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Feminism: Sex and gender discussions

Family courts case from 2007 revealed the extent of non domiciled commissioning parents exploiting UK surrogate mothers and the NHS.

30 replies

FannyCann · 18/04/2020 20:04

As soon as I was aware of the Law Commission proposals for new surrogacy laws in the UK I have been concerned that the UK would become an international surrogacy destination. In Canada about 50% of surrogacy arrangements involve international Commissioning Parents (CPs). The UK would be a very attractive destination thanks to the NHS which would provide free maternity care for the surrogate mother.

There was evidence in the consultation that this is already happening:

Question 100 asked “We invite consultees to tell us of their experience of surrogacy arrangements in the UK involving foreign intended parents.”

Point 3.67 page 56 stated “one organisation asked intended parents to prove that they have the funds to meet the surrogate’s expenses. For foreign surrogacies they required funds to be placed in an escrow account.”

On page 391 I found this : “where foreign intended parents come to the UK for a surrogacy arrangement. The fact of such arrangements is apparent in case law.53 It has also been drawn to our attention by Northern Irish stakeholders whom we spoke to in the course of preparing this paper.”

For case law, see Re G (Surrogacy: Foreign Domicile) [2007] EWHC 2814 (Fam), [2008] 1 FLR 1047.

Clicky link (I hope): https://www.familylawweek.co.uk/site.aspx?i=ed9844_

So I had a look at this case and was shocked by the details.

“The terms of HFEA 1990, s 30(3)(b) make it plain that one or both of the commissioning couple must be domiciled in a part of the United Kingdom or in the Channel Islands or the Isle of Man. What renders the case of young M remarkable, and justifies this detailed judgment, is that Mr and Mrs G, the commissioning parents, are Turkish nationals who are domiciled in Turkey. As a result, it is not legally possible for them to achieve the status of M's parents by means of a parental order.

  1. The procedural history of this case, to which I am about to turn, is a cautionary tale which highlights the legal, emotional, and not least the financial consequences of surrogacy arrangements which are undertaken in this jurisdiction involving commissioning parents who are not domiciled in the UK. The law relating to the removal of children from the UK for adoption overseas is both complex and strict. This case has therefore involved some seven court hearings in the High Court in order to pick a way through the legal maze to achieve the most effective legal arrangement under which the commissioning parents can remove M to their home in Turkey in the hope of adopting her under Turkish law. The process has required, as a matter of law, a full social-work assessment by the relevant local authority and by a children's guardian appointed by CAFCASS. Expert legal opinion has been required as to the current state of Turkish law. I am advised that the total cost of the social work and legal input in unravelling the consequences of the arrangement that led to M's birth is just short of £35,000.00. That sum falls to be paid entirely by the British tax payer, the court being satisfied, in the circumstances of this case, that it would not be appropriate to seek to re-coup any of those costs from Mr and Mrs G, Mrs J or COTS, the surrogacy agency who assisted Mr and Mrs G in establishing the arrangement.”

The judge generously decided that the British tax payer should fund the £35,000 costs of the case.

The case was facilitated by COTS (Childlessness overcome through surrogacy). It became apparent that COTS had regularly been facilitating other international cases.

The Role of COTS
17. It will be apparent from the exposition that I have given that the issue of Mr and Mrs G's Turkish domicile presented an insurmountable hurdle to their ability to achieve a parental order and that that fact would, or at least should, have been obvious before they embarked upon the surrogacy arrangement. The surrogacy arrangement was facilitated by COTS and it has therefore been necessary to understand more of the role of COTS and, in this regard, the court is grateful to the support worker from COTS who has attended court ('Mr Z'] and has provided an explanation of their activity in this case.
18. COTS is an organisation run on very limited resources by a group of volunteers. Their aim is to try to help childless couples to overcome childlessness through surrogacy. COTS sees itself as a supporting organisation, the role of which is to induct into its membership, on the one hand, women who wish to be surrogate mothers, and, on the other, couples who wish to have the benefit of a surrogacy arrangement. COTS arranges for a medical examination of the respective parties and undertakes a criminal records check. In the case of foreign nationals, COTS will ask the parties to cooperate in obtaining information from their country of origin. Once these various checks are completed, COTS passes the details of couples and surrogates on to a different agency, 'Triangle', which actually puts couples in touch with surrogate parents.
19. The COTS support worker, Mr Z, explained to the court that, prior to the present case, COTS had considered that parents in the position of Mr and Mrs G would qualify for a parental order and could simply take a baby born through surrogacy back to Turkey without any difficulty. He explained that it had happened, to his knowledge, in some twenty cases, involving different countries in the past. If this account is right, and I have no reason to doubt it, then it would seem that no court in a COTS case has previously been alerted, or has alerted itself, to the domicile requirements of s 30.

There were plenty more such cases...

“22. Since concluding this case involving M and Mr and Mrs G, this court has become involved in hearing another international surrogacy case that was also facilitated by COTS. The correspondence in that case between COTS and the commissioning parents, who are Austrian nationals domiciled in Austria, provides more information as to the role of COTS, in particular:
i) The COTS membership form has specific rates for commissioning couples who are 'living abroad'.
ii) A COTS worker (who is a different person from the worker who assisted the court in M's case – 'Ms Y') wrote in November 2004 stating that COTS has 'helped many couples from Europe, and currently have couples from France, Greece, Norway, Belgium and Germany going through surrogacy'.”

The judge was concerned:

“25. Of more concern is the understanding that court now has as to the scale of COTS involvement in cases where the commissioning couple are domiciled overseas. It would seem that not infrequently COTS has been involved in facilitating a situation in which children are born in this country and then taken abroad for the purposes of adoption either under a Parental Order made on erroneous grounds or on the basis that the surrogate mother has given her written consent for the child to travel abroad.”

COTS had been facilitating BABY TRAFFICKING

“27. The traffic in young babies for adoption between one country and another is rightly now the subject of very strict control and is only authorised after proper and detailed scrutiny by the social services and other authorities. It is therefore a matter of significant concern that COTS has, albeit naively, been involved in the activities that I have described which are, and have long been, outside the law.”

The judge sent a copy of the judgement to the relevant government minister:

“a copy of this judgment is being sent to the Minister of State for Children, Young People and Families for her consideration.“

The judge concluded that in future the British taxpayer should be protected from the legal costs involved in international surrogacy cases:

“f) In the event that any agencies involved in facilitating or advising on surrogacy arrangements are approached by a couple who are not domiciled in the UK, or indeed any solicitor who may be approached by such a couple for legal advice, must advise that pursuant to rule 110 of The Family Procedure (Adoption) Rules 2005 the 'court may at any time make such orders as to costs as it thinks just'. Such orders for costs can be made against the commissioning non-domicile couple and can include payment of the legal costs of the proceedings, payment for the costs incurred by CAFCASS. Clearly, whether such costs should be paid will depend upon the circumstances of each case given that this court takes the view that the provision for surrogacy arrangements for non UK domicile couples are to be discouraged, it follows that the legal aspects to such arrangements should not become the financial responsibility of the British taxpayer. Any court faced with an application such as that which has been considered within this Judgment should give active consideration to the making of a costs order.”

All holding my own.

Seeing the details of this case I am left wondering about the extent of these types of cases since this one in 2007.

Aside of all my moral and ethical objections to surrogacy I also very strongly believe that the British taxpayer should not be funding what is, in effect baby trafficking, picking up the tab for the legal fees and the
NHS providing free maternity care.

Family courts case from 2007 revealed the extent of non domiciled commissioning parents exploiting UK surrogate mothers and the NHS.
Family courts case from 2007 revealed the extent of non domiciled commissioning parents exploiting UK surrogate mothers and the NHS.
Family courts case from 2007 revealed the extent of non domiciled commissioning parents exploiting UK surrogate mothers and the NHS.
OP posts:
OhHolyJesus · 21/04/2020 09:12

I know Fanny as if staying home, off work for a year with your baby isn't a good enough way to spend your time you should grow another baby for someone else using your body, that is already damaged and in recovery...and possibly breast feeding your own child. That made me fume especially.

Kim Cotton still regrets her first surrogate pregnancy because she didn't meet the parents and obviously wants that child, who is now an adult, to be in touch. She doesn't know anything about the child and the circumstances of the upbringing that child had, she has no idea if that child had a happy childhood or is even alive now.

Cotton is so pro-surrogacy I wonder how she bridges that experience with her position. For me, she appears to be offsetting that with all that follows, including using other women's bodies to atone for her mistakes.

Cattenberg · 21/04/2020 23:58

It is important to emphasise the benefits of undertaking surrogacy in licensed UK clinics rather than going abroad

I remember this argument being used to justify the proposed “new pathway” for surrogacy. If we don’t loosen the rules on surrogacy here, people will only go abroad, and that would be worse.

I think this argument is totally disingenuous. If I were to adopt a child abroad and bring them back to the UK (without first having been approved as an adopter in the UK), I’m pretty sure I would be breaking the law.

So, why not make it illegal for British citizens/residents to bring a child born from an overseas surrogacy agreement into the UK? Maybe this could be waived for certain countries who have the same safeguards as the UK. The USA definitely shouldn’t qualify.

FannyCann · 22/04/2020 20:08

@PaleBlueMoonlight

This case was referenced in the Law Commission Consultation document. See page 391 ref 53.

"On page 391 I found this : “where foreign intended parents come to the UK for a surrogacy arrangement. The fact of such arrangements is apparent in case law.53 It has also been drawn to our attention by Northern Irish stakeholders whom we spoke to in the course of preparing this paper.”

For case law, see Re G (Surrogacy: Foreign Domicile) [2007] EWHC 2814 (Fam), [2008] 1 FLR 1047.

Clicky link (I hope): https://www.familylawweek.co.uk/site.aspx?i=ed9844_ "

I probably spent about 100 hours researching and reading around to fill in that consultation with its 118 questions. But at 500 odd pages lots of details passed me by. It is only now, looking up particular things that I am picking up on small details such as this. I doubt the Law Commissioners are remotely concerned about this case sadly. Even the judge, whilst clearly somewhat shocked by what was revealed, seemed happy to let it slip on the grounds COTS were well meaning amateurs and didn't mean to facilitate illegal baby trafficking at the British taxpayers' expense, which is the reality of what was happening. Why weren't they prosecuted at the time I ask? I thought not knowing about the law wasn't considered an adequate defence for most crimes but there you go, apparently in this case it was.

OP posts:
FannyCann · 22/04/2020 20:50

This explains a bit about how international surrogacy in Canada works, where about 50% of surrogacy is in international for the reasons set out below. This is the future for the UK if we don't put a stop to it before the law is changed.

Many people come to Canada from elsewhere for surrogacy. Sometimes they can't pay their hospital costs even if they want to.
As readers of HeyReprotech may already know, Canada is a popular destinationn_ for international surrogacy. There are a few good reasons. For one thing, there is no discrimination against people who are gay or single. As well, the process for recognizing parentage is, in most provinces, fairly straightforward and relatively quick. Add to that, any child born here automatically gets citizenship.
Then there is the matter of our universal health care. That means that a Canadian surrogate's care during pregnancy and childbirth is paid for through provincial health insurance. It also means that a newborn's care is often paid for—even when it isn't supposed to be.
In the province of Ontario, for instance, the ministry of health says that a child born here is only eligiblee for health care if a parent considers this province their primary place of residence. Some Ontario hospitals do <a class="break-all" href="https://r-login.wordpress.com/remote-login.php?action=auth&host=nationalpost.com&id=37979189&back=nationalpost.com/news/canada/ontario-surrogate-gets-1400-bill-after-giving-birth-as-hospitals-start-charging-third-party-carriers-for-post-natal-care&h=" rel="nofollow" target="_blank">bill for surrogaciess. An uncomplicated birth might only cost a few thousand dollars. But when a baby ends up staying in the neonatal intensive care unit (NICU), the cost can be a lot higher. According to the Canadian Institute for Health Information, care for a baby born at 29 weeks weighing less than a kilogram will ring in at about $90,000. There have been instances where uninsured intended parents (IPs) have decided to abscond rather than pay up.
But what if you're an international IP who wants to pay? Below I share the account of someone who recently came to Canada from the US for surrogacy, had a child who spent a week in the NICU here, and tried to pay for the full cost.

“I couldn’t get anybody to bill me”
Our son was in the NICU for a week. Every attending physician who looked at him during that week gave me an invoice, which I fully expected, and I paid them. I was expecting to have to pay them. It was not a problem.
We were told by many different people at different times along the way that healthcare coverage in Canada is by residency. So our son is not eligible.
At one point, I said I really hope the hospital bill isn't going to be crazy expensive. I will be able to claim it on my private insurance that I have in the US, but there are co-pays and everything else, so I just didn't know how much it would be.
My surrogate told me all these horror stories that she'd heard from other surrogates, about other international couples who hadn't gotten insurance and just skipped town when the baby was born and they had their passport in hand. And all of these hospital bills were just left behind. She said it's the biggest dirty secret out there.
So half the time, hospitals won't even track it, she said. They won't even try to pursue international couples whose babies are born through surrogacy. I couldn't believe that. But she said it happens all the time.
So when we got back home, and I hadn't heard from the hospital, I actually called. I said I would like to arrange for payment, that I could put them in contact with my insurer. I never heard back.
I was fully prepared—fully prepared—to pay. I have good private health insurance here in the US. I knew a good portion of the cost was going to be covered by my insurance. I just didn't know how much I would have to pay out of pocket. But I couldn't get anybody to bill me.
It's not like I just left general messages on the general lines of the hospital—I looked through the directory, I found the international billing department, I found the voicemail of the person, I left voicemails, and I gave my son's patient number. They never returned my calls. I'm trying to pay these people, and they won't take my money.
Canadian taxpayers are paying through the nose for all these international couples! I would be outraged! Clearly, that's just wrong.

OP posts:
FannyCann · 22/04/2020 20:51

Sorry for the line through the type thing - weird things happen when I copy and paste those newsletters. Blush

OP posts:
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