The Parent Makers … Orrrrr … The Handmaid’s Tale Redux

Did I say that the media promotes the creation/selling/buying of babies?

Did I say that the media is misogynist and makes light of the exploitation and degradation of women committed by commercialized medicine?

I linked to a number of examples of media propaganda for this brutal, dehumanizing exploitation of women and girls; this barbaric practice of creating/selling/buying people. But, as so often happens, I was aiming a bit too high on the food chain. I didn’t know about The Parent Makers.

This show is about an American organization called the British Surrogacy Center. The British Surrogacy Center is in California. So don’t let the accent fool you, this is the good ole USA, the Wild West of reproductive technology.

We are the big dogs in the baby creating/selling/buying junkyard. No one can compete with us in terms of reducing women, babies and human beings to the level of objects. We’ve got the market cornered on medicine’s inhumanity to women and children.

The Parent Makers is trash.

It is, however, highly-publicized trash.

The Parent Makers gets lots of hits on Google:

And it has it’s own equally trashy Twitter account:

It even has promos on YouTube.

Watch the video below and then ask yourself one question: Do you want your daughter used as a breeder for these guys? Do you want your grandchildren or your children created like widgets in a factory and then sold to the highest bidder?

If you don’t, you’d better start speaking out.

This is the world of the for-real Handmaid’s Tale.

And it ain’t pretty.

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Public Catholic reader Caroline Farrow brought this story to my attention. Thank you Caroline!

Meriam Ibrahim: My Baby is Physically Disabled Because I Gave Birth in Chains

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Maya Ibrahim

Meriam Ibrahim was sentenced to death when she was eight months pregnant for refusing to recant her Christian faith. 

She is still unable to leave Sudan, due to what I consider to be trumped up charges by local officials. 

She gave birth to her baby girl, who she named Maya, while she was in prison. Her captors forced her to give birth in chains. 

Hopefully, Mrs Ibrahim and her family will be allowed to come to the United States soon and we can provide Maya — and Mrs Ibrahim as well — with the medical care needed to repair the injuries that were inflicted on them by this barbaric government.  

From The Telegraph:

“I gave birth chained,” she said, in her first description of the May 27 birth.

“Not cuffs – but chains on my legs. I couldn’t open my legs so the women had to lift me off the table. I wasn’t lying on the table.”

When asked whether she was frightened that giving birth in such conditions could harm her baby, she said: “Something has happened to the baby.”

She explained that her daughter had been left physically disabled – but the extent of the disability would not be clear until she was older.

“I don’t know in the future whether she’ll need support to walk or not,” she said.

 

First Lady: Bring Back Our Girls

First Lady Michelle Obama made a public statement about the barbarous kidnapping of over 200 school girls by Boko Haram in Nigeria.

Mrs Obama broadened her discussion to talk about the war on girls, in particular the war on the education of girls, which is occurring in many parts of the world today. Cowardly men throw acid in little girl’s faces, maiming and disfiguring them for life are unfit to be called men.

A society in which bands of armed men abduct hundreds of girls from their school in order to use and sell them as sex slaves is unfit to cohabit with the civilized world.

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2013 Favs: Message to Martin Bashir: Words Hurt

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I am confused.

I do not understand the depth of hatred that so many people with microphones and word processors evidently feel toward Sarah Palin.

Many of them disagree with her opinions. I disagree with quite a few of her opinions.

But I don’t feel any desire to use this blog to call her names or degrade her as a human being or (God forbid) say things that would incite others to harm her in any way.

Sarah Palin seems to drive a certain segment of the trendy left right past any vestige of their civility and on into barbaric name-calling and sexist word violence that can only be described as cloaked pornography.

A case in point is the comments by MSNBC host Martin Bashir. Pretending to be talking about slavery, Mr Bashir went on to describe things that he said (I imagine this is true, btw) came from an old journal describing the treatment of slaves.

References to historic sources aside, the only times I have heard people describe that sort of treatment at the hands of other people in today’s world was gang rape victims describing the degrading, dehumanizing things done to them by their attackers. Since Mr Bashir is presumably far better acquainted with the twenty-first century than the eighteenth, I assume that he knows this.

He ended this disgusting recital by announcing that Governor Palin deserved the same treatment.

As always happens with these things, Mr Bashir has now issued an apology, which, of course, does nothing to ameliorate the harm he’s done, not only to Governor Palin, but to women everywhere.

I, for one, am tired of this.

Words hurt.

It would have been possible to discuss the remarks made by Governor Palin without calling her any names at all. In fact, the one thing Mr Bashir did not do was give me or any other viewer a reason to think that what the Governor had said was inaccurate. He never discussed that at all.

Instead, he went off immediately into a vicious string of names and then launched onto his history lesson and ended with the judgement that Sarah Palin deserved the same brutal treatment he had just described.

The thing which he, in my opinion, pretended had offended him was that the Governor used the word slavery in her discussion, as in the well-known and commonly-used phrase “economic slavery.”

Now, you may believe that Mr Bashir was so offended by the word “slavery” used in an economic context that he temporarily lost his senses. But even if that is true, it does not excuse what he said. Only insanity to the point of an active delusional psychosis in which he did not know what he was doing would excuse calling for any other person to be treated the way he called for Governor Palin to be treated, and that degree of mental illness would certainly disqualify him from his position.

Mr Bashir is a star. He is a highly-paid professional. There is, or there should be, quite a bit of responsibility in that. If he’s unable to control himself when he hears words like “slavery,” then he may be too emotionally labile for his position.

No professional newsperson who is the voice of a worldwide news organization should be calling for violence of any sort, much less violence of this type, against those they claim to cover. They should not be calling the people whose lives they report names.

What level of journalism is this that Mr Bashir operates from that he can go on the air and behave in this manner toward a woman who is the former governor of one of the fifty states, a former nominee for the Vice Presidency of the United States, and the mother of five children?

What has Sarah Palin done, besides have opinions that some people disagree with and express those opinions strongly, that merits such hatred?

It has reached the point that I know that I’m going to be called a few names for saying this; which is precisely why I am saying it.

No one deserves this kind of treatment. Disagree with her positions. That is fine.

But stop trashing her as a human being, and stop singling out prominent women for pornographic viciousness.

Australia: Doctor Could Lose His License for Refusing to do Sex-Selected Abortion

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How do you spell inconsistent?

Pro abortion people fought a bill we passed here in Oklahoma that was an attempt to discourage sex-selected abortions. Their excuse for fighting the legislation was that it was unnecessary, since no one wants a sex-selected abortion and no doctor would do them, anyway. 

Half a world away, in Australia, a doctor is facing the loss of his medical license because he refused to do a sex-selected abortion or refer for a sex-selected abortion on a woman who was 19 weeks pregnant. According to a National Catholic Register article, the woman and her husband had decided to kill their unborn baby when they found out she was a little girl. 

Now the doctor — not the couple — is under investigation by the Medical Board of Australia and the Australian Health Practitioner Regulatory Agency. 

So … which is it pro abortion advocates? Are we working the side of the argument where a woman has a “right” to kill her baby because it’s a little girl and anyone who refuses to participate in this is going to be punished, or are we pretending that such things don’t happen, which means there should be no laws against it?

Maybe it’s just a matter of which argument is most likely to keep abortion on demand absolutely unregulated and unlimited — except for medical practitioners’ right to say “no,” that is.

From the National Catholic Register:

MELBOURNE, Australia — A Catholic doctor in Australia could face suspension or the loss of his license for refusing to refer a couple who sought the sex-based abortion of their unborn daughter.

“I refused to refer the patient because there was no medical reason to do it, and it offended my moral conscience,” Dr. Mark Hobart told Nine News Australia.

“It’s very wrong, I don’t know any doctor in Victoria that would be willing to refer a woman who wanted to have an abortion just because of gender at 19 weeks.”

The 55-year-old doctor, who lives in the Australian state of Victoria, has practiced medicine for 27 years. He said the pregnancy was “well advanced.”

The married couple had asked Hobart to refer them to an abortion facility 19 weeks into the woman’s pregnancy, when they discovered they were having a girl but wanted a boy.

For the last five months, Hobart has faced an investigation from the Medical Board of Australia and the Australian Health Practitioner Regulation Agency.

Read more: http://www.ncregister.com/daily-news/australian-doctor-could-lose-license-for-refusing-sex-based-abortion?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+NCRegisterDailyBlog+National+Catholic+Register#When:2013-10-14%2008:42:01#ixzz2hjm91QgU

The War on Girls: No Matter What You Accomplish Girl, You’re Still Just A Piece Of Meat

I wrote this post in response to the sexist coverage of the summer Olympics in 2012. I’m re-posting it now as a run-up to my next post, which will be on Miley Cyrus.

Prominent news organizations blazed past their critics to take home medals from the 2012 Olympics despite complaints of unsportsmanlike conduct. Opponents claim that the publications emphasized women athletes’ weight, appearance and body parts rather than their athletic performance. According to the editor in chief of a major news outlet, this criticism is unfair.

“Sure we spiced things up a little,” he said. “So what? Journalism is a competitive business. If these gals want to step out there, it’s our right to try to medal off them.”

This spirit of journalistic competitiveness was evident when the New York Times drummed the competition for the Misogyny Medal by sweeping the field with two articles they entered in the all-misogynist girl-baiting competition. Despite heroic effort from some of the sewer dwellers in the blogosphere, (who are the farm teams for this event,) the supposedly credible New York Times took the gold, followed closely by Melbourne Australia’s Herald Sun.

The Herald Sun made a bold opening move with an article claiming that one of Australia’s female swimmers was “too fat,” and setting up an online poll where readers could vote on the young woman’s appearance. Not to be outdone, the New York Times made a strong counter with an article criticizing one of the American women for being “too pretty” to be taken seriously. They followed this with an article discussing women water polo players’ breasts. This daring maneuver sealed their win.

Skirmishes occurred further back in the pack as other “legitimate” publications tried to make up for lost time by re-printing the bulk of these articles and discussing whether or not they actually “had a lot of truth in them.” Salon took home the bronze with this effort. There were excellent efforts by other outlets who discussed whether or not pretty women athletes were cheating by looking so good and if women athletes really are too fat. But, salacious as they were, none of these medaled.

After the medal ceremony, the team captain for the New York Times indicated that the publication would enter “every event out there” in the upcoming months, stating that it was part of the publication’s standard to maintain a high level of misogyny in all of its coverage at all times. He said that he intended to sharpen the Times’ edge by eliminating the sublety, which he felt slowed his team down. “Next time, we’ll just say that it doesn’t matter what women do or what they achieve, they are still second-class citizens.”

The Herald Sun’s captain broke into the interview to announce, “We’ll do better than that. Next time, we’ll skip the article and run a full-page headline saying, “No Matter What You Accomplish Girl, You’re Still Just A Piece Of Meat.”

When informed that the women athletes in question claimed to feel humiliated and degraded, both team captains said this was an “overreaction” and an example of the emotionalism of women. “I think it’s caused by them thinking about their breasts too much,” the New York Times team captain stated. “Also, carrying around all that fat,” the Herald Sun captain added. “Those girls need to drop about 40 pounds.”

“Yeah,” the Times’ Captain said. “Then we can do an article criticizing them for being too skinny.”

The team captains seemed to forget about the reporter at that point and wandered off together, re-hashing the competition and looking for a brewski.

As for the female athletes, after crying their eyes out, they competed in their events.

 

She Could Have Been Me

I wrote this post over a year ago. In light of questions raised by a reader concerning this post, I’ve decided to republish it today.

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She could have been me.

I didn’t get to that thought at first. My first reaction when I saw the Live Action undercover video The War on Baby Girls was anger. I’ve known this was happening, that women were aborting baby girls because they were baby girls, for quite a while.

My sources were nurses and chaplains who work in Oklahoma hospitals. I helped pass a bill which tried, within the straight jacket of Supreme Court rulings on the subject of abortion, to do something about it. The supporters of legal abortion claimed that the bill was unnecessary, that sex-selected abortions don’t happen.

It gets wearying, dealing with the constant barrage of lies that attend politics these days. No one tells the truth; not about their intentions, the legislation, or the objective facts of medical practice. Nothing — and I mean NOTHING — brings out the facile lying more than the fine art and practice of medical misogyny.

So, when I watched that video, my first reaction was anger. It took a few hours for the other reaction to come around. I kept remembering that counselor. She was careful with her words. She never said “abortion,” or “abort.” The word “kill” didn’t cross her lips. She talked about “terminate.”

“If you decide to terminate,” she said.

I replayed her face as she told the girl to avoid telling people that she was planning to abort her baby if the baby was a girl.

Some people might “place judgement,”  she said.

Nothing about the counselor shouted Monster! But what she was doing, what she was saying, what she was aiding, abetting and helping to happen WAS monstrous. How did she, how does anyone, get to this place? The grim logic of abortion and its illogical conclusions doubtless played a part in her actions. If a five month old baby (and that’s what a 20-week fetus is) is not human enough to have a right to life, then what does it matter why we kill her?

But the counselor’s words resonate: “Place judgement” she said. That’s the paralyzing ethos of our times at work. Judging, judgmentalism, are the evils in this upside down world, not the murder of an innocent baby girl.

I would guess that a lot of people look at that counselor with disgust and rage. But I feel sorry for her. I hate having to admit this, but the truth is, she could have been me. There was a time when I wasn’t just pro-choice, I was a stinking fanatic about it. I had seen and experienced first hand the violence, degradation and destruction that is misogyny and, like so many young women of my time, I saw abortion as a way out.

But when you go down that path of using one evil to justify another evil you end up committing even greater evils yourself. If you really aren’t a monster who has no conscience or concern for other people, you look for ways to hide what you are doing from yourself. The greatest lies of our times are the lies we tell ourselves to justify doing things that we know are wrong. What makes it work is that the whole culture conspires with us in the doing of it.

The culture, not just of Planned Parenthood, but of our whole American world, says that you can not, you should not, you must not “judge.”

As with most lies that are effective, this one has truth mixed into it. The desire to play God runs strong in all of us. I think that if we had the power to enact our judgements on one another, none of us would go to heaven. We would all condemn one another to hell.

But using the word “judgement” itself as a condemnation is not only idiotic, it’s destructive. The human brain is designed by Our Maker to observe, compare, think and conclude. These conclusions are just another word for “judgement.” When our culture labels this power to discern and decide an evil; when it shears our thinking brains away from us, we become a culture of co-dependence and mental decay.

It’s as if we’ve all suffered a cultural stroke and the words “this is wrong” have been erased from our minds. Instead of saying the plain facts of things, we go into mental gymnastics, trying to “understand” the most hideous behavior. We create fantasy motives for crimes against humanity which are tissues of lies we tell ourselves. These fantasy interpretations of the plain reality in front of us help us silence the thinking, analyzing parts of our brains. They allow us to avoid the social anathema of being labeled “judgmental.”We find ourselves unable to set standards for behavior for anyone, including ourselves.

That is how a basically kind-hearted person can become a monster.

The great irony is that the flip side of this is no better. If we take the untrammeled power to judge others onto ourselves, we unleash the monsters of condemnation, discrimination and, inevitably, killing of innocents. That’s where the gulags, pogroms, lynchings, rapes and murders come from. On the other hand, if we flee from this into a refusal to “judge,” we unleash the monsters of condemnation, discrimination and, inevitably, killing of innocents. That’s where the attacks on Christians, abortions, euthanasia, and starvation of millions for corporate greed come from.

We can whipsaw our human nature from pole to pole; from legalistic judging to fear of judging that becomes another kind of legalistic judging, and we always end up right back where we started from. We are caught forever in the morass and mess of original sin and we cannot think, moralize or fight our way out of it.

The only thing that can save us is the cross. The only One who can save us is Jesus.

I know. Because He saved me. My first reaction to that video was anger. Then, I indulged in a few minutes of self-righteousness by remembering what I went through trying to help pass a bill to lessen the practice of sex-selected abortion. Finally, I came around to the truth: That counselor could have been me, was me, is me, without Christ.

Human beings become monsters when we take the deciding of right and wrong, good and bad, on ourselves without reference to the One who made us. Nothing we can do, and I mean NOTHING we can do, can save us from this. You can go to church, sing in the choir, read the Bible, but if you do these things on your own power and by your own lights, you can and you will become a monster to somebody. You may not have an abortion. But you’ll do something.

We are not saved by ourselves, of ourselves, or even for ourselves. Our salvation comes through the humiliation of the cross and the only honest way we can approach that cross is with humility.

The only salvation we have is at the foot of the cross.

The counselor in that video could have been me.

When you look around at the sins of the world, which of them could be you?

If It’s Not Prostitution, Take the Money out of It

MH900448636 I knew when I posted The New Prostitution: Surrogate Pregnancy that I would get a flurry of indignant responses and lies from people who buy and sell women’s bodies in this new, medical form of prostitution.

I’ve been to this particular rodeo before. What I encountered then and now is what people who stand up for the human rights of women always encounter: Lying attacks from their exploiters, self-destructive defenses of their own dehumanization by self-hating women, and stories of the “benefits” of the prostitution from their purchasers.

Just for the record, I don’t put pimps’ testimony on this blog. That includes pimp husbands who take money from their wives selling their bodies to medical science and doctors who buy and sell women’s bodies. I also don’t put johns’ excuses for their behavior on this blog. You’re wasting your time, trying to comment here.

My experience with this began when I went through infertility treatment to have my first child. I know a lot of about these drugs they give people. I know about their side effects and how they make you feel. I do not have first-hand knowledge of the irresponsible medical practice of egg harvesting.

My doctor was treating me for a diagnosed medical condition. The dangers and miseries I endured were part of a legitimate treatment for a bodily disfunction. She never over-stimulated my ovaries to try to make as many eggs as she could. She also never lied to me about the risks. She told me everything before we ever started, including the fact that the treatment could kill me.

The doctors who perform egg harvesting in Oklahoma lie about the risks. I know they lie because when I introduced a bill to stop them from paying women to undergo egg harvesting, they lied to other legislators and to the press. One of them said that egg harvesting was no more dangerous than riding in a car, among other flat-out lies.

They also claimed that they had not ever had a single complication. Another lie. One of these docs was part of the infertility clinic I went to. He wasn’t my doctor, but I knew him. While I was undergoing treatment, one of his patients lost an ovary. Call me crazy, but I think that qualifies as a complication.

These doctors are misrepresenting the risks and exploiting young women, endangering their lives, future health and fertility. They are reducing women and children to things to be bought and sold on the marketplace. They are also turning medical practice into an exploitative and dangerous profession that people cannot trust. 

If doctors can subject people to dangerous treatments that the patients have no medical need of in order to make money, if they can lie about the risks and use their professional associations’ political clout to create an environment that allows them to do this with impunity, then how can anyone ever trust their doctor?

We rely on these medical people to tell us the truth. We rely on them to give us treatments that we need because we are sick and need those treatments to get well. We rely on them not to inflict unnecessary medical treatments on us to make money.

These doctors are preying on women. They are buying and selling babies. All the lies in the world won’t change that.

There is one simple solution. Take the money out of the equation. If a woman wants to undergo a surrogate pregnancy for someone out of the goodness of her heart and she knows the risks and freely undertakes them, ok. But do not allow anyone to pay her to do this.  The same should go for egg harvesting. 

There is a reason we have laws that do not allow people to sell their bodily organs. The same laws should to apply to egg donation and surrogate pregnancies.

What I want to do is,

TAKE THIS:

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AND THIS

  • First-time surrogates receive a base payment of $23,000, paid in installments throughout the pregnancy.
  • Additional payments total $4,000 or more, which increases the total compensation to $27,000. These payments include money for maternity clothes, payment for completing the embryo transfer, and a monthly expense allowance beginning when the surrogate signs the contract with the intended parents.
  • Surrogates who carry twins receive an additional $5,000, raising their total to at least $32,000.
  • Women who become surrogates a second time have their base payment increase to $28,000. This means they receive at least $32,000 total, or $37,000 if they carry twins. (see here.)

AND THIS

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OUT OF THE EQUATION. 

Give women and children their human dignity under the law. 

Otherwise, stop lying and call it what it is: The new prostitution.

The story below comes from a young doctor. She gave me permission to use her testimony when I was working to pass a bill to make it illegal to pay for egg harvesting in Oklahoma. I never used it, even though she gave me permission. She was still a student and afraid of what public use might do to her medical career. I didn’t think she understood how vicious and slandering these people really are, and I did not want to harm her in any way. I left her out of that fight.

However, she is in a different place in her career now.  She has offered her story as testimony to the Kansas State Senate and it is published at the Eggsploitation web site.

I reprint it here with permission. From Eggsploitation:

 

Sindy’s Testimony

Testimony by Sindy, M.D., Ph.D. to Kansas State Senate on Senate Bill 509, “Women’s Health and Embryo Monitoring Program Act,” March 2010

My name is Sindy. I have an M.D. and a Ph.D. in Biology with specialization in the field of real-time live imaging of the early immune response. With my strong background in basic science research and publications in top scientific journals such as Nature and Science, I have always been an avid supporter of biological research using live subjects and donated tissue, both animal and human. However, my experiences have taught me that at times, even a scrupulous medical scientist may be tempted to make erroneous assumptions, cut corners, or risk safety in order to save time or achieve success. In my medical and research training I have learned the importance of certain principles whenever attempting a procedure or study. These include: 1) ethics, 2) subject safety, 3) informed consent, and 4) patient autonomy. I am testifying today as a former egg donor on the dangers posed to women by the egg harvesting industry. I believe that all four of the above key principles had been violated in my case. Even though I suffered immediate life-threatening complications from the process, it wasn’t until many more years of medical training that I was able to understand the full scope of how I had been taken advantage of, mislead, and abandoned by the egg harvesting industry. As a medical professional it is still difficult to accept that such abuses are allowed to exist in my profession. Meanwhile, players “behind the scenes” such as the egg donation agency and the egg brokers have left the issues of ethics, health, and safety to the doctors, so that they can concentrate on profit. It is my assessment that the egg donation industry cannot be allowed to continue without regulations aimed at preventing unethical recruitment, substandard practices, and inadequate monitoring of women for the purpose of egg harvesting.

The goal of my testimony is to illuminate the importance of placing regulations on the way that the egg harvesting industry is run — from ethical, legal, and medical standpoints. 1) The health and safety of women must be protected first and foremost in any procedure related to ovum production, and should never be superseded by concerns of profit, costs of screening and monitoring the subject, quantity of eggs produced, quantity of eggs retrieved, or completion of the cycle. 2) Furthermore, like any other industry, the egg harvesting industry must be held accountable for reporting adverse effects and for tracking the long-term health of donors. 3) Ethically, informed consent must be properly obtained, with an admission that more research is needed to illuminate the long-term risks to donors. It is also an ethical responsibility for those who profit from egg harvesting to track the health of donors, including conducting large scale research in order to study risks.

I will now relate my experience. In 2001, while still in the combined MD/PhD program, I signed up for egg donation after seeing a university newspaper advertisement for egg donors. The monetary compensation of $6,500 seemed like a lot to me at the time, as I made barely enough to live on. Though I had a desire to help an infertile couple, money was definitely a major driving factor in my decision. Before I started, I searched the medical literature with a fine-tooth comb to verify that this procedure was indeed as harmless as advertised by the egg donation agency. I did not find any hard evidence in the literature of future infertility and cancers, and it seemed that the risks of other complications were extremely low. However, I was not told that the egg donors were rarely followed after the donation, and that doctors were under no obligation to report adverse events.1 Like many other women egg donors, I was bound by legal contracts to remain anonymous and therefore even if late complications occurred, they would be difficult to report.

At this point I had a normal gynecologic history, including normal age at first menses, regular menstrual cycles, and nothing significant on pelvic ultrasounds. It was assumed that I was healthy enough to undergo the egg harvesting protocol. Then I submitted my photographs, passed my genetic screening as a “quality assurance” for the tissue purchaser, and submitted myself to a psychological screen and IQ test administered by a psychiatrist. Based on these results I was chosen as the egg donor, from whom a “designer offspring” would be created.

The legal contract stated that the creation of these eggs were for the purpose of in vitro fertilization. The recipients of my eggs would retain all rights to my eggs and any subsequent embryos created from my eggs, “including but not limited to the ability to make all decisions regarding disposition of embryos.” The literature given by the egg donation agency outlined the possible risks of ovarian hyperstimulation syndrome (OHSS), as well as some other theoretical risks that they assured me were rare. What I did not realize at this time was that there were other hidden players in the egg industry who could potentially make money off my eggs, and that there were no laws in place to discourage hyperstimulation of many more eggs than reasonably needed for the goal of helping the infertile couple. My contract did not guarantee that third parties would not be involved in the trading or selling of these eggs, though it specifically forbade donations to other infertile couples without the donor’s consent. My eggs could have been a high-value commodity for profiteers who had nothing to do with the infertile couple, and I was not made aware of this possibility in a forthcoming and direct manner.

The below was part of the information provided to the public by the egg donation agency:

Q: How many eggs are removed during the retrieval? A: The average is 10-15 eggs aspirated per cycle, but donors can produce 16 or more eggs.

Q: Can a donor not produce enough eggs in a stimulated cycle? A: Yes, if the doctor cancels the cycle for poor response the donor will be compensated between $650.00 — $750.00.

According to my agency, failure to produce more than 4 eggs qualifies as “not enough eggs”. Four is typically higher than the target for women who are receiving fertility treatment using oral medications. However, note that there is no upper limit for the number of eggs a donor may safely “produce”, indicating that safety of ovum overproduction is being ignored. This illustrates that the drive to produce a higher number of eggs is extremely high, and failure to produce “adequate” eggs is linked with reduced financial compensation for the donor. Needless to say, this concept of “more is better” brings up ethical questions concerning the use of financial compensation for the recruitment of egg donors. This is especially alarming when no standards are in place to prevent an agency from overproducing eggs. The agency also told me that if I had a successful donation and become a proven donor, I may receive more compensation for future cycles, upwards of $8,000 (on paper) to $20,000 (verbally) – more than I would make in a year of intensive lab work. When “successful” production cycles are linked to increased financial compensation and “failures” are linked to a decrease in financial compensation, women will become more likely to tolerate untoward side effects, including those of OHSS, for fear of losing this compensation. This payment structure poses an obvious ethical conflict.

After signing my legal contract I began to administer all the medications as directed by the egg donation agency. These medications arrived by mail. I already knew how to mix and administer the medications but I don’t recall being instructed by medical personnel. At no point did they adjust my dosage. I remember receiving follow-up early on with a local doctor, and more exams after I travelled by plane to Northern California for the harvesting. Imagine my surprise when they told me that I was producing approximately 60 egg follicles! A mature follicle measures ~2 cm in diameter. The normal ovary measures approximately 4 x 2.5 x 1 cm, and is analogous to the testes. Therefore, you can imagine how 30 mature follicles of 2 cm diameter clustered within each gonad must look like and feel. I was concerned, but the doctors and nurses assured me that this was within the reasonable range for a fertile young woman.

A couple of days before the retrieval the nurse emailed me that my blood estrogen (estradiol) levels came back much higher than they had anticipated (~10,000 pg/ml). A woman in her 20s has an average estrogen level of ~150 pg/ml, with a peak of ~400 pg/ml prior to ovulation. In late pregnancy, the levels may rise 100-fold, but this rise normally occurs over a 6 month period. I asked the fertility specialist to consider altering the timing and course of this process. I was concerned because the drugs I received were probably tested on Caucasian women of average weight. I am a thin non-Caucasian woman. Studies have shown genetic differences in liver drug metabolism for ethnic populations; the examples are too many to reference and are beyond the scope of this topic. Despite my concerns, the doctor told me that even though my hormone levels were extremely high, they would not make any adjustments to the protocol because they did not want to risk failure. I continued to follow all their directions, as it stipulated in my legal contract that I “[understood] it [was] imperative” that I “not deviate from [the protocol] unless instructed to do so by the IVF physician.” Therefore, I proceeded to finish my ovarian stimulation, finishing off with a shot of human chorionic gonadotropin (HCG) to help release the eggs for the harvesting. The next morning, I underwent transvaginal needle retrieval of the eggs.

What was unknown after the surgery was that the doctor had punctured an artery during the harvesting. When I woke from the anesthesia I became weak, nauseous, and dizzy. I was scheduled to catch a plane that afternoon, to return home. They told me that I looked good and was ready to go home, even though I had problems maintaining my blood pressure. At this point I refused to leave, because I could not stand without getting dizzy – orthostatic hypotension after an invasive procedure typically raises the suspicion of blood loss. A few hours later they started giving me intravenous fluids because they thought that the anesthesia was causing my low blood pressure. Then I developed pain and difficulty breathing. An ultrasound showed that everything was fine except for fluid in my pelvis, which they said was normal (later, this was documented as “fluid pocket near the right kidney”. During this entire time the doctor and nurse persisted in trying to get me to leave, which would mean hours of traveling by car and plane. The pain in my belly became unbearable and I became convinced that I was bleeding internally; something was irritating and pushing on my diaphragm. When I asked if I could be bleeding internally, they told me that it was unlikely. My blood pressure was even lower at this time, so they gave me medication to raise it. Unfortunately giving pressors in a bleeding patient increases the bleeding rate. At 6pm, after 8 hours of slowly and painfully bleeding out, they FINALLY admitted me to the hospital. To me it seemed like they had done just about everything to get rid of me up until that point. The fertility doctor ordered me to eat something. As soon as I sat up in bed to eat, I developed sudden distress and difficulty breathing. They took my blood pressure and called out “40/20″. At that moment I feared that I was going to die. In my medical records the blood pressure reported was 61/29. At this point they finally began to realize that something was terribly wrong, that I was going into shock from blood loss, so I was taken into the operating room for an emergency exploratory laparotomy to find the source of bleeding. The surgeons flipped through my bowels three times to ensure that no other organs were punctured.

During the harvesting of ~60 eggs, which I assume required 60 passes of the needle through my ovaries, the fertility doctor had punctured a high pressure artery in my right ovary. This tiny bleeder was easily fixed with a touch of electrocautery. I had an emergency blood transfusion to replace the 1.5 liters of blood lost. There is absolutely no reason why they should have waited so long to properly diagnose me, thus turning this into an emergency surgical situation when they could have done a small laparoscopic procedure to diagnose and fix a small bleeding artery. Had I followed their directions and gone home, I would have died. Unfortunately their disregard of the signs of OHSS, low index of clinical suspicion for post surgical complications, and their extremely slow response resulted in a horrific clinical outcome.

After the surgery, I had to be kept on a breathing machine in the intensive care unit (ICU) and treated for acidosis throughout the next day. After I was stabilized enough to move to the regular medical wards, the fertility doctor came to see me. She told me that the bleeding was probably due to a genetic bleeding disorder (i.e. my own fault) and that this has never happened before. Then she proceeded to check me for rare genetic bleeding disorders – nothing. I found the doctor’s reluctance to accept that a simple, clear-cut complication had occurred to be highly disturbing. A few days after I was admitted, the 9/11 attack occurred and all planes were grounded for a week. Despite not being able to walk or tolerate a 10 hour car ride home, the doctor told me I needed to free up medical resources and go home now. She tried to get me to leave by stating that when she had her C-section it only took her 3 days to start walking again. However, she neglected the fact that I had gone into prolonged shock caused by her own negligence, spent time in the ICU, underwent a massive surgical procedure, and had emergency blood transfusions. There were no apologies from beginning to end. I was shocked by this dismissive attitude from a top doctor of a top fertility treatment center, a medical expert who has published many articles on safety evaluation and recommendations for egg harvesting. At the same time, I was afraid to launch any complaints because I was a student in the same hospital system with plans to pursue the same field – Ob/Gyn; years later I decided on another medical specialty for unrelated reasons.

I am thankful to be alive, but I know that it was not because the doctor caught the post surgical complication. It was because I finally took a stand, and refused to go home when I knew that something was wrong. If I had died I would not be here to tell my story. I fear that cases like mine are buried deep by the fertility centers who do not want to lower their reputation. While I was in the hospital the fertility doctor told me that she would write a case report on the complication I had. When I searched the medical literature for all of her publications some years later, I wasn’t surprised to find that there was no such report. I have no way of knowing if this incident even made it into a statistical analysis somewhere in the medical literature. It makes sense that an industry thriving on profits and reputation has little incentive to report adverse events, for fear of driving away potential IVF clients and egg donors.

The $6,500 I was given has long since evaporated into medical treatments for multiple late complications caused by this incident. I developed an infection inside my incision site and required multiple steroid injections into the scar to stop it from growing out of control. I suffered from post traumatic stress for months because of my near-death incident, and was unable to work for two months due to both physical and mental deterioration. When I came off birth control a few years later I discovered that my previously normal menstrual cycles and hormone levels had become irregular. My previously normal ovaries took on a polycystic appearance, with more than 25 small follicles in each ovary. I developed occasional incontinence and pelvic pain likely as a consequence of the emergency surgery causing adhesions (fibrotic bands, analogous to scarring) around my organs.

The worst part of this is my current struggle with infertility, requiring continued exposure to the very same types of fertility drugs that I had already been overexposed to in the past – exposure whose link to cancer has not been adequately studied and may take decades to emerge.1 I may need more surgeries in the future to determine if the emergency surgery that was done had damaged my reproductive organs. I fear that the procedure may have harmed the quality of my eggs, even if the fertility experts are certain (at least theoretically) that quantity of eggs remains unaffected. Because of the high hormonal exposure during my egg donation cycle and multiple anecdotes from other egg donors, the development of early cancer is always in the back of my mind. Though a large study has found no evidence linking IVF to ovarian cancer, there is a generalized, undeniable causal relationship between transient exposure to female hormones and transient risk of rapid-growth gynecologic cancer.2 I believe that is absolutely necessary for egg donors to be followed and studied, especially if they had experienced hyperstimulation during the process. No follow up has ever been offered to me. Nobody from the egg donation agency, fertility clinics, or hospital has contacted me since, except to obtain my insurance information so that they could pass my hospital bill to my own health insurance company.

Summary and Conclusion:

1) Ethical considerations:

Financial compensation for eggs disproportionately targets college women with financial hardships. These women usually have long academic careers ahead of them and have not considered childbearing yet, so any infertility caused by the procedure would cause more psychological and physical damage to these women. Docked pay for failure to produce a target number of eggs and escalating pay scales for subsequent cycles are factors that may encourage underreporting of adverse side effects by the egg donor.

2) Subject safety:

Subject safety is variable, being highly dependent on the individual clinician’s practice. This is why there needs to be standardized safety practices and mandatory reporting of complications. In the article “Assessing the Medical Risks of Human Oocyte Donation for Stem Cell Research: Workshop Report (2007)”, one fertility expert advocated the following:3

By working from such information as a patient’s age, weight, and follicle count… a doctor can begin with an FSH dose based on those factors and then modify it as necessary. We monitor during the course of the stimulation to further decrease the dose if too many follicles are developing or the estradiol levels are too high.

To reduce risk of hyperstimulation, these actions were also recommended:

  • •Modify stimulation protocol
    • ◦Decrease gonadotropin dosage
    • ◦OCP/Lupron/Low dose gonadotropins
  • •Reduce the ovulatory dose of hCG
  • •Delay administration of hCG: “Coast”
  • •Cancellation of cycle eliminates the risk of OHSS
  • •Withhold hCG administration

Basically the safety recommendations for egg donors include determining the initial dosing of these powerful drugs on the weight and age of the patient. If there is any evidence of producing more eggs or hormones than expected during routine monitoring, then the drug dosage should be reduced, the administration of stimulating medications delayed, or the cycle cancelled. None of these recommendations were followed in my case. In fact, it was one of my own egg donation doctors who was consulted and quoted in the above article.

Regarding the risk during surgical retrieval of the eggs, the perceived negligible risk of complications is likely due to incomplete data:2

It is difficult to know, however, exactly how often such complications occur . . . Although excellent statistics are kept on such things as how many viable eggs each procedure produces, the statistics are not so complete on the complications that ensue during and after.

As my case illustrates, this perceived near-zero risk is inherently dangerous because it will not raise red flags when complications do occur, resulting in delayed intervention and a poorer-than-expected outcome. When a complication does occur, the denial of medical responsibility based on statistical rarity is a faulty and circular argument. This denial of responsibility would also prevent egg donors from obtaining monetary compensation for treatment of complications and appropriate follow-up. As my case illustrates, poor management of retrieval complications can be a problem even in the hands of the most experienced clinician.

Lastly, I received no follow up after my procedure. It is the ethical duty of the fertility industry to conduct timely follow-up and research studies in order to promote safety. This is true of any other industry especially pharmaceutical – so why make fertility an exception?

3) Informed consent:

Many are improperly informed about the risks of the egg harvesting process. Verbally I was told that risk was virtually non-existent and that studies have not linked the procedure to cancer and infertility. I should have been told that there were not enough studies or long-term follow up to determine risk.

It should be made abundantly clear if embryos or stem cells may potentially be secondarily sold, traded, or gifted. The amount of profit potentially generated from each transaction and the purpose of each transaction should be transparent to everyone involved, especially the donor. Without this information, the egg donor cannot possibly make an informed decision.

4) Patient autonomy:

I was hyperstimulated with approximately 60 eggs retrieved. During the procedure I expressed concerns about not using weight-based dosing of fertility medication, the excessive number of follicles produced, and skyrocketing estradiol levels. Nothing was done to personalize my procedure based on clinical findings, which is clearly incongruent with the standard of care. After the procedure my concerns about internal bleeding were not adequately acknowledged until I went into shock and had to undergo an emergency laparotomy. In my experience, the pressure to complete a successful cycle became stronger as I became more invested in the process, and thus I progressively lost my right to make decisions regarding my own body.

Final thoughts:

Even the tiniest risk of complication needs to be taken seriously especially when dealing with perfectly healthy young women, who have no need to undergo a potentially life-threatening procedure. Procedures with risk are performed on sick patients with the understanding is that the benefits of the procedure outweigh the risks or the consequences of doing nothing. In egg donation there is no medical benefit, only risk. It represents a conflict of interest when the physician does not perceive the egg donor as a patient for whom they have the responsibility to minimize risk. This aspect must be considered when treating healthy young women with everything to lose.

References:

1. Nature. 2006 Sep 7;443(7107):26. Health effects of egg donation may take decades to emerge.

2. American Journal of Epidemiology Vol. 153, No. 11 : 1079-1084.

3. Assessing the Medical Risks of Human Oocyte Donation for Stem Cell Research: Workshop Report (2007).

The New Prostitution: Surrogate Pregnancy

I’m going to be writing about the “new” prostitution a lot in the months ahead. One of these new ways to objectify and exploit women is commercial surrogate pregnancy.

Jennifer Lahl, president of the Center for Bioethics and Culture, is a stalwart battler for women’s human rights in the face of the new forms of dehumanization and exploitation that medical technology has placed in the hands of doctors. She has fought a hard and often futile battle against a money-hungry medical establishment which supports doctors in exploiting and harming their patients for monetary gain.

Preview of  surrogate mother  Google Search

Simple Google Search Returned Pages of Hits Offering to Sell Women’s Bodies for Surrogacy

 

This technology is marketed as a solution for desperate families who can’t have children. In truth, what we have is the buying and selling of women and babies over the internet in what can only be described as a mass market for a new and virulent form of prostitution. The purchasers are wealthy people, including many powerful celebrities, who don’t want to be bothered with having children themselves, and homosexuals, especially gay men.

In  my opinion, one reason this misogynist abuse of women has been allowed to flourish is that the churches are, even now, tone deaf about women’s human rights. They focus on the lives of the embryos that are mass produced by harvested eggs without considering that the women whose bodies are being farmed, and whose health and dignity as human being is being comprised, are also human beings whose human rights as well as their health and well-being are compromised by this practice.

In truth, egg harvesting and surrogacy is a one-two punch of human rights violations. It reduces both the babies and the women to the level of commodities to be bought and sold with no regard for their well-being.

It comes as no surprise to me that a lawmaker in Washington DC wants to swing the doors wide open on the abuse of women and children with this egregious practice. The lawmaker is Councilman David Catania and he says he does not expect any serious opposition since all he’s doing is “remedying … an imperfection in the law.”

Preview of  Surrogate Mother Egg Donors and Sperm Donors In Oklahoma City 73101

Oklahoma City Ads for Buying Women’s Bodies to Use as Surrogates. 

I just love the casual way people who are tone deaf to human rights, especially as they apply to women, decide that buying and selling women, using their bodies like appliances, and farming them like they were animals is not only an A-OK thing to do, it’s all for the greater good. Misogyny is truly a wonderment, isn’t it?

From National Catholic Register:

Surrogate Pregnancy Bill in D.C. Draws Criticism (725)

Women and children are exploited through this popular ‘rent-a-womb’ practice, Jennifer Lahl charges.

 

Jennifer Lahl, president of the Center for Bioethics and Culture Network

 

WASHINGTON — A lack of information about the dangers of surrogate pregnancy could soon allow the

practice to become legal in Washington, D.C., warned the founder of one bioethics organization.

“These issues aren’t on anyone’s radar,” said Jennifer Lahl, president of the Center for Bioethics and Culture. “By and large, people have accepted third-party reproduction. It’s not seen as controversial … because people are woefully misinformed.”

Lahl told Catholic News Agency that the average person sees nothing wrong with surrogacy, which is the practice of a woman carrying and delivering a baby for someone else. This could explain the lack of opposition to a new bill in the nation’s capital, she said.

Legislation introduced June 3 by D.C. Councilman David Catania would legalize surrogacy in the District. If passed, it would wipe away current local legislation prohibiting surrogacy contracts, which carry penalties of up to $10,000 in fines or a year in jail.

“I don’t expect there to be any significant opposition,” Catania told the Washington Examiner. “This is about remedying what I believe to be an imperfection in our law.”

Lahl, who worked as a pediatric nurse for 20 years, said most people are unaware of the negative repercussions of surrogacy. She noted that concerns with legalized surrogacy include a lack of research in the field and a failure to consider the impact on the child and the woman whose womb is being “rented.”

One of the biggest concerns, she warned, is that the relationship between a mother and a child in her womb is ignored.

“So much is going on in that womb,” Lahl explained. “The surrogate mom and child will be linked genetically, and there’s so much we’re learning about genetic diseases and how much the womb plays into that child’s health.”

The connection is more than simply physical, she continued.

“Newborns know one thing — they know who their mother is,” she said. “I’ve known of mothers who sing to their children in the womb or read them books. What happens when you tell a mother to intentionally not bond with a child in their womb?”

California lawyer Stephanie Caballero handles surrogacy cases and says 30% of her clients are homosexual. She told the Washington Examiner that, with proper screening, money is not the only reason women decide to become surrogates.

“The first reason is because they want to help someone,” she said. “They do it [in part] because they love being pregnant.”

However, as part of a new documentary for the Center for Bioethics and Culture, Lahl has interviewed numerous women who were surrogate mothers. By and large, she said, surrogate women “are women who have financial need — wealthy women are going to be buying the surrogacy contract.”


Read more: http://www.ncregister.com/daily-news/surrogate-pregnancy-bill-in-d.c.-draws-criticism?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+NCRegisterDailyBlog+National+Catholic+Register#When:2013-06-10%2012:22:01#ixzz2Vr4nJEGJ

Catholic Church Against Human Trafficking

Human trafficking is like sex-selected abortion in that it gets caught up in the culture wars. This video shows the Catholic Church’s clear stand against human trafficking.

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