Deonandan Raywat
Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Risk Manag Healthc Policy. 2015 Aug 17;8:111-9. doi: 10.2147/RMHP.S63862. eCollection 2015.
Reproductive tourism, or "cross-border reproductive care", is the phenomenon of people crossing international borders to access reproductive technologies. One of the fastest-growing categories of cross-border reproductive care is international surrogacy, the act of infertile clients traveling internationally to engage the paid services of foreign surrogates to carry their babies to term. It is a multibillion-dollar global industry presenting unique legal, ethical, and risk-management challenges. Clients tend to be price-sensitive, middle-income individuals seeking services from surrogates who in the global market are thought to be of quite low socioeconomic status. Risks are experienced by all parties involved in the transaction, including the client's countries of origin and destination. The risks to the surrogate evolve from the potential to exploit her economic vulnerability in order to encourage both consent and unfair pricing. Opportunities for policy development are explored.
生殖旅游，即“跨境生殖护理”，是指人们跨越国际边界获取生殖技术的现象。跨境生殖护理中增长最快的类别之一是国际代孕，即不孕不育的客户前往国外，付费聘请外国代孕女性将其胎儿孕育至足月。这是一个价值数十亿美元的全球产业，带来了独特的法律、伦理和风险管理挑战。客户往往对价格敏感，多为中等收入人群，他们寻求代孕服务，而在全球市场上，代孕女性被认为社会经济地位相当低。交易涉及的所有各方都会面临风险，包括客户的原籍国和目的地国。代孕女性面临的风险源于利用其经济脆弱性以促使其同意并接受不公平定价的可能性。本文探讨了政策制定的机遇。
