Should Surrogate Pregnancy Arrangements - be Enforceable in Aotearoa New Zealand? - Core

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Rhonda M. Shaw

Should
Surrogate
Pregnancy
Arrangements
be Enforceable in
Aotearoa New Zealand?
Abstract                                                              from surrogate mothers and ovarian egg donors
Aotearoa New Zealand has no unified regulatory                        about their experiences of donating reproductive
system governing the ethical and legal issues that                    materials and services. The aim of the article is to
arise with surrogate pregnancy arrangements.                          expand the conceptual toolkit of assisted human
Accordingly, legal scholars and moral philosophers                    reproduction to better understand the donative
have recently called for revision to parentage and                    acts of women who share their reproductive
payment around surrogacy. Several academics have                      materials and services, and to critically examine
additionally suggested making surrogate pregnancy                     calls to introduce a regulatory model that makes
arrangements enforceable under New Zealand                            surrogacy enforceable in light of concerns about
law. This discussion combines empirical research                      the relational complexities of these arrangements.
with key informants and experts working in the                        Keywords surrogacy, relational gifting, adoption,
field of assisted reproduction with interview data                               reproductive legislation

Rhonda M. Shaw is an Associate Professor in Sociology at Victoria     feminist phenomenology, and empirical research on organ donation and
University of Wellington. Her research interests include bioethics,   transplantation, human milk sharing and assisted human reproduction.

Page 18 – Policy Quarterly – Volume 16, Issue 1 – February 2020
N                                                     ... ‘New Zealand
           on-commercial surrogate                                                               not want the baby. Conversely,
           pregnancy is at one and the same                                                      enforceability of the arrangement would
           time prohibited in numerous                      law, as it                           protect the intended parents if the
jurisdictions around the world (Allan,                                                           surrogate decided they did not want to
2017) and regarded as a legitimate                    currently stands,                          relinquish the baby upon birth.
pathway to family formation for people
experiencing medical or social infertility
                                                              fails to                               A second recommendation concerns
                                                                                                 legal parentage and calls to amend the
(Berend, 2016; Imrie and Jadva, 2014;                     adequately                             Status of Children Act so that intended
Teman, 2009). As a pathway, surrogacy may                                                        parents are automatically parents upon the
be the last option for heterosexual couples               address the                            baby’s birth. Under current law, the woman
when other forms of fertility treatment
have failed or a first step to creating a
                                                       complex issues                            who becomes pregnant is the legal mother
                                                                                                 of the baby to whom she gives birth. Her
family for gay couples and single men.                       around                              partner, if she has one and they have
    Surrogate pregnancy encompasses two                                                          consented to the donative procedure, is the
types of arrangement. In traditional                      commercial                             other legal parent of the child. The intended
surrogate pregnancy, a woman carries a
foetus, as well as providing genetic material,
                                                           surrogacy,                            parents, who may or may not have genetic
                                                                                                 links to the baby via gametes, have no legal
for intended parents. These arrangements                and surrogacy                            relationship to the child until it is
can occur without fertility clinic intervention                                                  transferred to them through New Zealand
and ethical review. In cases of gestational              generally’ ...                          adoption legislation.
surrogacy, the birth mother provides the                                                             Under section 10 of the Adoption Act,
gestational services, but the gametes are                                                        which is used to transfer parentage from
provided by others (usually, but not always,                                                     the surrogate (and her partner) to the
the intended parents) through in-vitro            the HART Act and supporting legislation,       intended parents, the latter must apply for
fertilisation techniques. In Aotearoa New         in relation to the enforceability of           and obtain an adoption order from the
Zealand, gestational or clinic-assisted           surrogate pregnancy arrangements. A key        Family Court. The surrogate must sign a
surrogacy is a regulated procedure under          concern for these commentators is that         consent statement in the form of an
the Human Assisted Reproductive                   the HART Act provisions say very little        affidavit to relinquish the baby, and a social
Technology Act 2004 (HART Act) and must           about surrogate pregnancy arrangements         worker is required to provide a report for
be approved via a process of ethical review       and leave several issues unresolved. This      the court regarding the suitability of the
by the Ethics Committee on Assisted               criticism is not new. In 1999, Anne Else       intended parents in respect of the
Reproductive Technology (ECART).                  referred to the legislation around AHR         application (Casey, 2014).
    The body of legal and bioethical research     at the time as ‘confused’ and ‘piecemeal’,
on surrogacy in New Zealand is substantial        saying, ‘a comprehensive new approach AHR vocabulary
and growing (Alawi, 2015; Anderson,               is urgently needed’ (Coney and Else, 1999, These issues have attracted a range of
Snelling and Tomlins-Jahnke, 2012; Ceballos,      p.56). More recently, Powell and Masselot recommendations for reform from
2019; Powell, 2017; Walker and Van Zyl,           have commented that ‘New Zealand law, legal scholars, such as pre- or post-birth
2017; Wilson, 2018, 2019; Van Zyl and             as it currently stands, fails to adequately parenting orders, the creation of a new
Walker, 2015), but with very few social           address the complex issues around Surrogacy Act, and amendment to the
science studies of the lived experience of        commercial surrogacy, and surrogacy Status of Children Act. My concern with
surrogate pregnancy. This article presents        generally’ (Powell and Masselot, 2019, enforcing surrogacy arrangements is
empirical data from two qualitative studies       p.vii). The point these commentators that it is out of step with the local and
discussing the motivations of surrogate           make is that the legislation, which is a institutional moralities that underpin the
mothers and ovarian egg donors. The aim           blend of the HART Act, Adoption Act 1955 promotion of donative acts and practices
of the article is to expand the conceptual        and Status of Children Act 1969, creates in New Zealand. A central problem is the
toolkit of assisted human reproduction            unnecessary stress for those involved, is term altruism, which is used in recruitment
(AHR) to better understand the donative           not purpose-built, and requires overhaul. and promotional literature around AHR.
acts of women who share their reproductive            A key recommendation for change               Altruistic procurement of reproductive
materials and services. A corollary aim of        pertains to section 14(1) of the HART Act, materials and services is legally mandated
the discussion is to examine the call to          which states: ‘A surrogacy arrangement is under the HART Act. Although the term
enforce surrogate pregnancy arrangements          not of itself illegal, but is not enforceable altruism is not used in the act, it has been
under New Zealand law.                            by or against any person.’ Commentators used in the Advisory Committee on
                                                  who advocate reform want to enforce Assisted Reproductive Technology
New Zealand legislation                           surrogacy arrangements to protect (ACART) guidelines and Oranga Tamariki
New Zealand legal scholars and ethicists          surrogates should the intended parents website information (Oranga Tamariki,
have recently called for amendment to             decide, for whatever reason, that they do 2019). The word altruism is also used by

                                                                                       Policy Quarterly – Volume 16, Issue 1 – February 2020 – Page 19
Should Surrogate Pregnancy Arrangements be Enforceable in Aotearoa New Zealand?

 the fertility clinic Repromed on their
 website. Fertility Associates, which has 18
                                                             ‘There are people                        All the surrogate mothers and egg
                                                                                                  donors in study 1 regarded their acts as
 clinics across New Zealand, does not use                        who want [a                      altruistic in some way, envisaging their
 the term on its website, but does refer to                                                       donations as symbolic of human
 egg donors giving ‘the ultimate gift’. The                    compensation]                      connection and empathy with people
 link to ‘Becoming a donor’ says: ‘Being a
 donor is about giving the most amazing
                                                             model and there’s                    experiencing infertility. Additionally, as a
                                                                                                  New Zealand fertility counsellor in study
 gift to a family in need. A chance to have                   people who say                      2 commented, attitudes about the
 a baby’ (Fertility Associates, 2019).                                                            importance of refusing payment for
 Unsurprisingly, the same phrase is not                      they’d be insulted                   surrogacy persist among the group of
 used in the link to ‘Sperm donors needed
– more info’. This may be due to the
                                                               to be paid, as                     surrogate mothers and donors she sees. As
                                                                                                  she put it:
 gendered labour required of sperm donors,                      it would have
 which does not conjure an image of                                                                 It is perfectly reasonable if somebody
 selflessness or sacrifice in the same way as                discouraged them                       is giving up their time and energy to
 egg donation.
     I have argued elsewhere that the
                                                                 from being a                       carry a pregnancy for someone else that
                                                                                                    they be given reasonable compensation,
 conflation of altruism with gift is                               surrogate.’                      but I also think that it in some way
 misleading when used in relation to                                                                diminishes the altruistic nature of
 contemporary moral economies that                                                                  doing something incredibly generous
 promote the donation of bodily cells, tissue                                                       and meaningful for other people.
 and organs, since the term gift is deployed                                                        … People who are being surrogates
 by stakeholders, donors and recipients recruited by convenience sampling and                       often say ‘oh no, I wouldn’t [take
 alike in a variety of different ways (Shaw, snowballing. The data was analysed                     money], you know that would tarnish
2015). Rather than relying solely on thematically (Braun and Clarke, 2013) and                      what I’m doing’ … and egg donors. So,
 altruism, I suggest expanding the documented participants’ views on policy                         not everybody receives the expenses
 conceptual toolkit of AHR to help explain and legislation around AHR, compensation                 payment, they refuse it, they do.
 why surrogate pregnancy arrangements and payment for surrogate mothers and
 should not be enforceable.                     gamete donors, information disclosure                 Several other experts in study 2
     To do so, I draw on two studies. The around donor conception, donor–recipient                corroborated the existence of this attitude.
 first study was designed to investigate the relationships, and access to fertility               A New Zealand lawyer remarked that the
 motives of women who donate reproductive treatment.                                              positions people take on surrogacy and
 materials and services, the kinds of                                                             payment are variable, saying: ‘There are
 relationship (if any) that resulted from Framing donative motivations                            people who want [a compensation] model
 their actions, and the relationship between To frame the experiences and social-                 and there’s people who say they’d be
 the moral experience of donors and the psychological motivations of surrogate                    insulted to be paid, as it would have
 vocabulary available to describe and mothers and egg donors, I draw on four                      discouraged them from being a surrogate.’
 articulate their experiences (see Shaw, concepts that I have used in previous                        Relational gifting refers to dyadic
2008). This research involved fieldwork and research (Shaw, 2015) to talk about bodily            relationships – of which the parent–child
 in-depth interviews with 14 women about donation: unconditional gift; relational                 relationship is paradigmatic – between
 their experiences of egg donation and gifting; gift exchange; and body project.                  intimates or people who are familiar to or
 surrogate pregnancy. Of the 14 women in            The image of an unconditional gift is the     become known to one another. Importantly,
 the study who donated ovarian eggs, three concept that often comes to mind when                  the term ‘relational’ emphasises how
 had also been involved in traditional people think of surrogate pregnancy and                    people’s sense of self is constructed in their
 surrogate pregnancy arrangements, and egg donation as an altruistic, other-oriented,             relationships with others and in terms of
 one had been a gestational surrogate.          selfless act. This kind of altruism refers to a   their social roles. In relational gifting, the
     The second study draws on qualitative gift that is given freely (voluntarily), without       donor presents their donation as a
 research undertaken from 2017 to 2020 remuneration or external reward. It is                     personalised gift which symbolically
 with key informants and experts about regarded as unidirectional (one-way) and                   connects them to their recipients (Gilman,
 their views on AHR.1 This project includes disinterested (offered without regard to the          2018).
 in-depth interviews with 45 New Zealand quality of the recipient). One of the                        This notion of the gift relation tends to
 and Australian legal scholars, lawyers, requirements of the unconditional gift is                underpin the gendered practice of donating
 ethicists, social scientists, fertility clinic that the donor surrenders or ‘relinquishes’       ovarian eggs and surrogacy and is
 specialists, counsellors, ethics committee any idea of property rights or control over           institutionally sanctioned in relation to
 members and representatives of stakeholder their bodily donation.                                AHR. For example, in New Zealand, fertility
 groups. The participants in this study were                                                      clinic egg donors and recipients meet for

Page 20 – Policy Quarterly – Volume 16, Issue 1 – February 2020
joint counselling sessions in line with
ACART guidelines and the current Fertility
                                                     ... for Ma-ori who                            to donate ova and become surrogate
                                                                                                   mothers as an assertion of individual agency
Services Standard; in surrogacy                          subscribe to                              and a way to exercise autonomy and
arrangements in which the relevant parties                                                         independence. Aside from symbolising
are strangers, ECART expects them to form            traditional views,                            moral connection with the donor, they
a relationship over six months before
making an application; and in online
                                                      what is given in                             donated reproductive services and materials
                                                                                                   as projects of the self, or as events that
surrogacy support groups, the social                    the process of                             marked new beginnings in their lives. One
etiquette guiding prospective surrogates                                                           woman in study 1 had been left at the altar
and intended parents’ interactions requires                third-party                             by her fiancé; one had experienced a string
that they get to know one another before
broaching a surrogacy arrangement. The
                                                       reproduction is                             of deaths in rapid succession and,
                                                                                                   recognising the inherent vulnerability of
same approach to counselling and the                   not simply the                              human beings, felt compelled to reaffirm
establishment of a relationship between a                                                          life; another woman had a pregnancy
surrogate mother and intended parent(s)               generous gift of                             termination. While these women did not
is taken by the Patient Review Panel and
fertility clinics in Victoria, Australia.
                                                         shared body                               give the impression that they acted directly
                                                                                                   to resolve feelings of grief or assuage guilt
    Gift exchange is an anthropological                  tissue, but a                             at having lost a loved one or a child, such
concept that emphasises the social                                                                 life events were not discounted as irrelevant
significance of giving, receiving, and                different kind of                            to their decision making.
reciprocating. The notion of gift exchange
draws on Mauss’s (1990) view that the
                                                        futurity for the                                Additionally, some studies indicate that
                                                                                                   women elect to be surrogate mothers
giver’s identity, essence or spirit is inserted             individual                             because they like being pregnant (Imrie
or invested in the gift or donative act, and                                                       and Jadva, 2014). This was not a stated
consequently requires reciprocation. Again,         concerned and the                              motivation for the women I interviewed.
like the gift relation, this is a relational
ontology. However, gift exchange goes
                                                      groups to which                              However, although it is uncommon, there
                                                                                                   are anecdotal accounts of childless/child-
further: sharing biological matter such as               they belong.                              free women in New Zealand becoming
body parts and substances not only creates                                                         traditional surrogates because they want
relationship responsibilities between                                                              to experience pregnancy. Additionally,
donors and recipients; for some cultural                                                           several fertility clinics reported seeing
groups, such as Mäori, gift exchange                                                               surrogates who have not been pregnant
implicates entire kin networks (Mead,             transferred between donors, recipients and before being approved by ECART. Some of
2003; Salmond, 2012). Where gift exchange         the larger group, but also rights and these women donate their services to
relationships exist, donors do not construe       responsibilities, and, with that, the family members; others may find
bodily gifts as alienable, and may not see        importance of information sharing about themselves ‘childless by circumstance’
themselves as ever relinquishing control          donor conception.                                rather than design (Cannold, 2005), and
over the gift.                                        Another key motivation for giving consider a surrogacy arrangement as an
    The idea that kinship is fixed by             reproductive gifts or services is to establish opportunity to ‘try’ pregnancy.
biological relatedness is a powerful              people’s moral identities as pro-social. In           Ragoné suggests that women who
motivation for people to assist one               these cases, surrogate pregnancy objectifies become surrogate mothers may also want
another’s reproductive journeys. One of           a person’s sense of self as good, kind or civic- to ‘transcend the limitations of their
the surrogate mothers interviewed in study        minded and can be conceptualised as a domestic and motherhood roles’ (Ragoné,
1 said that she agreed to be a traditional        process of identity-construction that 1994, p.65). As an extreme example, some
surrogate for her sister because they valued      involves a body project. Sociologists have surrogates enjoy the public attention their
keeping genetics and reproductive matters         talked about people engaging in body acts elicit. In study 1, two surrogate
within the family, as did several egg donors.     projects by altering their bodies as part of mothers were equally generous about
Likewise, Glover and Rousseau’s (2007)            make-over culture and consumption disclosing their identities and stories as
qualitative research shows that for Mäori         practices (Shilling, 1993), but body projects surrogate mothers to the media, and later
who subscribe to traditional views, what is       are undertaken not simply by the self, for came to occupy roles as mentors in the New
given in the process of third-party               the self; some people also deliberately Zealand surrogacy community. A more
reproduction is not simply the generous           transform their bodies for the benefit of subtle example of this class of motivation
gift of shared body tissue, but a different       others, to objectify themselves as a particular is about doing something ‘special’, which
kind of futurity for the individual               kind of subject (Shaw, 2008). For instance, may be related to surrogate mothers’ view
concerned and the groups to which they            in addition to displaying maternal affect and of themselves as exceptional because not
belong. It is not just bodily matter that gets    care, some of the women in study 1 wanted everyone can be a surrogate (Berend, 2016).

                                                                                         Policy Quarterly – Volume 16, Issue 1 – February 2020 – Page 21
Should Surrogate Pregnancy Arrangements be Enforceable in Aotearoa New Zealand?

    An Australian psychologist from study
2, who has counselled over 200 surrogates,
                                                           ‘The main problem                    Wilson’s online survey of 185 child and
                                                                                            family lawyers asked participants whether
said that she found surrogate mothers                       is, they’re all very            surrogacy contracts should be enforceable.
tended to score slightly lower on the                                                       Of those who responded to this question,
median grandiosity scale in psychology                             close while              54 favoured the status quo as determined
tests than non-surrogates. She thought this
stemmed from, ‘a sense of having achieved
                                                               the surrogate is             by the HART Act, and 75 thought surrogacy
                                                                                            arrangements should be enforceable
and stuff; it’s that sense of “I want to be                 pregnant, helping               (Wilson, 2018, p.72). Ethicists Walker and
more than just a mum”, you know, “I want                                                    Van Zyl likewise want to enforce surrogacy
to do something … for my children to be                       her out. Oh yes,              and advocate radical reform of the current
proud of me.”’ Likewise, several New
Zealand counsellors talked about egg
                                                             they’re getting on             system. It is worth outlining their approach,
                                                                                            as it has been influential in academia and
donors and surrogate mothers wanting to                    with their children,             the New Zealand media.
be ‘special’. One commented:                                                                    Walker and Van Zyl support a centrally
                                                              you know, being               controlled regulatory model to monitor
    Sometimes I think with surrogates it is
    an attention thing – they like to be put
                                                               close with their             surrogacy. They present what they call their
                                                                                           ‘professional model’ as an alternative to
    on a pedestal and thanked and made to                    family, and we’re              both commercial and altruistic surrogacy
    feel special. I wonder sometimes                                                        (Walker and Van Zyl, 2017, p.12). The
    whether money is changing hands in                       going to be close              model is predicated on the idea of a
    some cases. … Maybe you get a trip
    somewhere or you get a holiday, or you
                                                                after, and then             professional, multi-disciplinary body
                                                                                            tasked with facilitating surrogacy
    get a voucher.                                             afterwards she               arrangements. This body would offer a
                                                                                            range of services, one of which would be
    One participant from study 1 described                  signs the adoption              registering and licensing prospective
her decision to become a surrogate mother
explicitly as a project. She was first an egg
                                                           paper and they run               surrogates. The concept of licensing
                                                                                            prospective surrogates is novel and would
donor, and when that was unsuccessful she                     for the hills, you            involve a regulatory body to oversee the
decided to offer her services as a gestational                                              screening and ‘selection’ of surrogate
surrogate. This participant explained that                    never hear from               mothers, who are paid a fee for service.
she liked the idea of surrogacy as a project
because it was ‘different’, enabling her to
                                                                   them. And                This would mean that surrogates could not
                                                                                            put themselves forward without being
be ‘part of the technology of my day’.                           it’s extremely             vetted for approval (Walker and Van Zyl,
Unlike egg donation, which has ongoing                                                      2017).
social implications for genetic continuity,                        tough on a                   Licensing would also involve training
gestational surrogacy represented a project
with a finite end. Another AHR project was
                                                                   surrogate.’              surrogates in the care of their bodies and
                                                                                            pregnancies. There would be additional
reported to me by a key informant in study                                                  training in the assessment of values and
2 who said that one of their participants                                                   ethical standards, which Van Zyl and
had set a goal of doing the most surrogate                                                  Walker claim is not sufficiently provided
pregnancies in New Zealand (undertaking The question of enforcing surrogacy                 by current models in New Zealand. In their
three thus far).                               The emphasis by ACART and fertility model, the authors understandably
    It is clear from the discussion of clinics on surrogate pregnancy emphasise the reproductive vulnerability
participants’ motivations that there are arrangements as relational, and the of the intended parents, who go to great
multiple reasons why women might be fact that parties are already encouraged lengths to get a baby and must rely on the
interested in becoming surrogate mothers by fertility counsellors and lawyers to surrogate’s trustworthiness and generosity.
and/or egg donors. Most of the women I think through and formalise agreements They comment that concern about the
spoke with were not hard altruists, in that (Wilson, 2019), raises questions about surrogate relinquishing the baby causes
they did not view their donative acts as the rationale for enforcing surrogacy uncertainty for the intended parents.
unconditional, one-way and with no arrangements. Although advocates frame                       Van Zyl and Walker discuss their
strings attached. They typically wanted        their argument   as protecting both parties  position regarding the enforceability of
their generosity to be recognised (and not should either renege on the agreement, surrogacy in several texts, stating that in
necessarily in terms of payment). Most – enforcement creates an imagined their model intended parents would be
except for the gestational surrogate in study contractual environment of competition unconditionally recognised as ‘the legal
1 – were interested in ongoing relationships and fear and could be construed as a lack parents from birth’ (Van Zyl and Walker,
with the intended parents.                     of trust rather than cooperation.            2015, p.384). Their view is that ‘if a

Page 22 – Policy Quarterly – Volume 16, Issue 1 – February 2020
surrogate cannot make a promise in
advance to relinquish the baby, she cannot
                                                     ... one of the                           a relationship with the child, but a
                                                                                              relationship with the parents.’
enter a surrogacy contract’ (Walker and          reasons the Israeli
Van Zyl, 2017, p.9). For them, ‘the intended                                                  Critiquing the professional model
parents are automatically the baby’s legal       system appears to                          Elsewhere I have argued that framing
parents and no transfer is necessary. The
surrogate does not make a promise to
                                                  work is because                           bodily donation in terms of a hard
                                                                                            altruism/commodity distinction stymies
relinquish the baby because it is not hers           the surrogate                          conversation around the social meaning
to relinquish’ (ibid., p.18). They go on to                                                 of money and reciprocity for donors’
say that this is ‘the most significant benefit     mother induces                           body work and affective labour (Shaw,
of the professional model’ in ‘that it
removes the prolonged uncertainty that
                                                    dissociation ...                        2015). This perspective broadly concurs
                                                                                            with Walker and Van Zyl’s position on
intended parents have to endure’ (ibid.,            from her body                           compensation. That said, I do have
p.21). Additionally, they do not advocate                                                   reservations about other aspects of their
that the surrogate has a ‘parent-like voice’           in order to                          model.
in the new family formation, but do permit
some presence of the surrogate in the story
                                                    collaboratively                             The first concern is that, as part of the
                                                                                            licensing of surrogates which Walker and
of the family, and some level of contact if            project the                          Van Zyl suggest, surrogates would be
the surrogate so wishes (ibid., p.22). In                                                   screened and trained so that their values
short, Walker and Van Zyl argue for the            pregnancy onto                           are aligned with those of the intended
intended parents to possess the rights and
obligations of legal parentage from the
                                                     the intended                           parents (2017, p.17). I take this to mean
                                                                                            that surrogates’ motives must be
birth of the baby, despite empirical              mother, thereby                           compatible with the values that underpin
evidence that ‘a large majority of surrogates                                               the professional model Van Zyl and Walker
relinquish the babies without difficulty and       facilitating easy                        propose. While the authors are concerned
have no regrets later on, regardless of
whether they were gestational or genetic
                                                 relinquishment of                          to ensure that surrogates act according to
                                                                                            the right motivation to relinquish the baby,
surrogates’ (ibid., p.2).                             the baby ...                          the idea of schooling surrogate mothers in
    In my empirical research, participants                                                  line with the values of the professional
discussed whether they experienced                                                          model derogates their autonomy and
bonding and emotional attachment with                                                       would remove surrogates’ right to rebut the
the baby, and if they found it difficult to                                                 presumption of parentage in favour of the
relinquish the baby after the birth. The       intended parents, which evolve and change intended parents should the arrangement
gestational surrogate I spoke with expressed   over time. A stakeholder from study 2, who be enforced (see Ceballos, 2019). In a
no connection to the baby when it was          was also a traditional surrogate mother, pluralistic context such as New Zealand,
born, saying that ‘it helped that it looked    was mindful to represent both sides of the where people have a range of (cross-cutting
so unlike [her]’. A traditional surrogate      surrogate–intended parent story in a recent and sometimes contradictory) motivations
mother remarked:                               interview with me. At the end of her for donating reproductive materials and
                                               account she commented:                       services, Walker and Van Zyl’s proposal
    I felt like I was babysitting a friend’s                                                seems out of step with the way ordinary,
    child. I didn’t look at her and think,         The main problem is, they’re all very albeit generous, people make real-life
   ‘Wow, that’s, that’s my daughter’. I’ve         close while the surrogate is pregnant, moral decisions.
    never ever looked at [baby X] and              helping her out. Oh yes, they’re getting     Walker and Van Zyl stress the pregnant
    thought, ‘Wow, she’s my daughter’, and         on with their children, you know, being surrogate’s right to self-determination and
    I’ve never looked at [baby Y] and              close with their family, and we’re going bodily integrity (2017, p.147), yet they
    thought, ‘Wow, he’s my son’. Because           to be close after, and then afterwards gloss over the corporeal investment
    the whole intent of the surrogate is to        she signs the adoption paper and they involved in ‘hosting’ a child for the intended
    have a baby, have a child, for somebody        run for the hills, you never hear from parent(s), discussing this dimension of
    else, so that child is never yours. And I      them. And it’s extremely tough on a generosity in seven lines of their book
    think that’s why it’s quite hard for a lot     surrogate.                               (ibid., pp.72–3). They claim that they do
    of people to understand.                                                                not support the commercial system in
                                                   Confirming the significance of the Israel, in which the intended mother, not
    These comments convey that surrogate surrogate–intended parent relationship, an the surrogate, is positioned as the primary
mothers are often clear in their own minds Australian stakeholder from study 2 stated: obstetrics patient (ibid., p.148). However,
about what they are doing. At the same ‘the key motivation for surrogates … in the the unintended effects of the professional
time, these women enter relationships with absence of payment is a relationship. Not model may result in similar circumstances

                                                                                    Policy Quarterly – Volume 16, Issue 1 – February 2020 – Page 23
Should Surrogate Pregnancy Arrangements be Enforceable in Aotearoa New Zealand?

 to those they denounce in Israel. That is, be considered and treated with respect; and donor-conceived. That may or may not
 one of the reasons the Israeli system (g) the different ethical, spiritual, and happen, as the HART Act does not impose
 appears to work is because the surrogate cultural perspectives in society should be a statutory duty on parents to disclose this
 mother induces dissociation (called considered and treated with respect.                      information to donor-conceived children.
‘distancing’ by fertility psychologists) from     While Mäori views are not Suggestions by legal scholars that birth
 her body in order to collaboratively project homogeneous, a child born from a certificates be annotated to include the
 the pregnancy onto the intended mother, surrogate pregnancy arrangement could child’s genetic and birth history (donors’
 thereby facilitating easy relinquishment of still have ties to the whänau. They would and surrogates’ identities) could be of
 the baby (Teman, 2009). If New Zealand is retain their whakapapa and social identity benefit here, but Van Zyl and Walker are
 to adopt a similar system, a much greater and would be included in the iwi. Not only not advocating this as part of the
 emphasis on counselling support and is this spiritually significant; it may have professional model.
 therapy will be a necessary component of social and economic implications under
 the model.                                    the Waitangi Tribunal settlement process, Conclusion
     A third criticism relates to the language as one fertility counsellor in study 2 This article offers a conceptual toolkit
 of enforceability, which is contrary to the commented:                                        based on sociological analysis of research
 notion of relational gifting that governs                                                     findings to frame the motivations of
                                                  For some Mäori who are, you know
 institutional ideas and conduct about                                                         surrogate mothers and the perspectives
                                                   into their culture, or immersed in their
 altruistic surrogacy that influence the                                                       of various professionals who interact
                                                  culture, it’s a difficult thing because it’s
 surrogate mother’s desire to elevate her                                                      with them. If New Zealand legislation
                                                   like well, okay, so if you go down blunt
 relationship with intended parents beyond                                                     and policy around assisted human
                                                   lines, this baby then whakapapa’s to
 the contractual (Berend, 2016).                                                               reproduction in relation to surrogacy
                                                   these people, but if you’re talking
 Enforceability is based on a model of social                                                  is updated, this should be more than a
                                                   socially well, then they whakapapa to
 relations that pivots around the concept of                                                   legal (and philosophical) matter, as one
                                                   these people, and then you know, the
‘relinquishment’. This involves ‘giving up’                                                    of Wilson’s lawyer participants points
                                                   strange things that you end up talking
 and signing away a relationship with the                                                      out (Wilson, 2018, p.73). More empirical
                                                   about, like well, what if they want a
 baby in the interests of the intended                                                         research, documenting qualitative
                                                   scholarship? … You’ve got to have at
 parents. The idea of relinquishing the baby,                                                  information from participants and service
                                                   least, I guess, two generations, you’ve
 as an individuated entity, does not account                                                   users occupying different perspectives
                                                  got to know your parents, and you’ve
 for the surrogate mother’s guardianship of                                                    in this domain, needs to be undertaken.
                                                  got to know your grandparents to be
 the baby at birth, her relationship with the                                                  Alongside surrogates and intended
                                                   able to do it, and then it’s like, oh well,
 intended parents, or different cultural                                                       parents, the voices of donor-conceived
                                                  what about … you know, what about
 views of bodily donation in relation to                                                       persons, counsellors, psychologists and
                                                   land claims?
 social identity (Glover and Rousseau,                                                         social scientists need to be heard in these
 2007).                                           In line with the concept of gift exchange, debates. And any envisaged changes to
     Furthermore, the introduction of an relinquishment of the baby could not only legislation need to be flexible enough to
 enforceability clause does not align with symbolically sever the child’s relation to its accommodate multiple pathways to family
 the HART Act section 4, principles e, f, and birth mother, it could potentially break the formation without jeopardising cultural
 g. These principles state that: (e) donor child’s relationship to the kinship network. and situational diversity.
 offspring should be made aware of their While policy around donor registration is
 genetic origins and be able to access enormously helpful in enabling offspring 1 This                 study received funding from the FHSS at Victoria
                                                                                                  University of Wellington (#217783; #219294) and Human
 information about those origins; (f) the to contact their donor ‘progenitors’, this              Ethics Committee approval (#24373).

 needs, values, and beliefs of Mäori should only works if a person knows they are

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