Humans have two fundamental drives, explains Dr Nayna Patel in House of Surrogates, a carefully observed and subtly questioning documentary about commercial surrogacy in India. We have a drive to reproduce, and a drive to survive. Commercial surrogacy fulfils both of these, says Dr Patel. The client couple get a child, the surrogate gets a life changing sum of money. Who could object to the mutual satisfaction of our most elemental desires?
The fee for the surrogate is paid in instalments through the pregnancy, adding up to $8,000 if the surrogate carries a single baby to term – a little over six times the GDP per capita for India. Vasanti, one of the surrogates and mother to two children of her own, puts it another way: “They’re all here out of their own desperation,” she says, looking at her fellow residents in the dormitory they share.
Dr Patel makes sure the surrogates get much more than just the money, though. For starters, they are given food, medication and accommodation for the duration of the pregnancy. (This isn’t just generosity, of course. Residency is compulsory for women, because controlling their nutrition and sanitation reduces the risk of miscarriage. It’s a way of protecting the clinic’s investment.)
They get advice, too: Dr Patel isn’t content to turn her surrogates loose with their sudden wealth, and during the film we see her advise her charges on getting bank accounts, purchasing property and disposing of abusive husbands. Dr Patel calls herself a feminist, and I don’t doubt her principles. If you feared seeing a reproductive class that looked something like the brutalised Handmaids of Margaret Atwood’s dystopia, this will be reassuring viewing.
At times, House of Surrogates feels like an advert for international sisterhood: this is redistribution by way of the uterus. And then, you catch sight of the profound inequality in which this common womanhood exists. In a consulting room, a Canadian couple size up a prospective surrogate with an agricultural eye: is she sturdy enough, do they trust their precious genetic material to the width of her hips?
Next to the Canadians, an Indian woman holds a baby: the baby is the Canadians’, and she is their first surrogate mother, retained as a wetnurse for the first few weeks. For Barbara, the Canadian mother, this is clearly a kindness: “What could be wrong with more than one woman loving my son?” she asks. The implicit opposing question – what could be wrong with taking a baby away from a woman who loves and cares for him? – hangs unasked.
While Dr Patel is clear that the women understand the rights they have to the child (none whatsoever), the surrogates do bond with the babies they carry, and they do grieve when the legal parents carry them off. However rationally it is accepted, that combination of empty belly, sore breasts and empty arms seems a terribly wrenching one. And it’s not only the physical cost that the surrogates bear. There’s a stigma against surrogacy in India, one that means Dr Patel must live under heavy security while Vasanti talks about using her money to move so she won’t have to live with neighbours who know what she’s done.
Surrogacy is an act of altruism, but even when the client parents take the time to thank the birth mother of their child (which most do, but not all), do they truly understand what they’ve been given? Not simply a child, but the pain, shame and sacrifice borne by another woman so that they could reproduce? Barbara speaks of wanting her newborn son (born from egg donation) to explore the Indian side of his heritage; Vasanti, having delivered the baby of a Japanese couple (she calls it “my baby” though she never gets to see it) and bought her new house, only hopes that her own daughter will never have to take the decision to become a surrogate.
Neither simple exploitation nor an uncomplicated exchange of money for goods and services, commercial surrogacy is where two great needs collide. Both sides clearly benefit, but how can it be possible for hundreds of families and individuals to meet like this without great hurt occurring? After watching House of Surrogates, the moral consequences of this collision are felt more keenly but not necessarily any clearer - Dr Patel’s calm and smiling certainty the only beacon in the mist.
If you missed it, you can catch up with 'House of Surrogates' on iPlayer. Do come back and tell us what you thought here on the thread.
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BBC4's House of Surrogates - what did you think?
MumsnetGuestBlogs · 01/10/2013 11:52
The Canadian was a cow - getting change for her 500 rupee notes (about £5) to tip the people who had looked after her and her precious son for four months. I don't think she would have tipped at all if the cameras hadn't been there.
She was excruciating during the interview of the new surrogate, basically wanting her to stand up so she could check her pelvis was big enough to carry her husband's fat baby.
To her, the surrogates were just there to fulfill her dream. You could hear her sneering about the drug-addicted, FAS or older children. It was all about her dream, not the children's futures. And yes, racist attitudes to Indians and non-Christians, as if Hindu/Muslim womb would taint her baby. Twat.
On the other hand, I didn't expect to like or sympathise with the doctor so much. Her impassioned speech about feminism, and the LTB chat with the woman with the abusive cocklodger husband felt very very MN 
She might have been patronising and controlling but I have no doubt she genuinely cares about all her surrogates purely because they're female. She was lovely at the end when she insisted that it takes a special woman to be a surrogate.
I wanted to know more about the British/Russian couple. Theirs was the only case where I thought the husband was as interested/invested in the process as the wife. He was accepting and non-judgemental and encouraging where the other men were detached and absent. The Canadian, Australian and American fathers definitely seemed to be content to buy a commodity for their wives to play with, essentially. Unsettling.
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I agree Coldtea- recipients cant gave it both ways. Though imagine complicated reality of making up baby formula with unreliable water/lengthy exit process for baby make the wet nurse option attractive to the new parents. And the women too poor to turn them down 
Wonder what a documentary revisiting all this in 25 years time would make of it all? What would the grown up children think?
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