The informal and personalised nature of the interaction between a prospective
surrogate mother and a commissioning couple enhances a surrogate
mother's confidence not only in the financial transaction but also in the
meaning of the arrangement itself. Ragoné noted that surrogacy programmes
in the US often stress the theme of the "gift of life" and encourage commissioning
couples to establish a personal relationship with the surrogate mother
(Ragone 1994; Schwartz 2003). In fact, commissioning couples may provide
very expensive gifts. In contrast, Pande and Vora both suggest that Indian
surrogate mothers are usually kept at a distance from local or foreign commissioning
couples (Pande 2010; Pande 2010; Pande 2009; Vora 2009; Vora
2009). In such cases, the commodification of procreative capacity is undisguised,
and surrogacy is tantamount to offering a "womb for a rent" and nothing else. The nature of "message board surrogacy" allows women to
counteract the potentially demeaning implications of a blatant commercialisation
of procreative work and the commodification of their body. Through
intense personal interactions with intended parents, the process of surrogacy
can be choreographed in such a way that it appears as both a compassionate
and meritorious act. By choosing a caring and kind infertile couple, the surrogate
can reasonably expect that her service will be reciprocated by "grateful" beneficiaries. This partly explains why becoming a surrogate through an
online message board can appear attractive, even to Thai women who are
not economically desperate.
Despite these advantages, "message board surrogacy" also contains seeds of
difficulties. The informal and backdoor nature of surrogacy arrangements can
be associated with medical and psychological risks. First, Thai women who
become a surrogate through this route are likely to be insufficiently informed
of medical risks during pregnancy. Second, the legal invalidity of the surrogacy
contract means that surrogate mothers are left without any legal means
to rectify damage. For example, when intended couples fail to pay the agreed
amount of money or when they refuse to accept a newborn due to a disability,
the surrogate has no legal recourse. Finally, prospective surrogates may not be
prepared to deal with various problems during surrogacy. In the US, commercial
agencies have made psychological screening and counselling a routine
process, and peer communication occurring in the context of support groups
provides social support (Ragone 1994; Edelman 2003). Such approaches to
the psychological processes involved in surrogacy are not available to Thai
women. Thus, they walk into a "psychological minefield" (Cook 2003)
without much protection.
V. Concluding Remarks
The surrogacy experience may vary from country to country and depends, in
part, on cultural, social, and historical contexts. ARTs and third-party reproduction
are still poorly explored in emerging Asian countries. This study
examined one way that surrogacy is practised in Thailand. Further empirical
research will be needed to address ethical issues related to ARTs, public policies
regarding CBRC, and commercialisation of surrogacy in Asian countries.
Acknowledgments
This study was supported by a Grant-in-Aid for Scientific Research on
Innovative Areas, 2009–2010 (21200026), by a Grant-in-Aid for Scientific
Research for Young Scientists (B) (22710262), 2010, and by the Funding
Program for Next Generation World Leading Researchers, 2011 (LZ006). We
would like to thank the women who participated in this study and the staff
who provided assistance.
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