Rebecca J. Graham September 2014 1 Citizenship and the Stateless Child: Obligations of the European Union Rebecca J. Graham University of Ulster Faculty of Social Science Submitted for completion of Master of Law (LLM) in Human Rights Law 2013-2014
Rebecca J. Graham September 2014 1
Citizenship and the Stateless Child: Obligations of the European Union
Rebecca J. Graham
University of Ulster
Faculty of Social Science
Submitted for completion of
Master of Law (LLM) in Human Rights Law
2013-2014
Rebecca J. Graham September 2014 2
Contents:
Acknowledgements……………………………………………………………......……....p3
Abstract………………………………………………………………………….......….....p.4
Introduction………………………………………………………………….......……......p.5
Abbreviations & Definitions…………………………………………………….......…....p.7
Literature Review…………………………………………………………….....……......p.10
Chapter 1 –Surrogacy…………………………………………………………......…......p.15
1.1 Moral panic……………………………………………………….……..…...p.18
1.2 Commercial vs. Altruistic……………………………………….……..…....p.24
1.3 Rich Mom-Poor Mom………………………………………….……………p.27
1.4 Parental Intent as a Test for parentage…………………….………...……p.31
Chapter 2- The Law……………………………………………………….………..……p.36
2.1 International Law………………………………………………..…..……..p.39
Chapter 3- Theoretical Issues:…………………………………………………....………p.45
3.1 Harmonisation: A Unified Approach………………………...……………p.45
3.2 EU Directives and Reproductive Rights…..……………………..………..p.50
3.3 Citizenship……………………………………………....………………… p.52
Chapter 4- Case Studies on Surrogacy in Law …………………...……....…..………p.60
4.1 Case studies in Law: EU v. National Law…………………..………..…. p.60
4.2 European Court of Human Rights and EU Law………………..……….p.62
Chapter 5- Models Moving Forward…………………………………………..…....... p.69
Conclusion…………………………………………………………………………....... p.73
Sources………………………………………………………………………...…….… p.74
Rebecca J. Graham September 2014 3
Acknowledgements
The author would like to acknowledge the sacrifices of Mark, Connor, Brandon, and Margaret Graham whose support, love, and tolerance made pursuing this LLM possible. I would like to offer a huge thank you to Alister and Eileen McReynolds who acted as my surrogate family in Northern Ireland, making sure I saw more than the law library, and Dr. Barry H. Rodrigue who continued to edit my papers and provide support long after leaving his undergraduate classroom. I would like to especially thank my supervisor, Fionnuala Ní Aoláin who provided immense guidance and moral support, regardless of distance or geography, while remaining an academic rock star.
Dedication
This paper is dedicated to my amazing father, Rosaire Giroux, Jr. who passed during the writing of this dissertation. Rosaire represents the power of parental intention, providing me with the first hand knowledge that unquestionable parental love does not require shared genetics.
Rebecca J. Graham September 2014 4
Abstract
The right to citizenship is a fundamental right that cannot be withheld due to method of
reproduction or extensively delayed when the judicial outcome is certain. This paper will
conclude that without adequate data collection, standardised regulation, and local oversight in
commercial markets, the opportunity for exploitation and human rights violations grow.
Domestic EU member state surrogacy law is no longer fit for purpose, as it does not achieve
the goals envisioned by legislation. The controversy around surrogacy is still alive and well
in the public discourse, and the political will to challenge this climate is not likely to emerge
while governments wrestle with fiscal downturns, and external wars. This paper will argue
that the European Union is well established as the authority for external competency on
matters of immigration, and negotiation with third party states. The political construction that
drives EU legislative policy adoption approach make engaging in a debate where there is no
member state consensus difficult at best. This paper will argue that the EU and member state
level judicial consensus does exist. The EU has both positive obligations to existing
international treaties, and regional competency, to establish a repository for information to
evaluate EU citizen involvement in cross-border surrogacy, and become the regional
authority to mitigate citizenship conundrums created by international market. Externally
facing by design, the EU will also be able to engage, monitor, and press for adequate
Rebecca J. Graham September 2014 5
regulation, and further international treaties to prevent exploitation of all parties in the
surrogacy triad, in these foreign markets. Frameworks like the European Convention on
Adoption serve as appropriate model for surrogacy, allowing the flexibility of member state
approach to surrogacy internally, while insuring the core human rights of the child are
observed when EU citizens engage it internationally.
Introduction
Surrogacy, reproductive technologies, and medical advances, have challenged human society
legally, morally, and ethically by redefining human relationship with reproduction and
kinship.1 A panicked response to new advancements in reproductive medicine helped create
the diversity of existing legislative policy to cope with concerns about surrogacy. Some
European states remain silent about surrogacy with no legal mechanisms or policy. Others
ban the practice all together and some ban certain types but not all, further genderising the
individuals in the triad protected by law. In the vacuum of international law, a completely
new market emerged in the international community, drawing individuals seeking infertility
services into the unregulated space where exploitation can occur without oversight. This
paper will examine one problem created by the global market, state-less children, and suggest
that the European Union has positive obligations and existing powers to create a mechanism
to solve the problem on a European Community level.
Significance
When EU citizens engage with surrogacy in the international market, domestic courts spend
months coping with legal ramifications of movement, and relationship recognition. At the
end of these international arrangements, regardless of local law, a child is born with and
automatic set of rights and responsibilities that transcend birth origin, as proscribed by 1 See generally Cahn, Naomi R., The New Kinship: Constructing Donor-Conceived Families,
Rebecca J. Graham September 2014 6
International Law.2 Without an external mechanism to cope with the conflicting international
and domestic systems involved, domestic courts emphasise genetic parentage in law,
narrowing the notion of family and elevating a genetic component against widely accepted
social parenting importance found in adoption standards, fostering, and common custody
matters.3 While mechanisms to evaluate trafficking and exploitation issues are important to
explore when examining surrogacy as a whole, even a blatant violation of domestic law
cannot deny a child’s right to citizenship, access to family and an adequate standard of care.4
Thus far, no one has examined the potential for a mechanism to be developed at the European
Union level to cope with citizenship of third country born surrogate children to EU citizens.
This paper will examine competency in EU Law to create such a citizenship mechanism and
suggest the EU could also encourage adequate data collect that will inform surrogacy legal
reform and the Member State level. The Destination State must also bear the burden for
providing citizenship for the child born through surrogacy. One commercial destination, the
United States, offers citizenship to the child automatically.5 Other States, like Ukraine and
India refuse to issue citizenship to a child they recognise as the child of a foreign national.6
Where an economy around a moral dilemma exists in an international realm, reactionary
domestic law becomes ill equipped to handle the problems created. Law at the European
Union level may be in a better position to engage with the growing billion-dollar surrogacy
market to promote protection and oversight for all members of the surrogacy process.
Research Methodologies
This paper will use doctrinal and theoretical research to examine articles around the position
of surrogacy in socio-legal context. Legal analysis of case law in the European Court of 2 The Convention on the Rights of the Child is the most widely ratified international treaty with specific provision for the right of citizenship for a child. 3 See parental intent section of this paper. 4 These cases and the member state legal approach will be evaluated in the case law sections. 5 U.S. Const. amend. XIV, § 1 6 Family Code of Ukraine Article 123 (2)
Rebecca J. Graham September 2014 7
Justice in Luxembourg, and the European Court of Human Rights in Strasbourg, as well as
domestic case law will be examined as it engages with surrogacy and citizenship.
Harmonisation theory in EU law and the rights of citizenship will also be explored.
Abbreviations
CRC - Convention on the Rights of the Child
EU- European Union
CEJ- Court of European Justice that contains several legal mechanisms including:
ECJ-European Court of Justice
TEFEU- Treaty on the Functioning of the European Union
ART- Assisted Reproductive Technology
HRA-Human Rights Act
ECtHR- European Court of Human Rights in Strasbourg
ECHR- European Convention on Human Rights (Formally the Convention on the
Protection of Human Rights and Fundamental Freedoms)
IVF- in vitro Fertilisation
PID- Pre-implant diagnosis
ICESCR-International Covenant on Economic, Social and Cultural Rights
ICCPR- International Covenant on Civil and Political Rights
Rebecca J. Graham September 2014 8
Definitions
Gamete-Viable reproductive material from which a human embryo can be created including
sperm, ovum, and fertilised egg.
Cross-border surrogacy- The use of a surrogate mother residing in a non-EU member state
or outside the national state of the intended parents.
Assisted Reproductive Technology- The use of a number of advancements in medical
procedures that aid reproduction through non-coital methods. These include IVF, PID, and
Artificial Insemination.
Altruistic Surrogacy- surrogacy that involves an unpaid surrogate mother who provides the
service. The most common surrogate is usually to a close friend or relative. The child can be
genetically related to the surrogate or completely unrelated with IVF implantation. Fees for
prenatal care and medical expenses can be paid.
Traditional Surrogacy- traditional surrogacy usually involves sperm implantation where the
surrogate mother is also the genetic mother.
Commercial Surrogacy- commercial surrogacy involves IVF of a surrogate who receives
pay for the service of gestation.
Rebecca J. Graham September 2014 9
Sperm- Male reproductive material that can be donated for use in ART to fertilise and ovum
to create and embryo for implantation.
Ovum- Female genetic material that can be donated for use in ART to be fertilised to create
and embryo for implantation.
Gestational Surrogate -is when a surrogate mother is implanted with an embryo that
contains the egg and sperm of the intended parents. In cases where the intended mother is
unable to produce healthy eggs, surrogate with egg donation can be arranged. The gestational
surrogate is not biologically related to feotus.
Rebecca J. Graham September 2014 10
Literature Review
Surrogacy- Ch. 1
Initially this chapter will introduce the reigning discourse around the topic of surrogacy as a
whole. The moral argument against surrogacy and the panic that has been constructed in
public discourse has led the varied shaping of the legal policy in domestic law. The
patchwork of legislation fails to confront the human rights violations it was designed to
mitigate by driving infertile couples into an unregulated international environment. Through
a historic look at surrogacy and assisted reproductive technology, this chapter will lead to the
understanding of how the legislative response has created many of the markets that cater to
those seeking to circumvent the restrictive domestic legal approach to surrogacy.
One of the major issues with surrogacy in the European Union is the inability to enforce
surrogacy contracts. Only one member state, Greece, allows surrogacy agreements to be
legally binding. Non-enforceability of a surrogacy contract undermines protection measures
for surrogates and intended parents. This non-enforceability legacy stems from a moral
panicked response to the Baby M and Baby Cotton cases.7 Catherine London calls for a
Surrogate centred approach to the enforcement and creation of contracts. She points out the
7 In re Baby M, 537 A.2d 1227 (NJ 1988) and N.Y. Domestic Relations Law
§722.859 (1) 2010 and Re C (A Minor) (Ward Surrogacy)1985, FLR 846 both sparked legislative reform in the United States and United Kingdom.
Rebecca J. Graham September 2014 11
courts often use the baby selling sections prohibited in adoption and parentage laws to justify
their position.8
The notions of parentage and kinship are challenged by new reproductive technologies. Mary
Lyndon Shanley suggests that State provided access to infertility treatment reinforces one of
the “pillars to citizenship; the right to have and maintain a family”.9 But the legal framework
of parentage complicates who has access to the right family. Assisted Reproductive
Technology (ART) enables the role of mother to be separated into three roles from egg donor
and genetic mother, to gestational mother, and finally social or intended mother. For the first
time in human history, three women can enable the birth of a single child. Stuart Bridge
examines the problem of parentage in law when it engages with assisted reproductive
technologies and these new biological realities.10 While paternity in law is firmly established
to provide care and financial responsibility for offspring, social parenting by men of offspring
who are not their genetic relations is very common. The genetic link between mother and
child, through the use of ART is completely disregarded in United Kingdom law as result of
the Warnock Report and subsequent legislation.11 A woman, who donates her own eggs to a
surrogate to carry on her behalf, has no legal right or responsibility for the child, and must
apply for parental orders through court.12 A recent case in Ireland refused the genetic mother
parental rights highlighting the problem with notions of motherhood in law.13 The literature
around responses to surrogacy will be explored in detail in this section.
8 London, C., ‘Surrogacy Contracts’, Cardozo Journal of Law & Gender Vol. 18:391,
p. 394 9 Shannley, Mary Lyndon, ‘Infertility, Social Justice and Equal Citizenship’ in McClain et al (eds) 2009 Gender Equality: Dimensions of Women’s Equal Citizenship Cambridge University Press, Cambridge, p.344 10 Bridge, S. ‘Assisted Reproduction and the Legal Definition of Parentage’ in Bainham, A, et al What is a Parent? A Socio-Legal Analysis, 1999, Hart Publishing, Oxford 11 Warnock, 1984 paras. 6.6-6.8 12 Human Fertilisation and Embryology Act 1990 27(1) 13 BBC News, “Genetic Irish mother loses birth certificate right” web published, 7 November 2014, accessed 11/07/2014 <http://www.bbc.com/news/world-europe-29951319>
Rebecca J. Graham September 2014 12
Law
This section will examine the legal obligations applicable to surrogacy under International
Law and examine the legislation in destination countries and EU Member States that fail to
meet these principles. Calls for reform of existing surrogacy framework range from out right
bans to international conventions and regulation. Domestic Judicial decisions continue to
find that the welfare of the child trumps the legal regimes that were established to combat the
human rights violations possible in commercial surrogacy. The result is a de facto permission
for couples to engage in commercial surrogacy markets. Current domestic legislation does
nothing to combat the situations of exploitation and commodification and drives infertile
couples into the foreign market.
Theoretical Issues:
Legal Harmonisation
Throwing aside all moral arguments for and against the surrogacy process, this chapter will
examine, how the law developed in moral panic, is still being used to disenfranchise all
members of the surrogacy process. This section will examine how European Law exercises
supremacy over Member State Law, and when the principle of subsidiary applies through the
lens of European Court of Justice decisions as set out in the authoritative volume produced by
Paul Craig and Gráinne de Búrca.14 Decisions where the European Court of Justice has
clarified how, and when it harmonises national Law, or offers new law will be examined. In
areas where the EU has a shared competency with Member States, Michael Dougan suggests
14 Craig, Paul, and Gráinne De Búrca. EU law: text, cases, and materials. 5th edition, Oxford University Press 2011
Rebecca J. Graham September 2014 13
that EU Law does not require a member state consensus to take action.15 The ‘direct effect’
options in EU Law are critical to creating uniformity amongst member states making
provisions illegal in EU Law, impossible in national law. Instead of using this mechanism,
the ECJ prefers to leave national Law in tact but unenforceable.16 Increasingly Member States
are working with the ECJ to ensure EU compliance of national Law emphasising the
willingness to be bound by EU Law regardless of Euro-bashing common in public discourse.
Citizenship
This chapter will examine how EU Law can engage with obligations under citizenship to
harmonise what is already established in Member State and Strasbourg case law.
Immigration is a growing responsibility of EU law. Every citizen of a EU member State is
automatically a EU citizen, though this does not replace national citizenship.17 As a EU
citizen, individuals are affording the rights of free movement, complaint to European
Ombudsman, diplomatic and consular protection and the ability to vote in EU elections.18
European Union citizenship may be supplemental to Member State national citizenship, but
the revocation of national citizenship does not result in the loss of EU citizenship.19 This
chapter will examine how the weight of public policy against surrogacy bears in comparison
to the positive obligations all regional and domestic legal systems have towards the child
born from surrogacy. Birthright citizenship has been blamed for global inequality as well as
15 Dougan, Michael. "When worlds collide! Competing visions of the relationship between direct effect and supremacy." 2007 Common market law review 44:4 16 Arrêt de la Cour du 9 mars 1978. Administration des finances de l'État contre Société anonyme Simmenthal. Demande de décision préjudicielle: Pretura di Susa - Italie. Non-application par le juge national d'une loi contraire au droit communautaire. Affaire 106/77 17 Treaty on the Function of the European Union. Maastricht Treaty 18 http://ec.europa.eu/justice/citizen/ 19 Case C-184-99 Grelczyk v Centre public d’aide sociale d’Ottignies-Louvain-la Neuve [2001]ECRI-6193 (31)
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domestic inequality.20 How citizenship with in the EU is acquired and what weight the ECJ
has placed on EU citizenship will be explored. The section will suggest that the EU is in a
position to dialogue with other regional and domestic bodies to encourage surrogacy
standards and to create a mechanism that allows residents of the EU countries to realize their
full rights of EU Citizenship.
Case studies
This chapter will use legal analysis to examine three cases involving stateless children, D &
Others v. Belgium and, Mennesson v. France and Labasse v France, through the lens of
citizenship rights. Subsequent case studies will explore surrogacy in EU and ECHR case law
in response to restrictive Member State policy. Through the lens of citizenship, and legal
analysis, this section will explore the positive obligations overlooked in the existing legal
approach. Court decisions that pertain to surrogacy as well as EU Directives that apply to
surrogacy will be explored.
20 Shachar, Ayelet, The Birthright Lottery: Citizenship and Global Inequality 2009 Harvard University Press p. 24-27
Rebecca J. Graham September 2014 15
Chapter 1: What is surrogacy?
Surrogacy has a very long history in humanity. Biblical references to surrogacy can be found
in the book of Genesis where Rachel offers her handmaid Bilhah to Jacob so that she may
have children through her.21 In fact, it is arguable that reproductive surrogacy is as old as the
history of written law. The oldest known legal source for surrogacy law can be found
Hammurabi’s code, allowing a wife who was unable to bear a child for her husband, to seek
out a surrogate to provide a child she would raise as her own.22 Strikingly, the code from
1780 B.C., offers legal protection for the wife who choses this method of reproduction for her
husband. She retains control over the maid-surrogate and the husband is barred from taking
another wife. Should she not choose the maid-surrogate, and her husband selects a concubine
instead, the concubine will not be her equal and the wife will have no parental role.23
Hammurabi’s recognition of the need to structure surrogacy in a legal framework persists
today, though the advances in reproductive technology make contemporary legal response far 21 “And she said, Behold my maid Bilhah, go in unto her; and she shall bear upon my knees, that I may also have children by her.” King James Bible Genesis 30:3 22 Hammurabi’s Code of Laws (circa 1780 B.C.) Translated by L.W. King http://www.fordham.edu/halsall/ancient/hamcode.asp#text 144-147 23 Ibid 146
Rebecca J. Graham September 2014 16
more complicated. This chapter will explore what surrogacy is, how moral panic shaped the
patch worked approach in domestic law and continues to muddy concepts of parentage. The
notions of wealthy exploitation of poor surrogates will be examined along with the difference
in commercial and altruistic surrogacy.
Surrogacy is defined as: “the practice by which a woman (called a surrogate mother) becomes
pregnant gives birth to a baby in order to give it to someone who can not have children”.24 In
American law it is defined as:
“…a contractual undertaking whereby the natural or surrogate mother, for a fee, agrees to conceive a child through artificial insemination with the sperm of the natural father, to bear and deliver the child to the natural father, and to terminate all of her parental rights subsequent to the child's birth.”25
This simple definition avoids the controversial elements of how the reproduction occurs, and
leaves out nuances of family relationships. Hammurabi’s code must have been shaped by
some historic precedent where the wife’s right to control the maid-surrogate must have
provided some benefits to Babylonian household harmony. Reproduction was through
traditional methods, but the wife would raise the child as her own. Her input in the choice of
surrogate would help shape the genetic outcome of the child as well as the temperament of
the new household maid. For the surrogate, she could potentially remain in the service of the
household with her child beyond the end of her pregnancy. In some ways, the approach
Hammurabi made was more family oriented than contemporary law which is fixated on
external moral factors like payment for service and who may be permitted to engage in
surrogacy. Each responds to social problems in an effort to create the cultural notion of
family predominant in the society laws were shaped in. Globalization, easy access to
24 Merriam Webster Learner’s Dictionary online http://www.learnersdictionary.com/definition/surrogacy accessed 10 September 2014 25 Veilleux, Danny R,‘ Validity and Construction of Surrogate Parenting Agreement, 1990 A.L.R. Vol. 77:4 p.70.
Rebecca J. Graham September 2014 17
information across great distances and the ability for humanity to move frequently has played
a significant role in highlighting why domestic legal approaches are inadequate.
Infertility occurs with in 10% of the population and therefore the drive to solve fertility
problems has led to the advancements in Assisted Reproductive Technologies (ART).26
These advancements have moved us from Hammurabi’s surrogate maids, and traditional
pregnancy methods, to laboratory conditions and medical implantation. In Vitro Fertilization
(IVF) is the most commonly known of these technologies. IVF, developed by Nobel Prize
winner, Robert G. Edwards, is the process, which an egg from a female is taken from the
body and fertilised with the male semen outside the body for implantation into a healthy
uterus.27 The eggs are cultured outside the body for 3-5 days to monitor their viability before
placing the now embryo into the uterus.28 This process started as a way to solve “male-factor
infertility” but has become the norm for successful surrogacy.29 Legal responses to surrogacy
have continued to emphasis this “male-factor” approach.
Normal conception occurs through a competitive race of viable fast swimming sperm to an
egg with the goal of penetrating the outer cell layer of the egg called the cumulus layer.30 A
number of factors can interrupt the process and halt development or prevent conception. The
natural process of reproduction requires no parental aptitude test, test of adequate resources to
raise the child, or commitment to each of the parties involved. Only after birth are the tests
for quality of parenthood examined by the State. In the case of historic parental responsibility
26 Bradley J. Van Voorhis, M.D., “In Vitro Fertilization” 2007 N Engl J Med 356 p. 379 27 "Robert G. Edwards - Facts". Nobelprize.org. Nobel Media AB 2014. Web. 16 Aug 2014. <http://www.nobelprize.org/nobel_prizes/medicine/laureates/2010/edwards-facts.html> 28 Ibid 29 Ibid 356: Figure 1 30 Lin Y and others, 'A hyaluronidase activity of the sperm plasma membrane protein PH-20 enables sperm to penetrate the cumulus cell layer surrounding the egg.' (1994) The Journal of Cell Biology 125(5) 1157.
Rebecca J. Graham September 2014 18
issues, the State may assume guardianship of a child at birth and remove the child from the
biological parent in their best interest.31 In contrast, under taking reproduction through
surrogacy requires a number of tests, both medical and psychological prior to the
administration of any service or completion of reproduction.32 Each donor must be tested for
a variety of congenital genetic issues, sexually transmitted infections and health screening to
insure the highest quality of gametes and womb conditions.33 Gestational surrogacy is the
process of inserting the viable embryo material into a woman who is not genetically related to
the embryo. The surrogate hosts the embryo that may be made up of both intended parents, or
third party gametes. Traditional surrogacy can also use IVF technology, but the biological
mother of the child will also be the gestational mother.
1.2 Moral Panic
With the advancement of fertilization outside the body, new challenges to traditional
understandings of life and reproduction began to emerge. What would happen to the embryos
that were not chosen for implantation? When does life begin? Even before a successful birth,
public thought about the new procedures began to respond with worry and panic.34 Louise
31 Child Welfare Information Agency,”Parental Drug Use as Child Abuse” Children’s Welfare Agency 2012 32 For one example see the anonymous web site of the medical tourism company detailing the difference between psychological tests between Intended Parents and Gestational Surrogates. <http://www.surrogacy911.com/surrogacy/parents/psychological-screening.htm> 33 One example found on the NHS web site shows the list of tests that must be undertaken for a female receiving IVF treatment. These tests are normal wehter the clinic is public or private, though the NHS considers the potential for more relaxed conditions abroad. http://www.nhs.uk/Conditions/IVF/Pages/Why-is-it-necessary.aspx 34 Edwards, Lizzie 29 November 2013, Mail Online accessed on 16/08/2014 <http://www.dailymail.co.uk/news/article-2515585/Louise-Brown-Worlds-test-tube-baby-pays-emotional-tribute-parents.html>
Rebecca J. Graham September 2014 19
Brown, born in 1978 was the first child of In Vitro Fertilisation (IVF). Since her birth, over 5
million more children have been born through the same procedure.35 The parents of Louise
Brown were married, and not using a surrogate to carry their child. Despite Biblical
references to ancient surrogacy procedures, the Christian community did not welcome
Edward’s advancements in reproductive technologies. The response was overwhelmingly
negative labeling children born from IVF as “frankenbabies”, taking away their humanity.36
The media plays a functional role in creating moral panics since; it is the intense media
coverage that creates public alarm.37 Moral panic in response to surrogacy became
overwhelming following two high profile cases “Baby M” and “Baby Cotton”. In the United
States, “Baby M.” was a case of surrogacy arrangements that fell apart. Surrogate mother,
Mary Beth Whitehead decided to back out of her contract and desired to keep the child.
When Whitehead fled to Florida with the child, the Sterns, commission couple filed a case for
breech of contract.38 Whitehead. Responses to Baby M are deeply divided. The court was
deeply skeptical of the ability of a surrogate mother to make an informed voluntary decision
to become a surrogate in the Baby M case.39 Legal scholar, Jessica Munyon points out that
this legal response is perhaps embedded in the profound mistrust for women to make
"informed reproductive decisions".40 Baby Cotton was a UK case where the surrogate, Kim
Cotton received payment for her services to an American couple. Cotton was investigated for
35 Brian, Kate. The Guardian. Online 12/07/2013 accessed 16/08/2014 http://www.theguardian.com/society/2013/jul/12/story-ivf-five-million-babies 36 Nerlich, Brigitte, Susan Johnson, and David D. Clarke. "THE FIRST ‘DESIGNER BABY’: The Role of Narratives, Cliche´ s and Metaphors in the Year 2000 Media Debate." Science as Culture 12.4 (2003): 471-498. 37 Goode, Erich & Ben-Yehuda, Nachman Moral Panics: The Social Construction of Deviance, John Wiley & Sons, e-book Jan 19, 2010 38 109 N.J. 396, 537 A.2d 1227, 1988 N.J.77 A.L.R.4th 1. 39 Supra n.37 at 1248-49 40 Munyon, Jessica, ‘Protectionism and Freedom of Contract: The Erosion of Female Autonomy in Surrogacy Decisions’, 2003 Suffolk University Law Review 36(717) p.719
Rebecca J. Graham September 2014 20
baby selling when the hospital became uncomfortable with the situation.41 After the court
was forced to honor the contract, the Surrogacy Agreements Act 1985 was rushed through
Parliament. Some feminist arguments recognised that surrogacy opens pathways for women
that redefine their destiny by "freeing it from their biology".42 Others argue that surrogacy is
a form of slavery providing biological production for men without the protection of
marriage.43 The public policy disdain for commercial payment to surrogates seem to reinforce
a patriarchal notion that female reproduction is special and sacred and beyond compensation,
while feely allowing payment to male sperm donors for their reproductive efforts.44
Many arguments for surrogacy centre on the notion of blood ties and the importance of this
genetic connection for infertile couples. The use of IVF to create embryos makes it feasible
for the child to be genetically related to no one in the triad. Gestational mother, egg donor
and sperm donor could be three different people related to neither intended parent nor
surrogate. This lack of genetic connection in law makes determining parental rights tricky at
the least. Establishing who has parental rights and responsibilities without a genetic link is
complicated. Opponents are also concerned about the child’s right to know their origins but
fail to see that adoption procedures copes very well with the same circumstances in the case
of abandoned children.45 Some opponents are also concerned about the possibilities a child
might suffer from knowing it was created in a lab. In biological processes, there are two
forms of reproduction. One is asexual reproduction and the other is sexual or bi-parent
41 Anon, “Inquiry over ‘baby-for-cash deal” BBC online available http://news.bbc.co.uk/onthisday/hi/dates/stories/january/4/newsid_2495000/2495857.stm accessed 17 October 2014 42 Andrews, Lori B., ‘Surrogate Motherhood: The Challenge for Feminists, in Gostin eds. Surrogate Motherhood: Politics and Privacy, American Society of Law & Medicine, U.S.A. 1990 p. 168 43 Allen, Anita L. ‘Surrogacy, Slavery, and the Ownership of Life’ 1990 Harv. J.L. & Pub. Pol’y 13(139), 147-48 44 This will be explored in detail under the commercial vs. altruistic section of this paper. 45 Johnson, Kay. "Politics of international and domestic adoption in China." Law and Society Review (2002): 379-396.
Rebecca J. Graham September 2014 21
reproduction.46 Some species can produce in the both ways when necessary though bi-
parental reproduction creates a new distinct individual biologically.47 Mammals cannot
change between reproduction paths and this kinship view of reproduction feeds the fear
around surrogacy. What if one gender or group could be made obsolete and reproduction
became an industrial process losing the specialness of the pregnancy process?48
How do you evaluate kinship in the face of new methods of reproduction legally and
socially? Socio-Legal scholar, Martin Johnson, argues the ART techniques may have
contributed to our expanded understanding and variation in parenthood make up. Divorce,
pre-marital sex, single parents, and non-traditional parents, are far more prevalent today than
they were 30 years ago.49 However, the use of these techniques is argued to reinforce the
genetic connection between parent and child and it’s importance to the parent-child
relationship.50 While genetic parenting is elevated in law and still socially preferred, this
ignores the importance of the findings regarding inter-uterine conditions and the health of the
feotus.51 Scholar, Marilyn Strathern argues that parenthood may be rooted in biology but the
social understanding of the concept changes with time, culture and who is making the
assumptions about the role.52
46 See generally Bengtsson, Bengt Olle. "Genetic variation in organisms with sexual and asexual reproduction." Journal of evolutionary biology 16.2 (2003): 189-199. 47 Pamilo, Pekka, Masatoshi Nei, and Wen-Hsiung Li. "Accumulation of mutations in sexual and asexual populations." Genetical research 49.02 (1987): 135-146. 48 See generally gender and kinship from the anthropological prospective and evaluation in Yanagisako, Sylvia Junko, and Jane Fishburne Collier. "Toward a unified analysis of gender and kinship." Gender and kinship: Essays toward a unified analysis (1987): 14-50. 49 Johnson, Martin, ‘A Biomedical Perspective on Parenthood’ in Bainham et al (eds) What is a Parent?A Socio-Legal Anaylsis Oxford, Hart Publishing 1999 p.49 50 Strathern, Marilyn., “A question of context” in J. Edwards et all. (eds), Technologies of Procreation (Manchester University Press, 1993) p.23 51 Cook, Rachel, “Donating Parenthood: Surrogacy, Gamete Donation” in Bainham et al (eds) What is a Parent ?A Socio-Legal Anaylsis Oxford, Hart Publishing 1999 p.133 52 Strathern, Marilyn., “A question of context” in J. Edwards et all. (eds), Technologies of Procreation (Manchester University Press, 1993) P. 13
Rebecca J. Graham September 2014 22
The Warnock report that launched a panic response in law to surrogacy in 1984, emphasised
a negative view of the procedure, while remaining highly focused on the genetic importance
of the gametes used in the process.53 The Surrogacy Arrangements Act, 1985 was rushed
through Parliament making surrogacy contracts unenforceable and payment for surrogate
mothers illegal following the Baby Cotton case.54 Following “Baby M” and “Baby Cotton”,
surrogacy procedures began to involve gestation mothers who were not related to the child.
Calvert and Johnson, a U.S. Case, broke down the way in which law elevates gestational
parenthood over genetic parenthood by allowing the surrogate the ability to keep the child
regardless of the genetic relationship. Gestational surrogacy remains the preferred method for
the procedure but this still creates parentage issues in law as a result of legislation reform of
the original Human Fertilisation Act (2008) that will be examined later in this paper.55 While
the Warnock report highlights the paramount need for protection of genetically donated
material and the importance of genetic origins, the law still leans towards a gestational
parenting preference. Prior to the Family Law Reform Act of 1974, children born in the
United Kingdom of donor insemination were illegitimate, reinforcing the genetic importance
paternity in law over parental intention.56 Warnock inspired legislation has denied the same
importance to genetic relationship for motherhood. The Human Embryo Act that frames the
United Kingdom approach to surrogacy in law, denies the right of genetic parenthood to the
mother and confers it to the gestational mother regardless of genetic connection.57 The
sacredness of the birth process is enshrined in law while genetic links are only a factor for
paternal parentage. A solution created to over come male-factor infertility continues to
elevate male contribution about female contribution in law.
53 Warnock Report of the Committee of Inquiry into Human Fertilisation and Embryology, Crown Copy, 1984 54 Re C (A Minor) (Wardship: Surrogacy) [1985] FLR 846 55 HFEA 2008 Section 2 (33) 56 Family Law Reform Act of 1974 57 Human Fertilisation and Embryology Act 1990 section 27(1).
Rebecca J. Graham September 2014 23
Advocate Julie Wallbank, argues that the resulting legal structure is ready for reform where
law has created a choice between competing notions of parentage.58 She suggests that
governments actively research surrogacy and the effect on children, where openness
regarding conception is practiced, particularly focusing on the majority of cases where there
are no legal problems while considering legal reform.59 Legal reform based on knowledge
rather than in response to fear would seem like a practical solution. Wallbank also
emphasises that the media response to cases like Baby M and Baby Cotton have played a
significant role in both shaping social opinion and legal response.60
The rub in legal policy towards surrogacy, and the obligations under international law is
largely based on the notion of human rights in cultural context or as universal. Universalist
argue that rights are basically the same regardless of the individuals location, while culturalist
argue that the rights exist in the context of the culture of the individual.61 The legal response
to surrogacy is wide and approaches are largely decided by the cultural relativism of the
threat to the society or the opportunities that the society can realize in the process. This
explains why some states have a very permissive attitude towards surrogacy while others
create idealised approaches without examining the conditions that lead to individuals seeking
surrogacy. Both the moral and the liberal approach are service centred, which hides the
positive obligations that each state has towards the resulting child that will be discussed in the
Law section of this paper.
58 Wallbank, Julie, ‘ Too Many Mothers? Surrogacy, Kinship and the Welfare of the Child’, 2002 Medical Law Review, 10:(271)p.273 59 Wallbank, Julie, ‘ Too Many Mothers? Surrogacy, Kinship and the Welfare of the Child’, 2002 Medical Law Review, 10:(271)p.294 60 Wallbank, Julie, ‘ Too Many Mothers? Surrogacy, Kinship and the Welfare of the Child’, 2002 Medical Law Review, 10:(271)p.273 61 For a brief discussion on both approaches see Bagu,K.J., “Ideological refuge v. jurisprudence of insurgency: Cultural Relativism and Universalism in the Human Rights Discourse” Warwick Student Law Review 2011, Vol 1:1
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1.3 Commercial Surrogacy v. Altruistic Surrogacy
Arguments against commercial surrogacy centre on the commodification of the female body.
A number of studies indicate that maternal prenatal conditions have a greater influence on the
fetus than genetic influences.62 The hyperactive focus on genetic parenting ignores the other
conditions that influence the outcome of a successful pregnancy. This is evident in the how
UK law addresses who is allowed to profit from the surrogacy trade. Genetic material donors,
like sperm and egg donors, are paid for their services to the surrogacy triad, but the surrogate
is not allowed to receive payment for her services under UK law.63 The third-party clinic in
the middle is also permitted to make a profit. Following the “Baby M” case, a number of
U.S. lawyers jumped on the public policy bandwagon making profiting from surrogacy
against public policy. Robert D. Arenstezn, chairman of the Surrogate Parenting Committee
of the New York State Bar Association refers to surrogacy as “reproductive prostitution” in
his article, which uses the moral panic established in the minds of the country in the wake of
the famous case to support his arguments.64 Arnstezn felt as though parents should be vetted
as to their worthiness prior to surrogacy services. This is a burden that is higher than coital
parenting, which cannot be assessed until after the child is born in most cases. This barrier is
better addressed through the implementing of adoption level standards through the agreement
stage, instead of outright banning. Just as the illegality of prostitution has not eradicated the
profession, commercial surrogacy still occurs and is legal in many areas. Where commercial
62 See generally: Barker, D.J.P., “Mothers, Babies, and Disease in Later Life” (London,BMJ Publishing Group, 1994), Barker, D.J.P.,”The fetal origins of coronary heart disease” (1997) 422 Acta Paediatrica, Supplement 78-82, or Wienstock, M., “Does prenatal stress impair coping and regulation of hypothalamic-pituitary-adrenal axis?” (1997) 21 Neuroscience and Biobehanioral Reviews 1-10 or van Os, J., and Selten, J.P., “Prenatal exposure to maternal stress and subsequent schizophrenia – the May 1940 invasion of the Netherlands” (1998) 172 British Journal of Psychiatry, 324-326 63 HFEA 2008 Section 54 64 Arenstezn, R.D., “Is surrogacy against public policy? The answer is Yes.” Seton Hall Law Review Vol. 18:831, p.831
Rebecca J. Graham September 2014 25
surrogacy is permitted, regulation makes the process safer and beneficial for all. The
Arnstezn approach encourages holding one member to the triad at a higher standard than
another producing a structural inequality in law.
Commercial surrogacy is also where feminist theorists were split. One group felt as though
the use of women in reproductive matters in a commoditized way emphasized the role of
women as only reproductive producers.65 Sharyn Anlue argued that the difference between
altruistic surrogacy and commercial surrogacy is but a myth that is socially constructed and
not based on a natural difference.66
A parallel to prostitution envisions surrogacy as selling space with in the body for someone
else’s reproductive gain. Reproduction is not simply a sexual pleasure. Sexual pleasure may
be the means by which traditional reproduction most usual occurs, but here the similarities
end. A gestational surrogate is hosting and facilitating the reproductive dreams of a family
unit through great pain and physical cost. A comparison to organ donation may be more
appropriate. Organ donation does not require the donor to be alive where gestational
surrogacy counts on the conditions of pregnancy to be as optimal as possible to ensure the
successful completion of pregnancy. This requires nutritional, emotional and physical support
over 40 weeks. Compensation in a surrogacy arrangement can be perceived as not for the
organ of reproduction, but for the work that gestation requires and the loss of work that could
be realised by the surrogate mother in lieu of pregnancy.
Without regulation and monitoring the exploitation feared by many surrogacy opponents is
unquestionably occurring. In India, the legalisation of commercial surrogacy and government
65 Iver Peterson, ‘Baby M Trial Splits Ranks of Feminists’, New York Times, Feb. 24, 1987 66 Sharyn Roach Anleu, ‘Surrogacy: For Love But Not For Money?’, 1992 GENDER & SOC’Y Vol.6:30, p.31-32
Rebecca J. Graham September 2014 26
tax breaks for business that aid in encouraging medical tourism is coupled with the complete
lack of oversight and standards for surrogacy clinics.67 One study used for a recent
documentary emphasizing the exploitation suggests that the Indian market produces 25,000
babies a year with 12,000 going to western families.68 The wages received by the surrogate,
reported in some clinics as $7000, is 10 times the average Indian wage. In a country where
women are disproportionally devalued in society, and extreme poverty a norm for the largest
portion of the population, surrogacy is one industry where men cannot compete with women
for jobs. That does not mean surrogacy is without coercion. Writer, Kishwar Desai, sees
surrogacy as an attack on women because it occurs in the absence of law.69 Women can be
forced into surrogacy by desire to educate their children or husbands who see this as the route
to buying a house.70 Because of this Desai subscribed to the feminist notion that women are
merely valued for their reproductive potential. India’s clinic advisors like Dr. Nayana Patel,
recognise that poverty is a driving factor for Indian surrogates, but points out that the lack of
choice for the future of these women and their families is real, and many women feel great
honor in being able to provide a service that brings life to a childless couple while making
more money that it is possible for their husbands to make. The notion of the western white
woman exploiting the impoverished woman of color can be interpreted as real, but the
patriarchal nuance of this argument should not be ignored.
Everyone in the surrogacy chain is allowed to make money, from the clinics, to the gamete
donors and the legal experts involved, everyone except the surrogate mother who works 24
hours a day for 40 weeks and assumes all of the risks associated with child birth including
67 India's Surrogacy Industry Accused Of Exploiting Mothers- Journey Man Productions May, 2014, ABC Australia available: http://youtu.be/Rj3EodH7lcY 68 “Made in India” film produced by Erin Heidenreich 2014 69 Origins of Love, Keshwar Desai Simon & Schuster Ltd (May 24, 2012) 70 Vogt, Adrienne, “The Rent A Womb Boom” The Daily Beast online 01 March 2014 available at http://www.thedailybeast.com/witw/articles/2014/03/01/the-rent-a-womb-boom-is-india-s-surrogacy-industry-empowering-or-exploitative.htmlaccessed 17 October 2014
Rebecca J. Graham September 2014 27
possible death. Most recommendations recognise that the failure of the surrogate to receive
payment exports to the problem rather than becomes a barrier to the practice. Where
commercial surrogacy isn’t permitted, finding a surrogate can be extremely difficult pushing
intended parents to seek alternatives internationally.71
Surrogate mothers are not the only exploited part of the surrogacy triad. Intended parents and
their wishes for a healthy child can be subjected to inflated prices an add-ons that are too
dangerous to question before the child arrives. Sex selection is still allowed in many countries
including the U.S., where males are preferred to females in many intended parent cultures.72
What is the legislative objective of public policy regarding surrogacy? Outlawing commercial
surrogacy ignores that money can be made in other areas of the process. The non-
enforceability of agreements denies legal protections for everyone in the triad. The non-
enforceability of contracts was born from the fear court of removing a child from a person of
little means and handing them over to an affluent couple illustrated by the “Baby M” or
“Baby Cotton” case.
1.4 Rich Mom-Poor Mom
Kajsa Ekis Ekman is an anti-surrogacy campaigner who focuses on the rich white woman
taking advantage of the poor woman of color, compelled into surrogacy over severe poverty.
She posits that this industry is a new industry born from the rise of abortion which poorer
women prefer to access, rather than enduring an unwanted pregnancy and choosing to give up
71 Madden, D., An Analysis of Legislative Proposals for Parentage in Assisted Reproduction and Surrogacy, Irish journal of Family Law, 2014 p.8 72 http://america.aljazeera.com/watch/shows/america-tonight/articles/2014/5/12/going-global-forafamilywhyinternationalsurrogacyisbooming.html
Rebecca J. Graham September 2014 28
their children to waiting parents. Her assessment ignores the long legal, historic, and biblical
references to surrogacy and promotes the notion of pregnancy as a sacred female state. She
describes it as a Capitalist industry creation that takes away the rights of women to control
their body, emphasising that altruistic surrogacy is preferred but concedes that the surrogate
should still be compensated.73 However, The U.S. Supreme Court struck a resounding note
on ‘freedom to contract’ and economic independence of the women declaring:
“The argument that a woman cannot knowingly and intelligently agree to gestate and deliver a baby for intending parents carries overtones of the reasoning that for centuries prevented women from attaining equal economic rights and professional status under the law. To resurrect this view is both to foreclose a personal and economic choice on the part of the surrogate mother, and to deny intending parents what may be their only means of procreating a child of their own genetic stock.74”
Contrary to the notion of the poor exploited third world surrogate, in the United States,
military spouses make up a significant portion of the gestational surrogates.75 Raising a
family on a military base while a partner is deployed and moving frequently dwindles career
choices for military spouses. Surrogacy an economically viable alternative allowing mothers
to parent their own children while adding family income. With regards to the notion of
exploitation of poorer women, Deidre Madden in her assessment of pending Irish legislation
highlights that forcing couples to go abroad for services because of this restriction will do
nothing to reduce exploitation.76 Judith Shklar points out the paradox of reproductive
freedom for women who wish to both obtain work and continue in a caregiving role. A
pregnant woman has the choice of "maintaining a dangerous job or postpone childbearing
73 Ekman, K.E., Being and Being Bought: Prostitution, surrogacy and the split self. 74 Johnson v. Calvert, 851 P.2d 776, 778 (Cal. 1993) 75 10. See Ali, Lorraine, “The Curious Lives of Surrogates” 29 March 2008, online Newsweek accessed 1 October 2014 <http://www.newsweek.com/curious-lives-surrogates-84469> 76 Madden, Deidre., ‘An Analysis of Legislative Proposals for Parentage in Assisted Reproduction and Surrogacy’ 2014 Irish Journal of Family Law 2(52) p. 8
Rebecca J. Graham September 2014 29
until age-related infertility reinforces the subordinate position of women in society."77 The
postponement of child bearing is often associated with wealthy, white, western, females, who
participate in a social climate where the choice between having a child and working can have
severe economic and professional effects.78 While postponement may seem like a social
choice, and has been demonized by opponents to surrogacy, the real problem may lie in
western work culture and continued female inequality. Interestingly, two major tech
companies, Apple and Facebook just offered to pay for egg freezing for their female
executives in an effort to reduce the pressure to chose between motherhood and corporate
advancement.79 The Guardian article suggests this could be seen as attempts to address
gender imbalance in the tech industry by recognising the decline in fertility for women in
their 30’s, just as their post-graduate career is taking off.
The Indian Council of Medical Research has established non-binding guidelines for clinics
with in India providing surrogacy services. The safety of surrogates is questionable without
the enforcement mechanism necessary for appropriate over sight of the clinics.80 Many
commentators highlight that surrogacy in India expands opportunity for women who are
disadvantaged in the strict caste system there.81 Opponents question the informed consent
possible for women from rural, uneducated regions, for cash amounts that would be
77 Shklar, Judith, American Citizenship 2001 eds, Harvard University Press, p.100 78 For a comprehensive view of the socialized issues around western female equality see generally: Roseberry, Lynn, and Johan Roos. Bridging the Gender Gap: Seven Principles for Achieving Gender Balance. Oxford University Press, 2014. 79 Tran, Mark, “Apple and Facebook offer to freeze eggs for female employees’ 15 October 2014, The Guardian online available at < http://www.theguardian.com/technology/2014/oct/15/apple-facebook-offer-freeze-eggs-female-employees> accessed October 15, 2014 80 Smerdon,Usha Rcngachary Symposium: The Baby Market: Crossing Bodies, Crossing Borders: International Surrogacy Between the United States and India, 39 CUMB. L. REV. 15, 15 (2008) 81 See Moral and Ethical Implications, Surrogate Motherhood in India, http://web.stanford.edu/group/womenscourage/Surrogacy/surrogacy_contracts.html
Rebecca J. Graham September 2014 30
significantly greater in a regulated system.82 The capitalist economic system frequently
exploits the labor of third party nationals for greater return on investment.83 No doubt, India's
position within the global capitalist system is responsible for the political views of the
surrogacy market as yet another sellable resource, and responds with a policy approach
towards non-interference in a growing market. Even in the face of gross corporate neglect,
environmental devastation and wide spread health issues caused by capitalist exploitation,
India has ignored its positive obligations to her citizens. Nowhere is this more highlighted
that the lack of government response to protect and regulate commercial markets illustrated
in the Bhopal tragedy.84
The Tissue and Cells Directive of the European Union specifically allows compensation for
donors for the expenses incurred as well as the inconveniences related to the donation.85 The
function of the womb is donated through the surrogacy process and through this lens;
commercial surrogacy that recognises the 24-hour a day role for the surrogate’s reproductive
organs inconvenience could adequately be translated as fee for service. Unlike other living
tissue donations, the tissues and cells involved in the donation of gestational surrogate are not
removed from the individual but used in situ. Gamete donors are allowed compensation for
the genetic material, because without such compensation, donors are unlikely to be found.86
82 Allis, Trevor, ‘The moral implications of motherhood by hire”, Issues in Medical Ethics Vol 5.(1) 1997 available <http://www.issuesinmedicalethics.org/~ijmein/index.php/ijme/article/download/1540/3343> accessed 1 October 2014 83 Mayer, Robert, ‘Sweatshops,Exploitation, and Moral Responsibility’ 2007 Journal of Social Philosophy Vol 38(4) 605-619 84 For a brief look at the tragedy 30 years after the incident see BBC World New look back at the incident, 2009 viewable at http://youtu.be/8Xt_Ddltzn4 85 L 102/48 DIRECTIVE 2004/23/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 31 March 2004 Ch.3 Art 12,1 86 Campbell, D., “Egg and sperm donors to be paid more compensation, Human Fertilisation And Embryology Authority approves higher payments in effort to end shortages”,The Guardian online 19 October 2011 available
Rebecca J. Graham September 2014 31
Is the public policy deference to compensation for surrogate mothers for services
proportional to the effort and role they have in a process where they are the only ones
prohibited from receiving adequate compensation? By preferring altruistic surrogacy to
commercial surrogacy Ekman and other surrogacy opponents fails to see paradox of their
own devaluing of female production. Surrogacy supporters argue if the ethics of keeping
women from making an informed choice to address their extreme poverty are any better.87
The autonomy of choice for both infertile women and surrogate mothers is key consideration
for the future.
1.5 Parental Intent as Parentage
Historic approaches to surrogacy as illustrated by Hammurabi and Genesis indicate that they
most important concept in the surrogacy triad is intent to parent a child not of complete
genetic origin. Parental intent and reproductive desire drive the business of fertility
treatments. Diverse legal approaches to parenthood through assistive reproductive
technologies play a key role in the market by limiting who may have access to the
technology. Where States restrict fertility treatment to married couples only, other areas of
the global surrogacy market are more tolerant of “non-traditional” families. The broadening
of who may reproduce using ART challenges the nuclear family ideal that has become
emphasised in Western traditions. Single women can receive sperm donation and produce
children without sex. Men who are undergoing treatment for testicular cancer can freeze
sperm for future insemination of their partners. Current legal definitions of parentage in law,
<http://www.theguardian.com/society/2011/oct/19/egg-sperm-donors-more-compensation> accessed 1 October 2014 87 Deonandan, Raywat, Samantha Green, and Amanda van Beinum. "Ethical concerns for maternal surrogacy and reproductive tourism." 2012 Journal of medical ethics Vol.38:12: 742-745.
Rebecca J. Graham September 2014 32
where ART is involved, elevate the genetic link of the father while eroding the genetic link of
the mother.88
Most surrogacy law focuses intently on genetic relationships. Without a genetic relationship
between intended parents and surrogate child where services are engaged internationally, free
movement may be indefensible in law.89 Clinical error has accounted for several of these
cases leaving children stuck as created orphans and intended parents without legal ability to
begin family life. Johnson suggests that genetic factors in bio-medical parenting, and the
renewed emphasis on genes because of the human genome project, have reignited the
eugenics in legal and public attitude towards parenting.90 Intention may be a factor in
criminal proceedings, but parental intention carries little weight without a genetic link,
especially when international borders and surrogacy are involved.
Public understanding of family is important to shaping political debates around surrogacy.
Anthropologist, Jeannette Edwards, produced an ethnographic inquiry of public response to
ART in Alltown, England. Her attempt to draw out a cohesive public opinion on surrogacy
found that there was no common narrative. The loudest concern she found both in her
enquiry and in parliamentary debates, was the effects that ART would have on the social
88 HFEA 2008 Section 33 89 See U.S.Department of State, Bureau of Consular Affairs statement: available < http://travel.state.gov/content/travel/english/legal-considerations/us-citizenship-laws-policies/assisted-reproductive-technology.html> “The Department is aware of cases where foreign fertility clinics have substituted alternate donor sperm and eggs for the U.S. parents’ genetic material, either purposefully when the planned genetic material turned out not to be viable or through accidental laboratory errors. The intended parents learned of these undisclosed switches only when the parents obtained DNA tests after the child’s birth, as part of the process of documenting the child’s citizenship for the purposes of obtaining a U.S. passport. Such situations can have the unfortunate consequence of leaving a child stateless or otherwise unable to leave the country of birth.” accessed 12 October 2014 90 Supra n. 45 at 62
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relationships in the future.91 Even with advanced understand of the technologies, she
concluded that the lens of predictable kinship — a social creation — and it’s definable
certainty, became a key factor that shaped public opinion.92 The effect of genetic
relationships, or lack thereof, on children is often examined through adopted children. Juliet
Mitchell and Jack Goody examined the notions of nuclear family and loss through the eyes of
child evacuee’s during World War II. They posit from their findings that parents are never
simply biological, but are consistently defined by nurturing relationships in familiar
surroundings.93 Social parenting is common place in present day family make-up and it is not
uncommon to find children who describe their guardians in ever expanding ways including
step-parents, long term parental partners, grandparents, and other caring adults. Mitchell and
Goody point out that the notion of nuclear family is resigned to a single cultural point of
reference. They note that extended families in some cultures like uncles, or multiple wives,
play important parental roles. Even where two-parent nuclear family as been is seen as the
norm, like the United Kingdom, there are historic patterns of fostering children amongst
classes and the outsourcing of guardianship to boarding schools.94 As Edwards discovered,
the use of reproductive technology seems to change the discussion of acceptable family
makeup in the public mind.
Both parents seeking to adopt a child, and surrogate parents must undergo a number of
relationship measures, and fitness for caring for a child. Children born through natural
reproduction are not held to the same standards. Their fitness for parenthood is only assessed
if there is an external perception, by an authority or mandatory reporter, that a child may be
91 Edwards, Jeanette, ‘Ethnographic enquiry in north-west England’ in Edwards et al (eds) Technologies of Procreation: Kinship in the Age of Assisted Conception, New York, Routledge, 1999 p.82 92 Ibid 93 Mitchell,Juliet, Goody, Jack, ‘Family or Familiarity” in Bainham et al (eds) What is a Parent? A Socio-Legal Analysis 1999 Oxford, Hart Publishing p.116 94 Supra n. 81 at 114
Rebecca J. Graham September 2014 34
neglected, abused or in a precarious situation. The steps to remove the child from the care of
their natural parent are enormous. There is a State level recognition that removing a child
from their parents should be a last resort and only occur if there is no way for the parent to
evolve their behavior.95 Gestational surrogates are the legal mothers in many parentage laws
of the European Union Member States. This ignores that most surrogates are now not
genetically related to the child. The qualification also gives the gestational mother, with no
biological ties at an elevated status of over the biological mother. 96 The biological father
maintains the same importance. If the gestational mother is married, her husband is
considered the father regardless of his involvement in the process.97 While evaluating the
consistent rise of surrogacy, it is important to remember that while international surrogacy
has significantly increased as a result of advancements in reproductive technology, there are
still very few people that engage in these services, and it is unlikely that gestational surrogacy
will replace traditional reproduction methods. Yet, the legal approach clings to archaic
notions of biological parenting modules that neither reflect social parenting reality nor impact
outcomes the law sought to resolve. Surrogacy law often stands in direct opposition to
adoption legal standards of parental intention and definition.
The child welfare principle in law continues to evolve with the introduction of new
understandings of family often engaging behavioral and psychological experts in the
evaluation process. What is appropriate for children is enhanced by new information, which
in turn shapes our public conscious. Susan Brooks, Cornell legal scholar, remarks that this
95 Chill, Paul, Burden of Proof Begone: The Pernicious Effect of Emergency Removal in Child Protective Proceedings (October 2003). Family Court Review, Vol. 41, p. 457, October 2003. Available at SSRN:http://ssrn.com/abstract=1886506 96 HFEA 2008 Section 2 (33) 97 Anderson, P., ‘An Evaluation of Surrogacy Law and its Potential Development in the UK; Is there A Clear Way Forward?’ 2010 king’s Student Law Review 37, p.39
Rebecca J. Graham September 2014 35
“cling” to the individual and psychoanalytic approach in parental custody issues ignores the
wide depth of studies and knowledge regarding children and families.98 Brooks and others
identify the term “family” as all of those individuals in a child’s life where an intimate
connection is sought or exists including friends, neighbors, stepparents, grandparents and
individuals in the child’s immediate support structure community.99 Brooks suggest a five-
step approach to assessing custody and parentage issues. First, to identify who the members
of the family system are, factor in the mutual interests of those members; attempt to continue
those connections where possible, and focus on family strengths not weakness.100 This
approach could apply to surrogate seeking families and the assessment of international
surrogacy arrangements, to alleviate the possibility of stranded children based on genetic
relation alone.
Surrogacy law in Europe is as varied as the language cultures. States that understand the need
to solve infertility often create legal structures to resolve the potentially harmful elements of
surrogacy. Early law shaped by moral panic occurred in an information vacuum. Thirty-five
years after Louise Brown, an international market fills the voids left in domestic law and
creates a completely new set of legal problems.
98 Brooks, Susan L., “A family systems paradigm for legal decision making affecting child custody”, Cornell Journal of Law and Public Policy Vol:6:1, 1996 p.4 99 Ibid p.14 100 ibid p.14
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Chapter 2: The Law
This chapter will examine problems that current surrogacy legislation creates as citizens of
European countries pursue surrogacy in foreign markets. Cases in domestic law of the United
Kingdom, and Belgium will be discussed along with an examination of obligations for
citizenship under International Law.
There are a number of different legal systems involved in cross-border surrogacy. This
patchwork of legal frameworks requires adequate legal representation to navigate which adds
to barriers for infertile couples without financial capacity. EU Member State legal policy on
surrogacy ranges from complete prohibition, to only commercial prohibition, to no legal
framework at all.101 There are equally as many differences in approach to the status of
parentage, and how it may be achieved after surrogacy. In the United Kingdom, the
gestational mother, even if she is biologically unrelated to the child, is always the mother
under English law.102 If she is married, her husband is the legal father unless it can be proven
that he did not consent to the surrogacy.103 Parental orders for the commissioning couple can
be applied for after establishing clear genetic link.104 There are time limits and other
considerations involved in the process as well. France, Germany, the Netherlands, Italy,
Portugal, and Spain have complete bans on surrogacy. However, Italy does have provisions
that allow some infertility treatments to married couples.
101 Brunet,Laurence, et al, Directorate General for Internal Policies “A Comparative Study on the Regime of Surrogacy in EU Member State” Policy Department C: Citizens' Rights and Constitutional Affairs, p-15-16 available <http://www.europarl.europa.eu/RegData/etudes/etudes/join/2013/474403/IPOL-JURI_ET(2013)474403_EN.pdf> 102 HFEA 2008 Sec 33 103 Ibid 104 HFEA 2008 Sec 54(1)
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In the United Kingdom, surrogacy is permitted if it is altruistic only, which creates a void in
the number of available surrogates.105 Who may engage in surrogacy is also proscribed in law
leading to same-sex couples seeking surrogacy services to engage in international surrogacy
in LGBT friendly destinations like California. In the case of X and Y [Foreign Surrogacy],
the UK court was charged with issuing a parental order for two citizens who engaged in
commercial surrogacy in Ukraine. Justice Hedley made his judgment in open court to draw
attention to the problems with citizenship Law in the United Kingdom and Ukraine for
surrogate children. Hedley pointed out the United Kingdom lies between liberal and
restrictive legislative policies towards surrogacy. While commercial surrogacy is prohibited,
the ability to have a child through altruistic surrogacy exists in the United Kingdom, unlike
France, Italy or Turkey.106 Under English Law, the legal mother is considered to be the
surrogate mother, whether she has a biological connection to the child or not, and if she is
married, her husband is the legal father. Under Ukrainian Law, the surrogate mother and her
husband have no legal obligation to the child at all and the child remains the soul
responsibility of the commissioning English citizens.107 The differing legal parentage view
between the two systems left the children with no right of entry to the United Kingdom and
the intended parents had no right to remain with the children in Ukraine.108 Hedley concluded
that where a genetic link between the father, (a UK and EU citizen) and any commercial
aspects of the services in violation of the HFEA 1990 were established, there would no
possible way to deny the child entry to the UK.109 The law could never achieve the goal of
preventing commercial surrogacy because the need to reunite a child with their family was to
important. Hedley also suggested that Parliament consider these facts and reform the policy
105 Nye, Catrin & Patel, Smita “The fraught world of UK surrogacy” 20 August 2014, BBC Radio 4, The Report available http://www.bbc.com/news/magazine-28864973 accessed 21/08/2014 106 X & Y (Foreign Surrogacy) [2008] EWHC 3030 (Fam) Para. 3 107 Family Code of Ukraine Article 123 (2) 108 Supra n. 101 Para. 9 109 Supra n. 102 Para. 24
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as established.110 Another judgment in 2011 again came to the same conclusion asking for a
change in legislation.111
With High Court decisions emphasising the need for legal reform in cross-border surrogacy,
can the judiciary intervene where politics has failed? Reform of legislation through judicial
review is difficult under UK Law. The Human Rights Act has challenged judicial review and
proportionality within the constitutional structure of the UK.112 The ultra orthodox view of
the role of judicial review was defined by Palmer as the “Wednesbury Principle”, and sees
policy making as an independent structure from judicial influence.113 Wednesbury requires a
higher level of scrutiny stating the nature of public policy must be absurd for even a
reasonable person, rather than just the decision was unreasonable.114 This strategy has
disengaged the judiciary and led to infrequent calls for testing and review of the merits of
policy.115 The individual approach to review that this principle envisions can only evaluate
the proportionality or illegality of public policy on an individual basis rather than engage
with the nature of a policy as a whole.116 Whether the judicial review process was
supervisory, as proscribed by the orthodox review, or individual rights based, as in the
evaluative process, the test of proportionality has now been firmly established as reason for
110 Supra n. 29 111 Re X&Y (Children) [2011] EWHC 3147 (Fam) Para. 40 112 Choudhry, S., Herring,J.,“The Human Rights Act: Scheme, Principles and Implementation” Europeans Human Rights and Family Law, 2010 Hart Publishers, London, p.35-73 113 Palmer,E., Judicial Review, Socio-Economic Rights and the HRA, Oxford, Hart Publishers 2009 p.152 114 This principle was established under the decision in Associated Provincial Picture Houses Ltd v Wednesbury Corporation (1948) 1 KB 223 115 Choudhry, S., Herring,J.,“The Human Rights Act: Scheme, Principles and Implementation” Europeans Human Rights and Family Law , Hart Publishers, London, 2010 p.73 116 T.R.S. Allan (2006). HUMAN RIGHTS AND JUDICIAL REVIEW: A CRITIQUE OF “DUE DEFERENCE”. The Cambridge Law Journal, 65, pp 671-695
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review following the decision in R v. Secretary of State for the Home Department.117
Important in Lord Steyn’s opinion in this case is the test that the proportionality of the policy
must meet the “legislative objective”.118 Lord Steyn’s opinion towards judicial review raises
two important questions for the UK approach to surrogacy arrangements and possible effects
if EU law engaged with the surrogacy debate. Does current surrogacy policy meet the
legislative objective? Are the punitive measures of the laws proportional to the violation?
Deidre Madden points out that if aim of surrogacy policy is to prevent exploitation of
surrogates then the current public policy does not achieve this goal.119
2.2 International Law
Destination States for international surrogacy also have legal considerations that attract or
discriminate based on intended parent identity. India and Ukraine do not permit homosexual
couples to receive reproductive services in their market, but in the United States caters to the
LGBT reproductive community.120 When a legally married Belgian gay couple, Peter
Meurrens and Laurent Ghilain, engaged in surrogacy in Ukraine, authorities refused to issue
documents that would allow them to return home with the child.121 The child was sent to an
orphanage and the men were denied entry into Ukraine eternally following a failed
kidnapping attempt. After two years of battle, the Belgian authorities finally issued the child,
Samuel Ghilain, a passport and allowed him to reunite with his family. Links to the final
decision were not able to be located, but burdens that will be explored in another Belgian
117 See Lord Steyn’s opinion in R v Secretary of State for the Home Department, ex part Daly [2001] UKHL 26 para 27 118 R v Secretary of State for the Home Department, ex part Daly [2001] UKHL 26 para 80 119 Madden, Deidre., ‘An Analysis of Legislative Proposals for Parentage in Assisted Reproduction and Surrogacy’ 2014 Irish Journal of Family Law 2(52) p. 8 120Craig, Olga, “Elton John baby: "Thanks to Zacahary, gay surrogacy will become more acceptable’”, 02 January 2011, The Telegraph online available http://www.telegraph.co.uk/health/8235149/Elton-John-baby-Thanks-to-Zacahary-gay-surrogacy-will-become-more-acceptable.html accessed 17 October 2014 121 Melvin, Don ‘Boy stuck for 2 years in Ukraine arrivesin Belgium’ The Washington Post online 26 February 2011 available at http://www.washingtonpost.com/wp-dyn/content/article/2011/02/26/AR2011022601088.html accessed 18 October 2014
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case D and Others v. Belgium, indicate that authorities require independent proof of a genetic
link to the child and do not eagerly accept the birth certificate as issued by the Ukrainian
authorities.122 Since Ghilain case involved two gay men, Ukraine would not issue a birth
record with their legal parentage established.123 India and Ukraine also deny the surrogate
mother any right to the resulting child that results in legal orphans.124
A larger problem is the destination state approach to citizenship and national identity for
children born through surrogacy. India revoked passports for twin boys born for a German
couple leaving the children stateless and unable to travel home with their parents.125 An
Indian Court later overturned the decision and issued the documents to allow the children to
leave. Ukraine also refuses to issue citizenship to children born to foreign couples and since it
is recognized that commissioning couples are the legal parents, adoption of your own child is
not possible.126 A recently decided Belgian case in the European Court of Human Rights
involving this policy in Ukraine will be examined in the case studies section of this paper.
Access to reproductive technologies and the rights to citizenship are not only domestic legal
issues. Signatories to the predominant treaties of international law also indicate positive
obligations to establish citizenship and family. Citizenship is one of the fundamental rights of
all treaties because there is no way to effectively realise all of the other human rights and
legal remedies without its establishment. The Universal Declaration of Human Rights
(UDHR) is the founding document for the European Union. All EU Member States are
parties to the UDHR, which recognizes the family as “the natural and fundamental group unit
122 See case studies section of this paper 123 Rules for Vital Statistic Registration in Ukraine’ of 10/18/2000 No. 52/5 124 Family Code of Ukraine Article 123 (2) 125 See Dhananjay Mahapatra, ‘German Surrogate Twins To Go Home’, The Times of India (May 27, 2010), available http://articles.timesofindia.indiatimes.com/2010-05-27/india/28279835_1_stateless-citizens-balaz- surrogate-mother accessed 13 October 2014 126 supra n.104 at Chapter 18, Adoption
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of society” and requires State protection.127 Individuals seeking surrogacy are attempting to
realise their rights that are naturally afforded and established as a fundamental unit of society.
Just and favorable remuneration for work and social protection when work cannot be found is
tied to human dignity in the UDHR.128 Ignoring the deeply gendered structure of this
passage, surrogate mothers take enormous physical risk working 24 hours a day for 40 weeks
to produce a child for a waiting couple. The many legal structures ignore this demanding that
it be accomplished for a common good and are above compensation. This devalues female
production and perpetuates a patriarchal approach to female work in society. States party to
the treaty have a positive obligation to insure fair pay and social protection of the surrogate,
by overseeing the process to insure that the surrogate fair, humane treatment, adequate
information to make and informed decision. Because clinics are healthcare providers, States
have an obligation to insure they are conducting themselves in a manner consistent with
domestic and international standards of care. This is again highlighted in Article 25 of the
UDHR indicating that “motherhood and childhood are entitled to special care and
assistance.’129 The non-discrimination of birth origin for children is also highlighted in this
section. While. IVF and the surrogacy market were not even imagined during the drafting of
the UDHR, it remains fundamental that the child regardless of status when born, enjoy the
same social protections – including citizenship.
In the International Covenant on Economic, Social and Cultural Rights (ICESCR) the
fundamental right of a family is again emphasised.130 Added to the passage is the positive
127 Universal Declaration of Human Rights, United Nations, G.A. Res. 217 (III), UN GAOR, 3rd Sess., Supp. No. 13, U.N. Doc. A/810 at 71 (1948) Art 16 (3) 128 Supra n. 126 at 23(3) 129 Supra n. 126 at 25(2) 130 International Covenant on Economic, Social and Cultural Rights, December 16, 1966, G.A. Resolution 2200 A (XXI), 21 U.N. GAOR Supp. (No. 16) at 49, U.N. Doc. A/6316 (1966), 993 U.N.T.S. 3, 5 (entered into force January 3, 1976) Art 10
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obligation for the establishment (emphasis added) of family, and particularly when the family
is responsible for the care of a child.131 Stateless children are often left in limbo with the
State of birth denying them obligatory care without citizenship, and the State of intended
parents refusing entry of the child until an evaluation of the circumstances can be made. The
State where surrogacy services are engaged has a firm obligation to protect surrogate mothers
and the children born from the services particularly when a clinical error leaves a child
unable to establish parentage in law. Here again, Ukraine and India are not absolved from the
positive obligation to provide the rights of citizenship to a child who may be left stateless
because of conflicting international administrative laws. In the same vein, States external to
Ukraine and India should honor the birth record established by the State, a competent
authority, unless there are clear indications of fraud. In the Belgian case that will be explored
later, the Belgian authorities refused to accept the Ukrainian document and requested proof of
maternity for a child arguing that doing so was a step to preventing child trafficking, and
abduction. The horrors of international child trafficking are real and growing.132 If surrogacy
agreements and intent were registered through a supranational body, the data collected may
be better at preventing trafficking and uncovering unethical practice. This would also serve to
collect identifying information for future access for children born from the practice. The
International Covenant on Civil and Political Rights, (ICCPR) emphasises the right to non-
discrimination under law in Article 2(1).133 ICCPR also includes special protection for
mothers before and after child birth and the non-discrimination of children based on
parentage.134 Article 24 establishes that a child has the right to acquire a nationality and right
131 Supra n. 129 at Art. 10(2-3) 132 Parry, Lizzie, ‘Chinese police bust four major baby trafficking rings rescuing 382 abducted infants and arresting nearly 2000 suspects’ published 28 February 2014, Daily Mail, online available < http://www.dailymail.co.uk/news/article-2570484/Chinese-police-bust-four-major-baby-trafficking-rings-rescuing-382-abducted-children-arresting-nearly-2-000-suspects.html> accessed 13 October 2014 133 International Covenant on Civil and Political Rights, December 19, 1966, G.A. Res. 2200A (XXI), U.N. GAOR, 21st Session, Supp. No. 16, U.N. Doc. A/6316 (1966), 999 U.N.T.S. 171, 172 (entered into force Mar. 23, 1976) at Art 2(1) 134 Supra n. 132 at Art 10 (2&3)
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to acquire protection without discrimination as to birth origin or social origin.135 Unlike
ICESCR, where rights under the convention must be progressively realised, ICCPR is a
binding justiciable document.136
The Convention on the Rights of the Child (CRC) is the most widely ratified of all of the
United Nations treaties.137 All domestic and regional treaty bodies accept the principles of
legal decisions should be based on the best interest of the child, and frequently refer back to
the Convention as a primary body for establishing this principle as a matter of common law.
Once a child is born, questions of reproduction methods, commercial aspects of the process
or clinic regulation are cannot create punitive measures against the child. The non-
discrimination of children based on birth status is enshrined in Article 2 of the CRC and
confers a positive obligation on signatory States to prevent such discrimination, especially in
law.138 Article 7 of CRC deals with the State’s positive obligations to establish citizenship.
This obligation should extend towards commercial surrogacy States and the intended parent
home State.139 Ukraine fulfills the obligation to register the surrogate child at birth but denies
even temporary nationality.140 Where national law conflicts with the right to acquire
nationality, the signatories have an obligation to change them to prevent the stateless child.
Interestingly, the United States has not ratified the Convention on the Rights of the Child, yet
treats children born through surrogacy as US citizens for the purpose of issuing birth and
travel documents. The United Kingdom has ratified the treaty but placed interpretive
135 Supra n. 132 at Art 24 136 Supra n.129 Art. 2(1) states that the parties shall pursue ICESCR rights “to the maximum of its available resources, with a view to achieving progressively the full realization of the rights recognized in the present Covenant by all appropriate means, including particularly the adoption of legislative measures”. 137 Convention on the Rights of the Child Adopted and opened for signature, ratification and accession by General Assembly resolution 44/25 of 20 November 1989 entry into force 2 September 1990, in accordance with article 49 138 Supra n. 136 at Art. 2 (1&2) 139 Surpa n. 136 at Art 7 (1&2) 140 Supra n. 123
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guidance in the ratification to declare its understanding of the term 'parent' in the treaty tying
this definition specifically to national law.141 In 2008, the United Kingdom withdrew
reservations initially communicated regarding citizenship and the right to remain.142 The
European Union is committed to recognizing international frameworks within legislation as
will be discussed in the harmonisation section of this paper. But can EU Law step in an
harmonise domestic European law?
141 '(b) The United Kingdom interprets the references in the Convention to `parents' to mean only those persons who, as a matter of national law, are treated as parents. This includes cases where the law regards a child as having only one parent, for example where a child has been adopted by one person only and in certain cases where a child is conceived other than as a result of sexual intercourse by the woman who gives birth to it and she is treated as the only parent' 142 See Status of ratification, Reservations and declarations from United National Web site available at <https://treaties.un.org/Pages/ViewDetails.aspx?src=TREATY&mtdsg_no=IV-11&chapter=4&lang=en> accessed on 1 October 2014 ’On 18 November 2008, the Government of the United Kingdom of Great Britain and Northern Ireland informed the Secretary-General that it had decided to withdraw the following reservations made upon ratification: “…..the Government of the United Kingdom withdraws the following reservations, made at the time of ratification of the Convention:(c) The United Kingdom reserves the right to apply such legislation, in so far as it relates to the entry into, stay in and departure from the United Kingdom of those who do not have the right under the law of the United Kingdom to enter and remain in the United Kingdom, and to the acquisition and possession of citizenship, as it may deem necessary from time to time.’
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Chapter 3 Theoretical Issues
This chapter will evaluate the competency of European Union Law to regulate one key factor
of the legal problems created by the cross-border surrogacy. The first section will examine
how EU Law and the European Court of Justice harmonise the differences in Member State
Law and when it exercises EU legal supremacy to national Law. The second section will
examine what EU citizenship is, and if EU citizenship could play a role in creating a
mechanism to address citizenship conundrums in cross-border surrogacy.
3.1 Harmonisation: Unified approach
How does EU develop and harmonise contentious Member State policy?
European Union Law must be restricted to areas of its competency conferred to the legal
body by the Member States to realise the objectives in the treaties established in EU Law.143
In areas lacking Treaty proscribed competencies, EU Law uses the principle of subsidiarity
when it is clear that a goal cannot be achieved by Member States or where the EU is in a
better position to achieve that goal.144 The core areas of competency of EU Law have grown
from the beginnings established in TFEU145 following Amsterdam146 and Lisbon147
enhancements. The approach of the European Court of Justice to the supremacy and direct
effect of EU Law on member states has also evolved since its early rulings. The supremacy of
EU Law over Member State Law is seen as complete when it is exercised in areas of EU
143 European Union, Treaty of Lisbon Amending the Treaty on European Union and the Treaty Establishing the European Community, 13 December 2007, 2007/C 306/01, Art 5(2) 144 Supra n.142 at 5(3) 145 European Union, Treaty Establishing the European Community (Consolidated Version), Rome Treaty, 25 March 1957 146 European Union, Treaty on European Union (Consolidated Version), Treaty of Amsterdam, 2 October 1997, 147 Supra n. 142
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competency.148 Article 288 TFEU establishes that regulations shall be binding in “its
entirety” and applicable in all Member States. This article also establishes that National Law
must then adopt EU Law into the national system through methods that can be shaped by that
Member State. When a provision in EU Law does not already exist in National Law of a
Member State, the substitution and direct effect provisions apply EU Law directly into
National Law.149 These were principles established in Costa v ENGEL to ensure that EU law
remained effective while states knowingly abdicated their sovereignty.150 This has not been
without contention. Member State Constitutional Courts have pushed back on ECJ notions of
direct effect established in Costa. The German Constitutional Court rulings in the 1st Solange
case questioned whether the direct effect principle could apply to fundamental rights in
German Law when EU Law lacked a codified set of rights.151 Twelve years later, the German
Constitutional Court rolled back its firm stance, and included an “as long as” principle,
stating that the court would not question EU Law if the same rights existed in German
Law.152 The German court retained the right to interpret new EU Law against the German
Constitution. Since Costa, and as a result of the Solange cases, there has been a subtle shift
from direct effect to cooperation between national systems. The ECJ ruled in the
Simmenthal153 case that it is the duty of a national legal system to set aside a law that
conflicts with EU Law, but doesn’t require the National Law to be void.154 This is a distinct
148 Craig, Paul, and Gráinne De Búrca. EU law: text, cases, and materials. 2011 Oxford University Press, p.256 149 Ibid p.932 150 Case 6/64 Costa v ENGEL [196] ECR 585.593 151 Internationale Handelsgesellschaft v. Einfuhr und Vorratsstelle für Getreide und Futtermittel (BVerfGE 37, 271; 1974 2 CMLR 540) 152 in Wünsche Handelsgesellschaft (BvR 2, 197/83; 1987 3 CMLR 225) 153 Arrêt de la Cour du 9 mars 1978. Administration des finances de l'État contre Société anonyme Simmenthal. Demande de décision préjudicielle: Pretura di Susa - Italie. Non-application par le juge national d'une loi contraire au droit communautaire. Affaire 106/77 154 Judgment of the Court of 22 October 1998. Ministero delle Finanze v IN.CO.GE.'90 Srl, Idelgard Srl, Iris'90 Srl, Camed Srl, Pomezia Progetti Appalti Srl (PPA), Edilcam Srl, A. Cecchini & C. Srl, EMO Srl, Emoda Srl, Sappesi Srl, Ing. Luigi Martini Srl, Giacomo Srl and Mafar Srl. Reference for a preliminary ruling: Pretura circondariale di Roma - Italy.
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shift from supremacy, as envisioned in Costa, to a nuanced approach following the Solange
cases. Dougan suggests this has created a cooperative relationship with national judicial
systems. However, supremacy of EU Law can provide “legal effects in the national legal
system…without the need for a Community norm to be clear.”155 Increasingly national courts
are interfacing with the ECJ to insure compliance indicating a clear willingness on the part of
the State to be subject to ECJ rulings.
Over the past decade, there is an increased need for a European level approach to Member
State harmonisation established by the early ECJ rulings and enhanced by the Lisbon Treaty.
The European Community has become a major player in the global market and the global
response to terror. Policing and judicial cooperation were hoped to be enhanced between
Member States as result of several Framework Decisions passed between 2000 and 2009.156
These are normally seen through the lens of soft law under a “second pillar” system to EU
authority, to encourage effective policy making through legislative deliberations and joint
decision making with national legislature.157 The method of joint decision-making can be
illustrated in how the Belgian Constitutional Tribunal asked the CJEU for a preliminary
ruling on the ability to implement the framework decisions that would simplify extradition of
nationals, post 9/11.158 After asking for a preliminary ruling on the validity of the Belgian
national implementation, the Tribunal demonstrated they respected the recommendations
made by using the ECJ decision to amend the original policy.159 The German Constitutional
Recovery of sums paid but not due - Treatment of a national charge incompatible with Community law. Joined cases C-10/97 to C-22/97 at 21 155 Dougan, Michael. "When worlds collide! Competing visions of the relationship between direct effect and supremacy." 2007 Common market law review 44:4 p. 932. 156 European Union: Council of the European Union, Council Framework Decision 2002/584 on the European Arrest Warrant and the Surrender Procedures between Member States, 13 June 2002 is one of many framework decisions in response to the “War on Terror”. 157 European Union, Treaty on European Union (Consolidated Version), Treaty of Maastricht , 7 February 1992, Official Journal of the European Communities C 325/5 158 Cour d’Arbitage Case No. 124/2005 159 Cloots, Elke. ‘Germs of Pluralist Judicial Adjudication: Advocate Voor de Wereld and other references from the Belgian Constitutional Court’ 2010 CMLRev 47:645,p. 652
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Court declared the European Arrest Warrant Act, established to bring the EU framework
decisions into effect in Germany void, because the legislature did not exercise the “full scope
of afforded to national implementation.”160 Because the Framework Decisions are not
directives, they do not require the same direct effect supremacy a EU Directive would
require. However, both the Belgium and German courts recognition of the need to apply
framework decisions in national law, indicate a willingness to except framework decisions as
binding, as long as they appropriately applied within the national system. Recent follow up
legislation for the European Arrest Warrant indicate a willingness to create mechanisms at
the EU level for cross-border information sharing, and periodic review for unexecuted
warrants.161 Cross–border information sharing will be important to creating a surrogacy
mechanism that would properly address fears associated with trafficking and exploitation.
This may seem like a watered down the way in which the EU can ‘directly effect’ the
national systems with a Constitutional Courts, but it is clear that national courts respect the
ECJ and desire to create compliance between both national and EU systems.
Recommendations and joint decisions under the third pillar in EU Law are not supposed to be
binding but the referral to the ECJ to evaluate the national implementation should be seen to
indicate a willingness to be bound absent a need to be bound.162
The ability for the European Union to regulate all levels of surrogacy would require a number
of factors for evaluation. Most of the areas that would pertain to a cohesive surrogacy policy
fall under the realm of shared competency between Member States and the EU. Under
Article 4 of TFEU, the EU has shared competence with Member States for social policy,
160 Press release no. 64/2005 of 18 July 2005 on the judgment of 18 July 2005 – 2 BvR 2236/04 in English available < http://www.bverfg.de/en/press/bvg05-064en.html> accessed 17 October 2014 161 European Parliament resolution of 27 February 2014 with recommendations to the Commission on the review of the European Arrest Warrant (2013/2109(INL) 15-18 162 Elspeth Guild, “The Constitutional Consequences of Lawmaking in the Third Pillar of the European Union’ in Paul Craig & Carol Harlow (eds), Law Making In The European Union, Kluwer Law International 1999 p.74-75
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territorial cohesion, consumer protection, freedom, security, safety concerns in public
health.163 Under Article 5 the Union may take initiative to ensure coordination of social
policies.164 As surrogacy policy varies amongst member states and is very contentious, the
ECJ is unlikely to weigh in or attempt to create an over all EU Community policy towards
surrogacy. However, the citizenship component of the cross-border surrogacy argument
meets both the unjustified restriction of a fundamental right, and an international/internal
market component area where the ECJ has significant competency and supremacy. The case
studies section of this paper will also illustrate a common judicial understanding of
citizenship rights in surrogacy decisions. Under Article 67 TFEU the Union commits to
mutual recognition between judicial and extra judicial matters in civil law.165 Member States
and the European Court of Human Rights have come to a common conclusion on the entry of
children born to EU citizens using surrogacy in a third country.166 The European Court of
Human Rights has struck down Member State policy that ignores the citizenship obligation.
Under the Principle of Proportionality, the Court of Justice will evaluate the policy of a
Member State only when it ‘unjustifiably restricts and important legally recognised right’ and
considers the Court to have overall competence to do so.167 De Burca also suggests that if the
right is an individual right rather than a collective right, the ECJ is more likely to adjudicate.
Citizenship for a surrogate child born in a third country to a EU citizen is an individual right
with a consistent National and ECtHR judicial understanding. In the United Kingdom, critics
often reproach EU judicial intervention as a violation of Parliamentary sovereignty.168
However, if the EU Principle of Proportionality was applied to the citizenship right in cross-
163 Supra n.142 at 4(2) 164 Supra n.142 at 5(3) 165 Supra n.142 at 67(4) 166 Case C-319/97 Kortas [1999] ECR-I-3142 167 De Búrca, Gráinne. "The principle of proportionality and its application in EC law." 1993 Yearbook of European Law Vol 13:1 p.111-112. 168 Caporaso, James A. "Changes in the Westphalian order: territory, public authority, and sovereignty." International Studies Review (2000): 1-28.
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border surrogacy, it would not be violating any function than is already possible in existing
UK law. Rather than challenge member state policy, the EU scope would apply only to the
citizenship right and more importantly, a right already established in UK case law.169
.
Rather than evaluating a Member State policy under the principle of proportionality, the EU
can use existing purview to create a common policy with regards to external borders and third
party nationals moving through out Europe.170 Under Article 77, the Union can take action to
create special provision for identity cards, residence permits and other documents after
consulting with Parliament as a special legislative procedure.171 The EU also has the ability to
make agreements with ‘third countries’ to determine the provenance of documentation, and
the definition of entry and residence for third country nationals for the purpose of family
reunification.172 These would be key factors in creating a citizenship mechanism for surrogate
children of EU citizens.
3.2 EU Directives and Reproductive Rights
How does the European Union harmonise contentious issues? European Union directives
have a harmonizing effect because they set the tone for member states to accept that a legal
norm has been established. Success of Member State implementation for issues steeped in
contention such as abortion may not occur right away, but the right should be able to be
challenged successfully on the individual level as decided in Costa. The passed Directive
2000/78/EC OJ L303 16, deals with discrimination only based on employment, occupation,
and vocational training. It does not extend into other areas. On July 2, 2008, the European
Commission proposed an anti-discrimination directive that would extend beyond all of social
169 See Case Studies Section of this paper. 170 Supra n. 142 at 77(a-c) 171 Spura n. 142 at77(3) 172 Supra n.142 at 79(2a,b,d and 3)
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protection, social advantages and access to goods and services.173 While the Equality
Directive is stalled and potentially not able to be passed because it extends beyond the
employment scope into health care access to goods, this could have profound implications for
access to IVF treatment, and the treatment of children born of surrogacy in third country
destinations. Article 16 of the Directive demands that any laws, regulations and
administrative provisions (emphasis added) contrary to the principle of equal treatment be
abolished. This would also remove barriers for LGBT families where IVF is possible and
remove discriminatory evaluation of birth origin for citizenship of surrogate children. The
inclusion of LGBT rights remains a contentious issue for many Member States. The Social
Security Regulation Directive deals with the access and reimbursement for cross-border
health care currently codified by the Patient Mobility Directive. Directive 98 deals with the
harmonizing of national policy on in vitro diagnostic medical devices including assisted
reproductive technologies. It deals with making their creation standardised, not on prohibiting
their use.174 The Tissues and Cells directive explicitly states the Directive can not change “the
Member States defining the legal term ‘person’ or individual’ giving Member States the
ability to mold national policy to maintain cultural standards.175
While examining the report of the regime of surrogacy in the EU, the break down of Member
State legal status for surrogacy highlights the curve of wealthy states with restrictive laws
making up much of the case law pushing for surrogacy, while the poorest of states are often
involved in the surrogacy services.176 This lack of services in the wealthier states is driving
173 Brussels, 2.7.2008 COM(2008) 426 final 2008/0140 (CNS) 174 Patient Mobility Directive (Directive 2011/24/EU Directive 98/79/EC OJ L331/1(7.12.1998) 175 Directive 2004/23/EC, OJ EU L 102/48 (07.04.2004) & Directive 2006/17/EC, OJ L 28/40 (09/02/2006) & Directive 2006/86/EC, OJ L 294/32 (25.10.2006) make up the Tissues and Cells Directives. 176 Brunet, Laurence, et al, Directorate General for Internal Policies “A Comparative Study on the Regime of Surrogacy in EU Member State” Policy Department C: Citizens' Rights and Constitutional Affairs, p-15-16 available
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intended parents to the poorer states where donors are potentially forced to use reproduction a
form of employment.177 An overwhelmingly negative report on surrogacy for EU parliament
calls for regulation seeing the cross-border element as a way to avoid domestic law reform.178
The report highlights the varied surrogacy regimes, multi-million dollar global economy in
non-EU destination States, and the increased movement of EU citizens to seek these services.
If EU law were to engage with a Citizenship Directive for cross border surrogacy, there
would be no danger of infringing on member state legislation on surrogacy. To the contrary,
if a EU mechanism to aid citizenship conundrums in cross-border surrogacy arrangements
were to develop, member states could effectively evaluate the social dimensions of the
services with the benefit of hard data to reform or enhance internal law in a slower process.
Member states could also be part of the solution to unregulated surrogacy markets by driving
EU citizens to “best practices States” as a form of social conscious branding drawn from the
information a supranational collected.
3.3 Citizenship
What is EU Citizenship and can the European Union create a mechanism to mitigate the
creation of stateless children when EU citizens engage in international surrogacy?
<http://www.europarl.europa.eu/RegData/etudes/etudes/join/2013/474403/IPOL-JURI_ET(2013)474403_EN.pdf> 177 L Brunet a.o., A comparative Study on the Regime of Surrogacy in EU Member States, 2013 PE 474.403 available online at <htto://www.europarl.europa.eu/RegData/etudes/etudes/join/2013/474403/IPOL-JURI_ET(2013)474403_EN.pdf> 178 Supra 122 at p. 36 ‘What is seen as law evasion in certain national contexts which leads people to cross borders, may be a deliberate safety valve to national policy-makers and legislators which reduces pressure for domestic law reforms. This makes the need for regulation on EU level imperative to safeguard health and safety.’
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The European Parliament issued a strategy for a 'renewed social agenda' in, EU Law on, 6
May 2009179 emphasizing the role of the EU in setting external social agenda both as the
body to promote and influence the international agenda, and to assume a more proactive role
in promoting social and environmental standards internationally.180 Immigration is a growing
responsibility of EU law. Every citizen of a EU member State is automatically a EU citizen
though this does not replace national citizenship.181 As a EU citizen, individuals are affording
the rights of free movement, complaint to European Ombudsman, diplomatic and consular
protection and the ability to vote in EU elections.182 Supplemental to national citizenship, the
revocation of national citizenship does not immediately revoke EU citizenship as will be
explored in this section.
Citizenship policy in States where commercial surrogacy is commissioned has an enormous
bearing on the free movement of children. In Re L 2010, U.K. Justice Hedley highlighted the
problem of international surrogacy and the interaction with citizenship and immigration. The
child in this case gained entry to the United Kingdom through the temporary issuance of a
U.S. Passport.183 The immigration of the minor child was not complete, but the issuance of a
parental order decided in this case will likely remove barriers to appropriate immigration. The
temporary citizenship offered by the United States allowed the child to travel with intended
parents and start the process of bonding. The United States position on issuing the passport to
the child recognised the positive obligations of the State towards the child's right to
citizenship defined in international and domestic law. Hedley argued that he felt it was time
to relax the provision requiring commercial surrogacy cases engagement with the High Court,
179 (2010/C 212 E/05) 180 (2010/C 212 E/05) at 52 -55 181 Treaty on the Function of the European Union. Maastricht Treaty 182 European Commission website: http://ec.europa.eu/justice/citizen/ 183 Re L (a minor child) [2010] EWHC 3146 (Fam) at 8.
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as it is clear that the welfare of the child is paramount and not simply a factor as established
by Re X & Y.184
The United States offers a harmonised method of citizenship for surrogate children within its
borders, while individual states have free will to determine their own policy towards
surrogacy services. Commercial surrogacy may be illegal to obtain in many U.S. States,
children born from the services in a permissive state remain U.S. Citizens when they move to
a State where the procedure is prohibited.185 This clear separation between access to services
and the fundamental right of citizenship provides a model for the European Union. While the
notion of a federalist EU is unpalatable in many member states, EU citizenship is already
conferred and endowed with political rights, as well as the right to legal redress.186 Can the
EU ever become a pan-Europe national identity as envisioned?187 Opponents like Dimitris
Chryssochoou argues that the suis generis between the pragmatic and normative approach to
a unified policy under EU law mean that there is no basis for "European sovereignty to
emerge."188Increasingly, Members States are realizing the importance of cooperation and
citizenship at the EU level when attempting to combat returning jihadi fighters in the Syrian
conflict.189
184 Ibid at 11 185 Afroyim v. Rusk, 387 U.S. 253 (1967) The U.S. Supreme Court decided a person cannot lose U.S. nationality unless he or she voluntarily relinquishes that status. 186 See generally Sitter, Nick. "The politics of opposition and European integration in Scandinavia: Is Euro-skepticism a government opposition dynamic?." 2001 West European Politics 24(4) p. 22-39. 187 Report on ‘A People’s Europe’ following the Fontaineblue summit of the European Council, COM(84)446 final 188 Chryssochoou, Dimitris N. Theorizing European Integration 2009 Routledge, New York p. 91 189 Neilsen, Nikolaj “Europe at Risk of “Huge Number” of returning Jihadist Fighters” Euonbserver, Brussels, 10 Oct 2014 <https://euobserver.com/justice/125996>
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Areas where cross-border rights play a role, along with adequate care as well as community
standardization are the triggers for TFEU.190 Free movement of people and capital is a core
right as established in 1968. Border restrictions between member States were abolished for
workers under Directive 68/360/EEC. This treaty also contains a provision that enables the
worker to provide proof of relationship issued by a competent authority to allow family
members to move as well.191 Under Article 4 in the Directive, in case of a family member
who is a resident of a non-member State, the Council directs member States to issue the same
residency document, “that is the same as the worker on whom the individual is dependent.”192
While this Directive applies to the free movement of workers, there is a clear intention from
the EU to apply a harmonized approach to citizenship and movement for EU citizens. Here
the connection of the individual to their citizenship rights under European Law confers
special status that overrides domestic border law.
The mantra of European Citizenship has been repeated through out case law in the CJEU. In
the 2001 Grelczyk case, the ECJ stated 'Union citizenship is destined to be the fundamental
status of nationals of the Member States.'193 Article 20 of TFEU specifically states that EU
citizenship is additional to national citizenship. The importance of EU citizenship was also
emphasised in Rottmann v Freistadt Bayern. In this case, an Austria national lost his
citizenship when he became a naturalized citizen of Germany. After naturalized in Germany,
190 See Articles 33, 34, 46, 47 of Convention for the Protection of Human Rights and Fundamental Freedoms CETS No.:005, entered into force, 3 September 1953 191 European Union, Directive 2004/38/EC of the European Parliament and the Council of 29 April 2004 on the right of citizens of the Union and their family members to move and reside freely within the territory of the Member States amending Regulation (EEC) No 1612/68 and repealing Directives 64/221/EEC, 68/360/EEC, 72/194/EEC, 73/148/EEC, 75/34/EEC, 75/35/EEC, 90/364/EEC, 90/365/EEC and 93/96/EEC, 29 April 2004, 2004/38/EC 192 Council Directive 68/360/EEC of 15 October 1968 on the abolition of restrictions on movement and residence within the Community for workers of Member States and their families Art. 4(4) 193 Case C-184-99 Grelczyk v Centre public d’aide sociale d’Ottignies-Louvain-la Neuve [2001]ECRI-6193 (31)
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it was discovered that Rottmann lied about pending criminal charges in Austria. Germany
moved to revoke his citizenship, which would render him stateless.194 The ECJ turned over
this move. Commentators on the ruling also indicate that the ECJ’s approach towards the
revocation of citizenship may also apply to the refusals to grant citizenship.195 Where
member states have refused citizenship to children born of surrogacy the ECtHR has over
turned the refusal.196
The right of a child to EU citizenship, residence and free movement is established in ECJ
case law in Zhu and Chen v. Secretary of State for the Home Department.197 The case
involved a Chinese national who had given birth to a daughter in Northern Ireland. The child
obtained Irish citizenship through birth, as UK citizenship under the British Nationality Act
1981 did not automatically grant nationality to a child born in the territory.198 The UK
refused a residency permit to the mother under the grounds that the child did not possess
sufficient resources to care for itself as required and the mother's means could not be used as
proof of means. The UK government also rejected that the child, because of her age, could
not exercise any legal rights to EU citizenship and these rights did not apply to her mother, a
Chinese national. While the ECJ upheld the notion that EU rights did not extend to the
mother based on dependency, they highlighted that failure to grant the leave to remain would
effectively "deprive the child's right to residence without any useful effect.'199 EU Citizenship
can be seen to be an effective right regardless of ability to work or be a worker as a condition
194 Case C-135/08 Rottmann v Freistadt Bayern, 2 March 2010 195 See commentary from Jo Shaw and others available at <http://eudo-citizenship.eu/commentaries/citizenship-forum/citizenship-forum-cat/254-has-the-european-court-of-justice-challenged-member-state-sovereignty-in-nationality-law?showall=&limitstart=> accessed 1 October 2014 196 Mennesson and Others v France no. 65192/11 197 Case C-200/02 Zhu and Chen v. Secretary of State for the Home Department [2004]ECR I-9925 198 British Nationality Act 1981, 1981 Chapter 61, 30 October 1981(1) A-B 199 Case C-200/02 Zhu and Chen v. Secretary for the Home Department [45]
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of that right. This case also indicates that ECJ may see EU citizenship rights as a special
status regardless of member state citizenship policy. This could potentially mean that EU
citizenship of the parents and their right to establish a family with a surrogate child, could
trump a member state preference for a genetic link to the surrogate. The result would be a
change to make parental intention a test for citizenship of the child rather than a genetic link,
as required by most member state policy in surrogacy matters. This could be a solution for
cases where clinical error resulted in a child that was not biologically related to the
commissioning parents, but where the parents still wished to keep the child. More
importantly, data regarding these incidents would be externally tracked allowing significant
international pressure on clinical practice where the governments of commercial surrogacy
states may be reluctant to examine.200
Can consensus towards citizenship be explained in contentious States? The United Kingdom
political institutions indicate a consistent resentment to the European Union and the ECJ in
general.201 As highlighted previously, surrogacy policy in the United Kingdom developed
under extreme moral panic in response to new reproductive technology. The panic had
abated some by the time the policy was re-evaluated under Human Fertilisation and
Embryology Act 2008, however the Surrogacy Arrangements Act of 1985 was only enhanced
by the wording of the HFA of 1990. Would the court ever deny a child born of surrogacy to
enter the country of the intended parents? Where commercial aspects have been engaged, the
court ruled that the child should be allowed entry. Re X& Y (Foreign Surrogacy) UK ruled
that the best interest of the child must be engaged regardless of how uncomfortable the court
200 Vorzimer,Andrew ‘More Surrogacy Horror Stories out of India’ March 23, 2013, The Spin Doctor online < http://www.eggdonor.com/blog/2013/03/22/surrogacy-horror-stories-india/> accessed 13 October 2014 201Telegraph View, “Another EU Threat to National Sovereignty” 14 April 2014 ,The Telegraph online accessed 13 October 2014 <http://www.telegraph.co.uk/news/worldnews/europe/eu/10765509/Another-EU-threat-to-national-sovereignty.html>
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might be with the compensation aspect of cross-border surrogacy.202 This same judgment
was used to evaluate another case in 2011 between an English couple and two women in
India. Sir Nicholas Wall reiterated the statement from Re X&Y in his judgment concluding
that it is unlikely any court would not grant a parental order based on the exchange of
compensation because the welfare of the child was significantly more important than the
commercial aspect that may have been engaged.203 Political institutions may react loudly to
ECJ intervention in surrogacy, but the judiciary has voiced a common opinion that reform is
needed and citizenship of children born through surrogacy is firmly established.
Perhaps most importantly, there is a consensus in case law with regard to entry of children
born through international surrogacy regardless, of the commercial aspect or violation of
national policy. After lengthy processes, Member State domestic courts have continuously
approved parental orders and permitted entry of surrogate children. Member state surrogacy
policy cannot adequately replace the welfare of the child principle in judicial decisions. On
this basis, the European Union could create an entry mechanism that could shorten the entry
delay by allowing the registering of agreements, intent, and external authority issued
documents vetting them, in advance to certify for the member state the questions pertaining
to child entry. This would permit the member states to then evaluate parentage and welfare
through their own domestic courts while the child's fundamental rights are realised. Perhaps
the political will to reform or even create surrogacy law in Member States lacking framework
will be enhanced by allowing the outsourcing of the citizenship argument to the supranational
body. After all, it is very likely that States would support revocation of EU citizenship in
Jihadi cases, which isn’t currently possible through the supplemental application of EU
citizenship.
202 Re X&Y (Foreign Surrogacy) [2008] EWHC 3030(Fam) para 24 203 Re X&Y (Children) [2011] EWHC 3147 (Fam)
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Citizenship and family are the core foundations common in all International Treaties to
which, European Union as an international legal body must adhere. Children have special
protection and demands for citizenship. Signatories to International Treaties have positive
obligations to protect children and family, and to provide citizenship and birth registration.
Increasingly, legal scholars are calling for assured recognition of citizenship for surrogate
children.204 As International law is frequently quoted by the ECJ and most EU member states
are signatories to the core treaties the have positive obligations to engage with the citizenship
problem in cross-border surrogacy. Destinations States for surrogacy are also signatories.
This is where the EU could have a diplomatic influence. Where international law (in the
Kadi205 case, UN Law) does not adhere to EU law, the ECJ has expressly said it should be set
aside particularly if violates human rights.206 Here Advocate General Maduro emphasized a
commitment for EU law to uphold fundamental human rights of the EU community. Absent
any International Framework on Surrogacy, the EU could play an important role in holding
up the fundamental right of citizenship for children born in cross-border surrogacy.
204Ikemoto, Lisa, “The Role of International Law for Surrogacy Must Be Expanded” New York Times, online, 22 September 2014, available at< http://www.nytimes.com/roomfordebate/2014/09/22/hiring-a-woman-for-her-womb/the-role-of-international-law-for-surrogacy-must-be-expanded> 205 Case T-315/01 Yssin Abdullah Kadi v Council of European Union and Commission of the European Communities 206 Op. Advoc. Gen., 3 C.M.L.R. 41 (2008), at 31
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Chapter 4: Case Studies in Law: EU & ECtHR vs. National
The European Parliament issued a strategy for a 'renewed social agenda' in EU Law on 6 May
2009207 emphasized the role of the EU in setting external social agenda both as the body to
promote and influence the international agenda and to assume a more proactive role in
promoting social and environmental standards internationally.208 As highlighted in 3.1 of this
paper, the Treaty on the Functioning of the European Union (TFEU) is triggered in cross
border rights with regards to adequate care and issues of standardization.209 EU accession to
the ECHR makes the Luxembourg decisions very important moving forward.210
Tests for surrogacy law in European Union Law are very limited. C.D. & Nyr decision
through the Court of Justice of the European Union (CJEU) engaged with surrogacy through
employment law and held that EU law does not hold provisions for recipient mothers to
adoptive or maternal leave.211 In its decision the court did fully recognise that surrogacy has
become a wide spread practice since the inception of the directive under which the case was
brought forth.212 Directive 92/85 was written from a singular understanding of mother that
did not include intended motherhood. The argument was the whether the inclusion of “breast
feeding mothers” in the wording of the directive applied to breastfeeding intended mothers
despite the monist understanding of biological motherhood under which the directive was
written. The Court recognised that the protections afforded by the directive applied to
mothers who bottle fed their children at that breastfeeding alone was not a requirement for
protection. Nonetheless, the intent of the directive should be extended to both surrogate
207 Official Journal of the European Union, CE 212, 05 August 2010 (2010/C 212 E/05) 208 Supra 205 at 52 -55 209 Convention for the Protection of Human Rights and Fundamental Freedoms CETS No.:005, entered into force, 3 September 1953 210 Treaty of Lisbon which was entered into force on 1 December 2009 211 C.D. v S.T. C-167/12 Judgment [GC] of 18 March 2014 212 C.D. v S.T. C-167/12 Judgment [GC] of 18 March 2014 at 39
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mothers in terms of their right to protections during pregnancy as well as to intended mothers
who are caring for their children born through surrogacy whether they bottle fed or great fed
the child.213 What is important in the C.D & Nyr case is that the court acknowledges the
prevalence of surrogacy as a reproductive choice for EU citizens. The case also recognises
the importance of the bond of intended mother, regardless of genetic connection, and the
protection of the surrogate mother in employment matters.
Sabine Mayr v Bäckerei und Konditorei Gerhard Flöckner OHG examined through the lens
of employment law engaged with the dismissal of a woman receiving IVF treatment. The
question for the court was whether the dismissal of Mayr fell under the protection of
Directive 92/85/EEC preventing the dismissal of pregnant workers. Under German law, a
pregnant woman cannot be dismissed during pregnancy or for 4 months after giving birth
unless the employer is not aware of the pregnancy. German law permits this law to extended
with notification of pregnancy or birth with in 5 days after dismissal in cases where the
employer may not be aware.214 Mayr was not pregnant at the time of the dismissal but
undergoing IVF treatment that included the implantation of the embryo into her uterus 3 days
after the dismissal. The Grand Chamber ruled that protection for pregnancy workers did not
extend to individuals in the advances states of in vitro fertilization in this case, because the
ova had not yet been established in Mayr's uterus at the time of dismissal.215 The court did
emphasis that while the pregnancy protections might not be able to extend to a worker in
advance IVF, dismissal because of receiving such treatment, as was evident in Mayr case, is
contrary to Directive 76/207.216
213 C.D. v S.T. C-167/12 Judgment [GC] of 18 March 2014 at 90 214 Sabine Mayr, C-506/06, Judgment [GC] of 26 February 2008 at 13 215 Sabine Mayr, C-506/06, Judgment [GC] of 26 February 2008 53 216 Sabine Mayr, C-506/06, Judgment [GC] of 26 February 2008 at 54
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4.2 European Court of Human Rights and EU Law
The ECtHR in Strassbourg has held the most case laws regarding reproduction with some
specific cases regarding surrogacy. Under Brüggeman and Scheuten courts supported Article
8 of the ECHR with respects the right to become a genetic parent217, as a “pregnancy and the
interruption of pregnancy are part of private life, and also in certain circumstances family
life…and the right to establish relationships with other human beings”.218 This is important
to establish the right to be a parent as a fundamental right. S.H. v Austria supports the right
for a couple to “conceive a child and seek medically assisted procreation for that purpose.”219
Academic Nelleke Koffman points out that Article 8 ECHR doesn’t cover the right to
abortion nor procreation, but violations of these rights are generally addressed under this
article and even then, the ECtHR consistently gives Member States a wide margin of
appreciation.220 Without a wide Member State consensus in surrogacy law, the court
continues to allow a wide margin of appreciation for the state to decide reproductive issues as
seen with abortion in the A,B,C v Ireland Case.221 While Article 8 may not confirm the right
explicitly, the ECtHR stated In Costa and Parvan v. Italy that the right to be a parent or not
be a parent is enshrined in case law.222
217 ECtHR (dec.) 19 May 1976, Brüggeman and Schceuten v Germany, no. 6959/75 218 Inter alia ECtHR (dec.) 19 May 1976, Brüggeman and Schceuten v Germany, no. 6959/75 at 115(5) and Scheuten v Germany, no. 6959/75; ECtHR (dec.) 5 September 2002, Boso v Italy, no. 50490/99; ECtHR [GC] 8 July 2004 219 (ECtHR 9dec.) 15 November 2007, S.H. and others v Austria, no. 57813/00 220 Koffeman, N., “Legal Responses to Cross-Broder Movemner in Reproductive Matters within the European Union” Paper for Workshop no. 7. Sexual and reproductive rights: liberty, dignity and equality of the IXth World Congress of the IACL CONSTITUTIONAL CHALLENGES: GLOBAL AND LOCAL , Oslo, Norway, 16-20 June 2014 https://www.jus.uio.no/english/research/news-and-events/events/conferences/2014/wccl-cmdc/wccl/papers/ws7/w7-koffeman.pdf accessed 30 July 2014 221 ECtHR [GC] 16 December 2010, A,B and C v Ireland, no 25579/05 222 ECtHR 28 August 2012. Costa en Pavan v Italy, no.54270/10 at 48
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Along with total bans on surrogacy, states have blocked medical personnel from following
patient care outside their borders specific to ART but not other medical procedures.223 France
has blocked issuing documents for children born through surrogacy outside the country,
leaving the child without the ability to exercise free movement. Though not final, the ECtHR
ruled unanimously that the discriminatory practice of failing to issue citizenship documents
because of surrogacy is unacceptable. In Mennesson v. France224 and Labasse v France,225
the ECtHR ruled on 26 June 2014, that the failure to establish a legal relationship for children
born of surrogacy in the United States to French citizens is a violation of Article 8 of the
ECHR, right to private life for the children involved. While the judgment is in French, the
ECtHR press release affirms that denial of a legal relationship for the child to the intended
parent based on the use of surrogacy was beyond the margin of appreciation afford Member
States.226 French policy discriminated against the children as well as the father's de facto
enjoyment of parental status based on the origins of birth. The European Court of Human
Rights also argued this policy is firmly against established case law with in France's own
legal system.227 Where punishment for helping a patient is demanded by national law228, AG
Van Gerven issued an opinion that suggests such prosecutions are hard to permit under EU
223 This is particularly the case in places where surrogacy is completely against the law like France, and Italy. 224 Mennesson and Others v France no. 65192/11 225 Labassee v France, no. 65941/11 communicated 12 February 2013 226 Press Release issued by Court Registrar ECHR 185 (2014) 26.06.2014 available <http://hudoc.echr.coe.int/sites/eng-press/pages/search.aspx?i=003-4804617-5854908#{"itemid":["003-4804617-5854908"]}> accessed 1 October 2014 227 Ibid “Not only had the tie between the twins and their biological father not been acknowledged when the request was made for the birth certificates to be entered in the register; in addition, the recognition of that tie by means of a declaration of paternity or adoption, or on the basis of de facto enjoyment of status, would fall foul of the prohibition established by the case-law of the Court of Cassation in that regard. In thus preventing the recognition and establishment of the children’s legal relationship with their biological father, the French State had overstepped the permissible margin of appreciation” 228 W Van Hoof and G Pennings, ‘Extraterritoriality for cross-border-reproductive care; should states act against citizens traveling abroad for illegal infertility treatment?’ 2011 Reproductive BioMedicine Online p. 23
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free movement law.229 States have been known to actively prevent cases from being
evaluated under EU Free Movement and Patient Mobility Directives230 by denying travel of
citizens in cases where the State suspects services against public policy may be engaged.
After the Irish denying a 14 year old multiple rape victim the ability to travel to receive an
abortion for 9 months effectively denying her the right to an abortion outside the country.
Because movement never occurred, EU Law could not be invoked. Following the case, the
Irish Constitution was changed to include that it does not limit freedom of travel between
states in an effort to protect life.
The issue of surrogate child citizenship and margin of appreciation in favor of Member States
could have been addressed but was avoided through the recent decision before the Strasbourg
court. In the case D. And Others v. Belgium, the couple traveled to Ukraine for surrogacy and
their names are listed as the parents for the Ukrainian birth certificate. Because there was no
ability for the intended mother to show proof of pregnancy, Belgium refused to issue the
child documents and failed to let the child enter the country, forcing the parents to hire a
nurse and leave the child behind. The process left the family separated from each until such
time they could meet the Belgium requirements other and they argue that their article 3 and
article 8 rights of the Convention for the Protection of Human Rights and Fundamental
Freedoms, were violated because of their separation. The communicated case highlighted
previous civil practice where the paperwork is issued in favor of the intended parent quoting,
Trib. Antwerp, December 19, 2008, Liège Court of Appeal, September 6, 2010, Journal of
the Courts, 2010, p. 634, Trib. Brussels, 15 February 2011.”231 As legal parents in the eyes of
Ukraine, the couple is responsible for the well being of the child, but the Belgium state
229 Cf. Grogan, C-159/90, Opinion of Advocate General Van Gerven of 11 June 1991 [1991] ECR-I-4703 230 Patient Mobility Directive (Directive 2011/24/EU) 231 Request n o 29176/13, D. and R. against Belgium, introduced April 30, 2013
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effectively removed their ability to uphold their obligations effectively. The harmed caused to
the family, who now reside together in Belgium, was used as burden of proof for this case. A
focus on the legal documentation ignores the rights of the existing child and the rights of the
child should have supremacy. Currently, the intended mother is no longer on the birth
certificate. The ECtHR avoided a decision with regards to failure of the Belgium State to
issue travel documents because at the time the case was heard, the child had received the
temporary documents and the court held that the issue was resolved. The ECtHR could have
emphasized Belgian obligations under ECtHR with regard to administrative procedure and
the obligations under the Convention on the Rights of the Child. Without watering down
member state sovereignty, pointing to the imperative to prevent national policy from creating
stateless children under Article 7 of the CRC. Ukraine and Belgium have both ratified CRC
and have clear obligations to change entry policy for surrogate children of nationals and the
issuing of documentation for surrogate children at birth.232 Belgium has registered
reservations in response to CRC Article 2 specifically against the obligation to prevent
discrimination on the grounds of nationality. In the United Kingdom, citizenship decisions
have been made on the internal member state level.
Access to IVF in Member States will still be given a wide margin of appreciation. However,
in Costa en Pavan case two clashing interests between IVF and abortion were evaluated. The
couple was denied access to IVF and Pre-implantation Genetic Diagnose (PID) because they
were not infertile. As carriers for genetically transmitted disease, they had already produced
one child with the condition. The couple could avoid passing on the condition to other
children through IVF treatment and PID, which they were not allowed in Italy. Italian law
allowed them to terminate a pregnancy if the foetus showed signs of the disorder they wished
232 Ukraine signed the CRC 21 February 1990 and ratified the document 28 August 1991. Belgium signed the CRC 26 January 1990 and ratified the convention 2 May 1990
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to test for.233 The court ruled that this created an undue burden requiring the couple to use
natural methods of pregnancy, only to require abortion when the pregnancy proved to involve
the genetic disorder. The court found this to be a disproportionate interference in the
applicants right to private and family life. The Strasbourg court also suggested that the
proportionality test for a blanket ban on PID should be reevaluated in favor of a highly
regulated approach to procedure.234
EU Law is not likely to engage with any service provision for IVF or other infertility
treatment. However, where such services are engaged, the EU principles of non-
discrimination should apply. Gas & Dubois is a case where the Strasbourg court has ruled
that same-sex couples are not the same as infertile heterosexual couples.235 This could
potentially affect the quality of family argument however; X and Others V Austria inter alia
decided that the rights and entitlements with in the convention must be non-discriminatory in
application.236 Pending EU legislation is also attempting to engage with equality in law for
LGBT EU community members that may change the possibility for IVF treatment for LGBT
families under EU law in the future.237 Access to fertility treatment for heterosexual couples
is by no way guaranteed in the face of restrictive member state law. In SH and Others, the
lower court found that there was a violation of Article 8 with respect to the denial of infertile
couples and access to IVF treatment wholly restricted in Austria. This ruling was later over
turned in the Grand Chamber.238 The Grand Chamber heavily quoted the margin of
appreciation for States in their ability to provide Assisted Reproductive Technologies as there
233 ECtHR 28 August 2012. Costa en Pavan v Italy, no.54270/10 at 58 234 ECtHR 28 August 2012. Costa en Pavan v Italy, no.54270/10 at 63 235 ECtHR 15 March 2012, Gas and Dubois v France, no. 25951/07 236 ECtHR [GC] 19 February 2013, X and others v Austria, no. 19010/07 237 Proposal for a Council Directive on implementing the principle of equal treatment between persons irrespective of religion or belief, disability, age or sexual orientation, Brussels, 2.7.2008, COM(2008) 426 final 238 ECtHR 1 April 2010, S H and Others v Austria, no.57813/00
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is “no sufficiently established European consensus as to whether ova donation for in vitro
fertilization should be allowed”.239
The Akerberg (tax) Judgment has led to the acceptance that the Charter of Fundamental
Rights only comes into play where the scope of EU Law is involved and then becomes the
minimum standard.240 “The Court allows the applicability of the national fundamental rights
standard “in a situation where action of the Member States is not entire determined by
European Union law”, yet the fact that there is a connection with EU law means that the
Charter level of protection applies as a minimum guarantee. It also means that the national
standard can only apply if it does not compromises the primacy, unity and effectiveness of
European Union law – a question on.”241 This has significant potential for the ability of EU
law to use Charter law to address surrogacy issues. The Charter has much more promise for
reproductive rights than EU Law but where the charter address issues around surrogacy, EU
law should make charter law the minimum according to the Akerberg tax Judgment. EU law
has only specifically engaged surrogacy cases in Sabine Mayr where it defined advanced
stage IVF treatment in law for employment purposes.242
EU Law provides for a wide margin of appreciation for member states to make decisions
regarding reproductive issues, but it can still normalise the free movement and recognition of
legal documents between EU member States removing the barriers for the parent and child to
exercise their free movement rights. EU law can also engage in negotiations with external
regional bodies like the United States to set a minimum standard of recognitions for infertile
couples abroad or at home making this travel unnecessary. Recalling the ECJ decision in Zhu
239 ECtHR 1 April 2010, S H and Others v Austria, no.57813/00 at 106 240 Akerberg,I C-610/11 Judgment 26, [GC] February 2013 241 Commentary from Vicky Kosta, Leiden University 242 Sabine Mayr, C-506/06, Judgment [GC] of 26 February 2008
Rebecca J. Graham September 2014 68
& Chen in the citizenship chapter, in light of the ECtHR ruling against denial of French
citizenship to surrogate children, the ECJ should have enough case law from Member States
and European Court of Human Rights to suggest a citizenship mechanism for surrogate
children in the absence of an International Surrogacy Treaty.
Rebecca J. Graham September 2014 69
Chapter 5: A Model to move Forward?
There are a number of potential models for cross-border surrogacy both at the national and
international level. Phillip Anderson suggests that the United Kingdom should use the Israeli
model for legal reform for surrogacy. Where in Israel only full surrogacy is allowed,
contracts are enforceable and commercial surrogacy is permitted.243 He suggests replacing
the problematic parental orders that would require creation of a mechanism to allocate
parental rights based on the enforceable agreement.244 This method within a Member State is
certainly better suited to coping with parental intent in surrogacy and would realise enhanced
protections for all members of the surrogacy triad.
Erica Davis calls for international regulation on surrogacy, believing that if regulation does
not occur soon, it will lose the potential to be effective since it is clear that case law allowing
commercial surrogacy is mounting. 245 Barring any movement to develop a cohesive
approach to surrogacy in Member States, the European Union can use its current capacity to
address a citizenship through existing models.
In the United States, citizenship is conferred through birth to U.S. Nationals abroad or birth
with in the territory of the United States of America. The individual states within the U.S.,
like in the EU, have wide and varied public policy towards the availability of surrogacy.246
243 Full surrogacy here refers to complete IVF where the surrogate is in no way related to the feotus. 244 Anderson, Phillip K. ‘Evaluation of Surrogacy Law and its Potential Development in the UK; Is There a Clear Way Forward?’2 2010 King's Student L. Rev. 2:37 245 Davis, Erica ‘The Rise of Gestational Surrogacy and the Pressing Need for International Regulation’, 2012 Minn. J. Int'l L. 21:120 246 See excellent visual map on surrogacy policy in the United States published by August 4, 2012 online , Milwaukee Wisconsin Journal Sentinel available at < http://www.jsonline.com/news/health/163772546.html> accessed 15 October 2014
Rebecca J. Graham September 2014 70
The citizenship mechanism does not change regardless of the origin of birth and the
surrogacy policy of the state of residence for intended parents.
The Hague Convention on Adoption supplies a broad framework, which can be used as a
guideline for States to develop their own national policy. As access to parental information is
a concern in surrogacy that can involve three different donors, the norm for identifying
information with in the Hague Convention on the Protection of Children and the Cooperation
in Respect of Intercountry Adoption (The Hague Convention on Adoption) suggests states
keep records of the information where possible. It does not advise that the information must
be kept or not kept, which allows the States freedom to maintain current domestic approach
to birth information in adoption laws.
When corruption in one international adoption system was uncovered, temporary
moratoriums had been established to attempt to cope with the corruption. The Romanian
Adoption Committee halted adoptions while the domestic courts addressed the large-scale
corruption in the adoption business in Romania. Space was made to address adoptions
already in progress called “pipeline cases” to evaluate the situation and help adoptive families
who were already in the adoption progress emotional and financially.247 What is important to
highlight about the information requirement in The Hague convention is that it permits the
states to maintain their own process for how this is approached and creates a monitoring arm
between States for criminal activity. In the United Kingdom, a passive registry allows
mutually seeking members of the adoption triad to connect when it is clear they all desire
contact. Birth records can automatically be accessed by adult adoptees in France, Germany.
247 Update on Romanian Moratorium on International Adoption (6/1/02) available at http://www.jointcouncil.org/romania-moratorium-extended/accessed 17 September 2014
Rebecca J. Graham September 2014 71
Denmark, Iceland, Norway, Sweden and the Netherlands.248 Will records be available from
India and Ukraine for adult children born form surrogacy? There is no current framework to
force this process.
The European Convention on the Adoption of Children was revised after the initial 1967
version because case law and international treaty obligations as well as recommendations
were made to insure that they rights of the Child and the legal status of parentage were
adequately protected. This is highlighted in the preamble of the text:
‘Recognizing that some of the provisions of the 1967 European Convention on the Adoption of Children (ETS No. 58) are outdated and contrary to the case-law of the European Court of Human Rights;’ Recognizing that the involvement of children in family proceedings affecting them has been improved by the European Convention of 25 January 1996 on the Exercise of Children’s Rights (ETS No. 160) and by the case law of the European Court of Human Rights;
The reform decision was informed by new case law and to address difficulties caused by the
differences in national laws while enhancing the interests of children who are adopted;
Being convinced of the need for a revised Council of Europe international instrument on adoption of children providing an effective complement in particular to the 1993 Hague Convention;
The importance of this revision was highlighted by the need not to acquire unity amongst
member states or change member state approach but to harmonize international law into the
EU legal cannon.
The European Convention on Adoption, unlike public policy hurtles in the surrogacy process,
specifically allow the adoption of a child by a single person or a same sex couple.249 Article
248 Information regarding adoption access for adult adoptees can be found
Rebecca J. Graham September 2014 72
17 lays out compensation for the adoption process, but only sets a standard that “no one shall
derive any improper financial gain or other gain from activity relating to the adoption of the
child.”250 Were surrogacy with in the European Union to have the same treaty standard,
individual member states could change maintain their approach towards commercial
surrogacy and test the payment through proportionality on an individual basis. More
importantly, this policy would not put surrogate mothers in the position of being the only
member of a triad unable to be paid for their services contributed increasing the likely pool of
local surrogates.
The Hague Convention insures that inter-country adoptions occur with the best interest of the
child in mind but fully with “respect fort her or her fundamental rights as recognised in
international law”.251 While the CRC maintains that, the child is best to remain in the country
of origin, The Hague convention recognises that a establishing a family abroad is preferable
to life in an institution in the country of origin.252 The European Convention on Adoption
establishes the requirements for central authorities in the state, data collection, and most
importantly, the expectation regulation of service providers. The lack of scrutiny that can be
applied to international surrogacy services allow India to operate with impunity. The
preferred legal structure found in California has priced the services out of reach for many
couples that turn to the less regulated markets. It is clear that some framework is desperately
needed to address cross-border surrogacy.
249 European Convention on Adoption (Revised) Strasbourg, 27.XI.2008, Article 7 250 Ibid, Article 17 251 Hague Conference on Private International Law, Hague Convention on the Protection of Children and Co-operation in Respect of Intercountry Adoption, 29 May 1993, Article 1(a) 252 See Article 21 of the CRC and Chapter 2 of the Hague Convention.
Rebecca J. Graham September 2014 73
Conclusion
Individual States are ultimately powerless to stop the multi-billion dollar growth of
international surrogacy. Domestic law cannot combat the human rights abuses possible in the
unregulated international market. All States have an obligation to bestow citizenship on
children born within their borders and to not create barriers for their existing citizens that
would leave a child stranded for months or years before reuniting with intended parents. The
restrictive national legislation on surrogacy continues to make the international market more
attractive to intended parents. By dealing with the citizenship component of surrogacy on an
EU level, there is a further opportunity to collect data and make informed decisions on how
to best reshape National policy and promote international policy to address exploitation of
women and the drive for genetic reproduction. Wealthier states have an obligation to
understand the push factors that drive their citizens to poorer regions to pursue reproduction.
Factors like the availability of surrogates, gender imbalance of parentage law, and payment
for surrogates should be critically evaluated. Policies that deny compensation to the surrogate
while permitting compensation for gamete donors and clinics, is profoundly patriarchal and
perpetuates the anti-female policy where women’s work is valued for altruistic purpose only.
Such policies denying the female the right to chose her method of production as a member of
society. The European Union and Member States fail to adhere to their positive obligations
established by their commitment to the CRC, ICCPR, UDHR, and ICESCR absent a special
mechanism to quickly mitigate citizenship for children born to EU citizens. To create such a
mechanism would be to recognise the mounting case law to support the fundamental right of
citizenship of children without discrimination as to birth origin.
Rebecca J. Graham September 2014 74
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