Journal of Medical Ethics:medethics-2021-108093 (forthcoming)

Ji-Young Lee
University of Copenhagen
In this article, I critique the commonly accepted distinction between commercial and altruistic surrogacy arrangements. The moral legitimacy of surrogacy, I claim, does not hinge on whether it is paid (‘commercial’) or unpaid (‘altruistic’); rather, it is best determined by appraisal of virtue-abiding conditions constitutive of the surrogacy arrangement. I begin my article by problematising the prevailing commercial/altruistic distinction; next, I demonstrate that an assessment of the virtue-abiding or non-virtue-abiding features of a surrogacy is crucial to navigating questions about the moral legitimacy of surrogacy; in the final part, I reject other moral heuristics that might be proposed as alternatives to the commercial/altruistic dichotomy, and reiterate that a virtue-ethical framework is the most suitable way forward.
Keywords Surrogacy  Commercial surrogacy  Altruistic surrogacy  Virtue ethics  Reproduction  Reproductive Ethics  Bioethics  Gestation
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DOI 10.1136/medethics-2021-108093
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References found in this work BETA

A Virtue Ethics Approach to Moral Dilemmas in Medicine.P. Gardiner - 2003 - Journal of Medical Ethics 29 (5):297-302.
Exploitation in International Paid Surrogacy Arrangements.Stephen Wilkinson - 2016 - Journal of Applied Philosophy 33 (2):125-145.
Fair Trade International Surrogacy.Casey Humbyrd - 2009 - Developing World Bioethics 9 (3):111-118.

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