Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW
Med J Aust. 2016 Jan 18;204(1):33-5. doi: 10.5694/mja15.00166.
Commercial or compensated surrogacy involves providing payment for a woman to gestate a fetus to term and then hand over the child to commissioning parent(s). Compensated surrogacy is currently restricted by law or regulation in all Australian states and territories. New South Wales, Queensland and the Australian Capital Territory also restrict commissioning transnational compensated surrogacy, although there is evidence that this is not acting as a deterrent. Ethical issues arising in transnational compensated surrogacy include concerns relating to exploitation, commodification and welfare. The current status quo is unsatisfactory on legal, ethical and practical grounds. It is time to openly debate how Australia should balance the desire for childbearing through surrogacy with the limited domestic availability of women willing to act as surrogates.
商业代孕或有偿代孕涉及支付报酬给女性，让其孕育胎儿至足月，然后将孩子交给委托父母。目前，所有澳大利亚州和地区都通过法律或法规限制有偿代孕。新南威尔士州、昆士兰州和澳大利亚首都领地也限制委托跨国有偿代孕，尽管有证据表明这并没有起到威慑作用。跨国有偿代孕引发的伦理问题包括对剥削、商品化和福利的担忧。目前的现状在法律、伦理和实际方面都不尽如人意。是时候公开辩论澳大利亚应该如何在代孕生育的愿望与愿意充当代孕者的女性数量有限之间取得平衡了。
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