The successful delivery of first IVF child, Kanupriya alias Durga, in Kolkata on
October 3rd,1978 gave the Indian population hope for surrogacy as an alternative
reproductive technique (ART).This incident introduced India to a new practice, a
practice that unknowingly led to India being called a 'baby factory'. In order
to critically understand what surrogacy is, we need to first acknowledge the two
different types of surrogacy; commercial surrogacy and altruistic surrogacy.
Commercial surrogacy includes surrogacy or its related procedures undertaken for
monetary benefit or reward (in cash or kind) exceeding the basic medical
expenses and insurance coverage. In altruistic surrogacy on the contrary, no
monetary compensation is provided to the surrogate mother apart from all the
expenses subjected to the medical field along with the insurance coverage
provided.
Legislations related to surrogacy have therefore sparked recent debates over two
very contrasting ideas. The major debate around surrogacy is the conflicting
interests of its different stakeholders. On one hand, it is the responsibility
of the state to safeguard the interests of the unborn child and prohibit any
kind of exploitation that the surrogate may be subjected to. On the other hand,
lies the rights of women and parents to control their own reproductive processes
and to parent, respectively. Surrogacy laws in India have had difficulty
striking a balance between these competing interests. Keeping this in mind, in
this article we will go into the basics of these views.
Background
The background of Surrogacy dates back to the 1900s. With the first incident of
Surrogacy in Kolkata in 1978 came distinct legislations; once to legalise, often
to regulate and by the end of it to make it illegal. Although the first incident
of Surrogacy took place in 1978, no doctor was really too keen on performing it
due to the controversy surrounding it. It was then in the early 2000s when in a
cramped by lane off Station Road in Anand, men camped beneath the banyan tree on
a bench waiting for their women to complete their business at an adjacent
clinic. India's cooperative milk capital soon turned into a surrogacy hub.
India legalized commercial surrogacy in 2002, leading to the rapid growth of
commercial surrogacy firms claiming expertise in surrogacy law. Even though
commercial surrogacy was made legal back then, there was a lack of a specific
bill and the implementation of regulations, resulting in a haphazard condition
of the surrogacy practices that existed in India. Low-cost fertility clinics and
underprivileged women became involved, making India a hub for surrogacy. The
lack of regulation led to a multitude of challenges in the country.
One of the key moments in the evolution of surrogacy laws in India came with the
K.Kalaiselvi vs Chennai Port Trust case of 2013. In this landmark judgment, the
Supreme Court clarified the different types of surrogacy that exist, emphasizing
the need for regulation in light of earlier cases like Baby Manji Yamada Case of
2008 and Jan Balaz case of 2009. recognizing the gaps in existing laws, the
Indian Council of Medical Research (ICMR) issued guidelines in 2005 to regulate
alternative reproductive techniques (ART), including surrogacy.
These guidelines
aimed to outline the rights and responsibilities of all parties involved—the
couple, the surrogate mother, and the child. However, since they were not
legally enforceable, they fell short of providing real protection. In 2016, the
Surrogacy (Regulation) Bill was introduced in the Lok Sabha, bringing forth a
revolutionary concept: the prevention of commercial surrogacy and the promotion
of altruistic surrogacy. Unfortunately, this bill lapsed with the dissolution of
the 16th Lok Sabha.
Undeterred, the Surrogacy (Regulation) Bill, 2019 was
introduced to replace the earlier version. This bill underwent extensive
discussions and debates in both houses of Parliament, reflecting a commitment to
addressing the complexities surrounding surrogacy. These deliberations
ultimately paved the way for the Surrogacy (Regulation) Act, 2021, marking a
significant step forward in the regulation of surrogacy in India.
No law persuades simply because it threatens
Since the early 2000s, India has become a go-to destination for international
surrogacy, attracting couples and single parents from around the globe. One of
the main reasons for this surge is the affordability; the entire process costs
about one-third of what it does in many other countries.
A pivotal moment in
this journey came with the
K. Kalaiselvi vs. Chennai Port Trust case in 2013.
This landmark ruling not only clarified the different types of surrogacy but
also paved the way for better regulations. India's role in helping families
realize their dreams of parenthood is heartwarming, but it also emphasizes the
importance of creating laws that protect everyone involved in this deeply
personal journey.
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Traditional Surrogacy: Traditional surrogacy is when a woman carries a baby for a couple using her own egg and the father's sperm. This means she is biologically related to the child. After the baby is born, the surrogate hands the child over to the intended parents, who will raise them. While this arrangement can help families grow, it can also be emotionally complex. Open communication and understanding between everyone involved are key to making the experience as positive as possible.
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Gestational Surrogacy: Here, the surrogate is not the biological mother. The child is created using an egg donor and sperm from one of the intended parents. The surrogate carries the baby but has no genetic link to it.
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Altruistic Surrogacy: In India, this type involves the intended parents covering the surrogate's medical expenses but not paying her for carrying the child. The arrangement is based on compassion rather than financial compensation.
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Commercial Surrogacy: In this model, the intended parents pay the surrogate for her services, including carrying the baby and relinquishing parental rights after birth.
The 228th report of the Law Commission of India deliberated upon the issue of
surrogacy in the year 2009 and included criticism of the draft assisted
reproductive technology (regulation) bills and rules, 2008. The conclusion along
with the recommendations of the law report talked about the conflicts of various
interests that surrogacy has bred.
The Paradox
The Surrogacy (Regulation) Act, 2021 has specific restrictions on who can pursue
surrogacy. It prohibits single males (whether unmarried, divorced, or widowers),
unmarried females, transgender individuals, homosexual couples, live-in couples,
and even married couples who already have a child. Additionally, if a married
couple can conceive but the wife is healthy and simply wants to avoid pregnancy,
they are also not allowed to use surrogacy.
The law also has strict rules about the use of gametes, zygotes, and embryos,
stating that individuals cannot transfer or use these materials outside of India
without permission from Indian authorities under the ART Act. This means that
the options for surrogacy are limited not only within India but also
internationally. The topic of surrogacy has sparked heated debates, as the
evolving legislation often overlooks the desires of those who yearn for a
biological child through surrogacy. When discussing surrogacy, two contrasting
views frequently emerge, reflecting the complexities and emotions surrounding
this sensitive issue.
One that states that the Universal Declaration of Human Rightsasserts that every
adult has the right to start a family. Additionally, advocates argue that a
woman's choice to give birth is a fundamental aspect of her personal liberty
under Article 21 of the Indian Constitution. They claim that the Surrogacy Law
is discriminatory, exclusionary, and arbitrary, and therefore undermines
reproductive rights. They also emphasize that Article 16(1) of the Indian
Constitution, along with Supreme Court rulings, highlights that procreation,
family life, and sexual orientation are essential to individual dignity.
Another important perspective in the surrogacy debate focuses on the potential
exploitation of surrogate mothers and the children born through surrogacy,
particularly when foreign couples are involved. Concerns have even been raised
about the constitutional validity of the surrogacy law, leading to challenges in
the Supreme Court. A significant issue arises when the intended couple faces
legal trouble, such as imprisonment for violating surrogacy laws.
This situation
creates uncertainty about what happens to the child, as the law recognizes the
child as the biological offspring of the intended couple, not the surrogate
mother. The push for altruistic surrogacy raises a critical question: how likely
is it that a woman would willingly carry and deliver a child for a couple she
doesn't have a personal connection with, and then give up that child? This
dilemma highlights the emotional complexities and ethical concerns surrounding
surrogacy, emphasizing the need for careful consideration of the motivations and
circumstances of all parties involved.
Past Judgments:
Apart from the landmark judgment of
K.Kalaiselvi vs Chennai Port Trust case of
2013 which laid down the very basic definitions of Surrogacy, there are two
significant case laws that played a vital role in shaping the future of
Surrogacy in India back then.
Baby Manji Yamada vs. Union of India (2008) was a landmark case that marked the
first significant legal ruling on surrogacy in India. Baby Manji was born to an
Indian surrogate for a Japanese couple who separated before her birth, leaving
her future uncertain. Her biological father, Ikufumi Yamada, sought to take her
to Japan, but legal hurdles prevented this from happening. Ultimately, the
Supreme Court intervened, allowing Baby Manji to leave the country with her
grandmother. This case highlighted significant legal gaps in surrogacy
arrangements and led to the Indian government enacting regulations to address
these issues.
Jan Balaz vs. Anand Municipality (2009) involved a child born to an Indian
surrogate for a father with German citizenship. The Gujarat High Court ruled
that the birth certificate would list the surrogate mother as the legal parent
and that the child would be granted Indian citizenship. Following this, the
surrogate was required to give the child up for adoption to the German couple
who had utilized her services. This case raised important questions about
citizenship and the rights of children born through surrogacy, further fueling
discussions about the need for clear legal frameworks.
To address the complexities surrounding surrogacy, the Surrogacy (Regulation)
Bill 2016 was introduced to establish clearer guidelines in India. According to
the bill, only childless couples who have been legally married for at least five
years can seek a surrogate, and that surrogate must be a close relative of the
couple. This means that single individuals and same-sex couples are left out of
the surrogacy option, which raises important questions about inclusivity and
access to reproductive choices. The bill aims to protect everyone involved, but
its restrictions highlight the need for more comprehensive solutions that
consider the diverse ways families can be formed today.
Furthermore, the bill
aims to eliminate commercial surrogacy, permitting only altruistic arrangements.
Under this model, surrogates can only receive reimbursement for basic childbirth
expenses and cannot receive additional payments or benefits. While the bill
seeks to protect the rights of all parties involved, it effectively limits
options for couples without many close relatives willing to act as surrogates,
often leaving adoption as their only alternative. These cases and the subsequent
legislation reflect ongoing discussions about the rights of children, parents,
and surrogates in the evolving landscape of surrogacy in India.
"To be stateless means that you are deprived of the right to have rights."
The Surrogacy (Regulation) Bill 2019 underwent modifications after discussions
in the Rajya Sabha, where a committee engaged various stakeholders to refine the
legislation. These discussions led to important amendments, and the bill was
ultimately passed into law on December 25, 2021. This law was released alongside
the Assisted Reproductive Technology (Regulation) Act, 2021.
The Surrogacy
(Regulation) Act, 2021, which came into effect on January 25, 2022, focuses on
charitable surrogacy, aiming to ensure that the process is not exploited by
those with financial means. By prohibiting commercial surrogacy and the trade of
human gametes and embryos, the law seeks to protect the integrity of surrogacy,
making it a more ethical option for those who genuinely need it. This shift
highlights a commitment to responsible practices in surrogacy, prioritizing the
well-being of all parties involved.
Lets go deeper into the Surrogacy (regulation) Act 2021;
The provisions:
Under the Surrogacy (Regulation) Act, 2021, surrogacy is available to specific
groups: women who are widows or divorcees aged between 35 and 45, as well as
legally married couples facing medical issues that make traditional conception
challenging. This law aims to ensure that surrogacy is a viable option for those
who truly need it.
Importantly, the Act bans commercial surrogacy entirely, with serious penalties
for violations including a jail term of up to 10 years and fines reaching ₹10
lakhs. Instead, it permits only altruistic surrogacy, meaning no money can
change hands beyond covering basic medical expenses. Additionally, the surrogate
mother must be genetically related to the intended parents, ensuring a personal
connection in the surrogacy process.
This legislation reflects a commitment to ethical practices in surrogacy while
addressing the needs of families requiring this option.
Surrogacy is closely linked to the important field of Assisted Reproductive
Technology (ART), which helps couples facing infertility. ART includes a range
of fertility treatments that work with both a woman's eggs and a man's sperm.
The process usually starts with extracting eggs from the woman's body, which are
then fertilized with sperm to create embryos. These embryos are carefully
implanted back into the woman's body or a surrogate's, giving them a chance to
grow into a pregnancy.
This journey can be both hopeful and emotional, as it
involves the dreams and aspirations of families seeking to welcome a child into
their lives. In Vitro Fertilization (IVF) is the most prevalent and effective
form of ART. ART procedures may also use donor eggs, donor sperm, or previously
frozen embryos, and can include the use of a surrogate carrier.
Legal Provisions surrounding the topic of ART:
The Assisted Reproductive Technology (ART) Regulation Act 2021 created the
National Assisted Reproductive Technology and Surrogacy Board, which is
essential for ensuring that the new regulations work effectively. The Board's
main goal is to provide a structured system that helps everyone involved in
surrogacy and ART feel safe and supported. By overseeing the implementation of
the bill, the Board aims to promote ethical practices and address any concerns
that may come up during the surrogacy process. This initiative shows a
dedication to protecting the rights and well-being of families as they embark on
their journey to parenthood.
The Act is therefore focused on a number of
factors, these include:
- Regulation and Supervision of ART clinics
- Regulation and Supervision of assisted reproductive technology banks
- Prevention of misuse of the provisions of the bill
- Safe and ethical practice of ART services
Conclusion:
India, a major hub for assisted reproductive practices, is taking a positive
step with this new act. However, it is crucial to ensure dynamic oversight so
that the legislation adapts to rapidly advancing technology, evolving moral
standards, and societal changes. To prevent the exploitation of women, the act
incorporates strong checks and balances. It arrives at a time when there was
significant demand for regulation of commercial surrogacy,
The Surrogacy (Regulation) Act, 2021 has sparked important debates, highlighting
both its advantages and disadvantages. One of the main concerns revolves around
the right to life under Article 21 of the Constitution, which includes the idea
of reproductive autonomy. Critics argue that the bill restricts this autonomy by
excluding LGBTQ individuals, live-in couples, single parents, and those who are
divorced or widowed. Another significant issue is the potential violation of
Article 14, which guarantees equality.
The bill's restrictions based on factors like nationality and age may undermine
this principle, making some people feel excluded from options available to
others. Moreover, many women who become surrogate mothers come from economically
disadvantaged backgrounds and often see surrogacy as a vital source of income.
By promoting altruistic surrogacy and limiting compensation, the bill places a
heavy expectation on these women to provide reproductive services without fair
financial support. This raises serious ethical questions about the treatment of
surrogate mothers and their rights, emphasizing the need for thoughtful
consideration of their circumstances.
To address these concerns, there should be comprehensive health and background
checks for surrogates, supportive laws, strict penalties for non-compliance,
specific insurance policies for surrogates, and education about their rights and
potential risks. These measures could help protect surrogate mothers from
exploitation without necessitating a ban on the commercialization of surrogacy.
Surrogacy in itself requires a lot of research based on multifaceted experiences
and interests. Either way, the debate around ban or no ban is everlasting but
one thing that the entire deliberation has pointed out is the deeply ingrained
deplorable condition of poverty in India that for the starters, is the root
cause of Surrogacy.
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