LGST001 G3 || Bentham-Mill AGENDA 1. Facts of the Case 2. Arguments For CS 3. Arguments Against CS 4. Class Discussion 5. Conclusion THE ETHICAL ISSUE: IS COMMERCIAL SURROGACY ETHICAL GIVEN THAT THIS MAY BE THE ONLY WAY SOME COUPLES HAVE CHILDREN, EVEN IF IT COMMODIFIES MATERNITY AND RIGHTS OF THE CHILD. WHAT IS COMMERCIAL SURROGACY? ➤ Commercial Surrogacy : ➤ Sponsors pay for surrogate mother's medical expenses + services of pregnancy ➤ Two types: Traditional and Gestational ➤ Traditional: Biological relationship between the surrogate mother and child ➤ Gestational: No biological relationship between the surrogate mother and child (i.e. embryo is transferred) FACTS OF THE CASE Why are we even having this conversation? CASE TIMELINE Before Nov 2013
Couple decides to start a Couple is advised by Couple goes through
family together adoption agencies that commercial surrogacy because of their process and engages a homosexual orientation, surrogate mother in US they would not be allowed to adopt in Singapore
Nov 2013 Aug 2014 Dec 2014 Dec 2017 Dec 2018
Child is born ICA rejects Adoption Lower court High Court
in US child’s application is dismisses the grants the citizenship filed with the adoption adoption application courts application 1. THE SURROGACY ARRANGEMENT: 1. Man's sperm + egg of an anonymous donor through IVF 2. Embryo was transplanted into the womb of the surrogate mother, who carried the foetus to term for a fee 3. IVF and surrogate procedures done in the United States ➤ In Singapore, assisted reproduction can only be provided to a married woman with the consent of her spouse 4. Paid US$200,000 to the surrogate mother (medical fees + US$25,000) 2. ADOPTION APPLICATION 1. First adoption application in Singapore by someone who has openly declared himself to be homosexual and is living with his same-sex partner 2. An adoption order would increase the child’s prospects of securing Singapore citizenship and possible long-term residence in Singapore (where his natural father and family support structures are) The courts considered : ➤ The child’s sense of security and emotional well-being. ➤ The long-term stability of care arrangements. 2. ADOPTION APPLICATION 1. First adoption application in Singapore by someone who has openly declared himself to be homosexual and is living with his same-sex partner 2. An adoption order would increase the child’s prospects of securing Singapore citizenship and possible long-term residence in Singapore (where his natural father and family support structures are) The courts considered : ➤ The child’s sense of security and emotional well-being. ➤ The long-term stability of care arrangements.
Aren't these very Utilitarian considerations?
2. ADOPTION APPLICATION 3. The case was dismissed by lower court ➤ “the man was well aware that the use of medical procedures — such as IVF — to have his own child would not have been possible in Singapore” ➤ “child’s welfare does not demand unlocking the back door” ➤ “does not further the interests of a four-year-old child… (who) will thrive anywhere if in the hands of loving people” 4. Chief Justice Menon (High Court): A. Opined that the welfare of the child trumps policy opinions against the formation of same-sex family units. B. Ruled in favour of the adopting parents, on the basis of the child's welfare. ARGUMENTS FOR COMMERCIAL SURROGACY Why not let the Free Market Decide? A UTILITARIAN PERSPECTIVE UTILITARIANISM “Case studies”: High Court decisions
Benefit to the Child :
➤ The court deemed the case in benefits of the child for his/her sense of security and emotional well-being. ➤ The stability and care provided by the “couple" Benefit to the Couple/ Sponsor : ➤ The couple gains custody of the child, and they get to establish a family Benefit to the Surrogate Mother : ➤ US$200,000 Compensation
The overall maximisation of pleasure over pain
"BUT THE CHILD MAY BE PSYCHOLOGICALLY HARMED!" UTILITARIANISM Author point: Commercial Surrogacy may bring upon psychological harm to the child
Counter Argument: The child might have better overall welfare
Hard to justify the complete range of good and bad
➤ There is no way to determine the well-being of the child after birth ➤ Assuming the child has better overall welfare, how can we measure if the pleasure outweigh the pain and vice versa A FREE MARKET PERSPECTIVE (ADAM SMITH) Commercial Surrogacy is Ethical, so long as all parties are freely consenting to the agreement, and no fraud is involved. A FREE MARKET PERSPECTIVE (ADAM SMITH) Commercial Surrogacy is Ethical, so long as all parties are freely consenting to the agreement, and no fraud is involved. 1. The Invisible Hand of the Market: ➤ The Market will adjust to make Commercial Surrogacy mutually beneficial if : ➤ Commercial Surrogacy is a legal and common service. ➤ The commercial surrogate market is competitive 2. Surrogate Mothers should be able to offer a service to meet market demand, with minimal interference from the Government. ➤ The most utilitarian good can be derived from all parties being able to make a self-interested decision. PROBLEMS WITH A FREE MARKET ARGUMENT Commercial Surrogacy is Ethical, so long as all parties are freely consenting to the agreement, and no fraud is involved.
1. It may be impossible to create a free market for commercial
surrogacy because : ➤ Surrogate Mothers do not have perfect information on matters of their own "Utility or Cost Functions": ➤ If their pregnancy can be safely carried to term. ➤ If they may develop a maternal bond with the child, whom they may desire to keep. ➤ If the child would be born without defect or disability. PROBLEMS WITH A FREE MARKET ARGUMENT Commercial Surrogacy is Ethical, so long as all parties are freely consenting to the agreement, and no fraud is involved.
2. Human Pregnancy cannot be considered a typical service or
good because : ➤ It is a natural process that cannot be innovated upon. ➤ Many aspects of pregnancy (gestation, conception, etc.) cannot be controlled. ➤ The end-product (child) has rights as given by law, and cannot be sold. ➤ Transfer of child custody will be necessary to fulfil any commercial surrogacy contract. ➤ If so, the child would have to be bought as part of the agreement, the law would have to change, to allow the sale of children. ARGUMENTS AGAINST COMMERCIAL SURROGACY Kant, Rawls, Utilitarianism and Virtue Ethics Arguments against the notion of Commercial Surrogacy. A KANTIAN PERSPECTIVE KANTIAN ETHICS ( ON PRINCIPLES OF UNIVERSALITY) Author’s Point: Commercial surrogacy commodifies pregnancy and trivialises the surrogate’s perspective 1. Commercial Surrogacy is not universally acceptable. ➤ It is not universally lawful in all countries for couples to seek commercial surrogacy services. ➤ Not common practice for fertile women to carry child for infertile couples for compensation, in Singapore. 2. No reciprocity ➤ Surrogacy agreements suppress, manipulates and trivialises the perspective of surrogate mothers. ➤ Hence, it is not a reciprocal or fair agreement. KANTIAN ETHICS ( ON PRINCIPLES OF HUMANITY) Author’s Point: Commercial surrogacy commodifies pregnancy and trivialises the surrogate’s perspective
1. Commodifying pregnancy treats surrogate mothers as a
means to obtaining children (an end). ➤ No agreement of commercial surrogacy treats the surrogate mother as an end unto herself. ➤ Surrogate mothers seen as "Baby Factory". THINK-TIME
Scenario: If the pregnancy becomes a risky endeavour due
to health complications, does the surrogate have a right to protect herself by aborting the pregnancy? KANTIAN ETHICS ( ON PRINCIPLES OF HUMANITY) "Even if some women really do not mind being surrogates, and even if they claim to form no maternal bonds, condoning commercial surrogacy objectifies women" 2. Disrespects Surrogate Mother's Autonomy ➤ Depending on the agreement, the surrogate mother may be unable to make her own decisions once engaged in the contract. ➤ Her autonomy may be overruled by sponsors as her maternal rights are seen to be sold along with her services. KANTIAN ETHICS ( ON PRINCIPLES OF HUMANITY) Author’s Point: Commodifies Children and Cheapens their Life
3. Commercial Surrogacy commodifies children,
disregarding their inherent humanity. ➤ Transferring custody of the child is necessary for the contract to be fulfilled. ➤ Whole process is likened to putting a price on buying a child, objectifying them, without concern for their moral worth or dignity. A RAWLS-IAN PERSPECTIVE If you are poor, would you engage in commercial surrogacy? (Given that your rights may not be fully respected) RAWLS-IAN ETHICS (SOCIAL JUSTICE) Author’s Point: If made legal, there will be far more poor surrogates serving the child-bearing needs of rich intended parents. Assumption: The poor are less educated and all surrogates possess maternal rights An Unfair Allocation of Burdens to Surrogate Mothers. 1. Poor Surrogates can be unfairly exploited. ➤ The poor may not have the knowledge or power to fight for own maternal rights, and out of desperation sell them to the rich 2. Poor Surrogates are expected to undergo a dangerous and painful pregnancy, to service rich sponsors. ➤ "Would the poor as a class be indirectly instrumentalised and viewed as second-class citizens who would do such jobs for what is a pittance to the rich..."? IN CONCLUSION... THANK YOU! Any Questions?