surrogate motherhood // Society and innovations. - 2022. - Vol. 3. - No. 7/S. – P. 274-284.).
Бабажанова Д. И. Суррогатное материнство: договорно-правовое регулирование и защита интересов сторон //Государство и правовая система в условиях информационного общества. – 2022. – Т. 9 (Babazhanova D. I. Surrogate motherhood: legal regulation and protection of the interests of the parties // State and legal system in the information society. - 2022. - Vol. 9).
Bhalla N, Thapliyal M. Foreigners are flocking to India to rent wombs and grow surrogate babies. 2013. [Accessed July 29, 2015]. Available from: http://www.businessinsider.com/india- surrogate-mother-industry-2013-9?IR=T.
Gugucheva M. Surrogacy in America. Cambridge (MA): Council for Responsible Genetics; 2010. [Accessed July 29, 2015].
Cheung H. Surrogate babies: where can you have them, and is it legal? 2014. [Accessed June 14, 2015]. Available from: http://www.bbc.com/news/world-28679020.
Sharma SD. Surrogacy – Blessing of Motherhood or Curse to Motherhood. Indian J Res. 2012;1(11):155–158.
Deonandan R, Loncar M, Rahman P, Omar S. Measuring reproductive tourism through an analysis of Indian ART clinic websites. Int J Gen Med. 2012;5:763–773.
Helble M. The movement of patients across borders: challenges and opportunities for public health. Bull World Health Organ. 2011;89(1):68–72.
Rodino IS, Goedeke S, Nowoweiski S. Motivations and experiences of patients seeking cross- border reproductive care: the Australian and New Zealand context. Fertil Steril. 2014;102(5):1422–1431.
Lewin T. Coming to US for baby, and womb to carry it. 2014. [Accessed July 29, 2015].
Michigan Legislature . Surrogate Parenting Act (Act 199 of 1988) Lansing (MI): Michigan Legislative Council; 1988. [Accessed July 29, 2015].
Humbyrd C. Fair trade international surrogacy. Dev World Bioeth. 2009;9(3):111–118.
Teman E. Birthing a Mother: The Surrogate Body and the Pregnant Self. Berkeley: University of California Press; 2010.
Suzuki K, Sawa R, Muto K, Kusuda S, Banno K, Yamagata Z. Risk perception of pregnancy promotes disapproval of gestational surrogacy: analysis of a nationally representative opinion survey in Japan. Int J Fertil Steril. 2011;5(2):78–85.
Рandey AK, Inder D, Sharma N. Surrogacy and women’s right to health in India: issues and perspective. Indian J Public Health. 2013;57(2):65–70.
Chamsi-Pasha H, Albar MA. Assisted reproductive technology: Islamic Sunni perspective. Hum Fertil (Camb) 2015;18(2):107–112.
Sama The regulation of surrogacy in India: questions and complexities. 2011. [Accessed July 29, 2015].
European Union Quality standards for human tissues and cells. 2004. [Accessed July 29, 2015]. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=URISERV:c11573.