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Baby M Turns 30: The Law and Policy of Surrogate Motherhood
1JD, PhD; Professor of Law and Professor of Health Policy and Medical Ethics at the University of Pennsylvania Law School. I would like to thank Arthur Caplan and two anonymous reviewers for their helpful comments on this article, as well as Shintaro Suzuki for encouraging me to work on this topic. Support was provided by a University of Pennsylvania Law School Summer Research Grant.
Abstract:
This article marks the 30th anniversary of the Supreme Court of New Jersey's Baby M decision by offering a critical analysis of surrogacy policy in the United States. Despite fundamental changes in both science and society since the case was decided, state courts and legislatures remain bitterly divided on the legality of surrogacy. In arguing for a more uniform, permissive legal posture toward surrogacy, the article addresses five central debates in the surrogacy literature. First, should the legal system accommodate those seeking conception through surrogacy, or should it prohibit such arrangements? Second, if surrogacy is permitted, what steps can be taken to minimize the potential exploitation of women who are willing to rent their wombs for income? Third, what criteria should govern the eligibility to serve as a surrogate mother and an intended parent? Fourth, what principle(s) should serve as the basis for determining the parentage of children born through surrogacy? Fifth, is regulatory uniformity in the surrogacy realm desirable? Is it achievable? The article concludes that courts and legislatures should accept the validity of surrogacy contracts, determine parentage according to intent, and identify transparent criteria for the eligibility of both surrogates and intended parents.
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