Last month, Susan
Buchweitz recovered a million dollars in a
settlement with a fertility clinic. Doctors at
the clinic had mistakenly given her an embryo
intended for another family.
Now the boy is
three, and Buchweitz's right to remain his
mother is in question. The possibility that she
may lose her son - by virtue of the DNA that he
shares with a different family - reveals a kind
of sex discrimination that often goes unnoticed.
The Doctors'
Error
For many years,
Buchweitz had dreamed of becoming a mother. Like
other women, she had initially hoped to find a
partner in her quest for parenthood. But when
things did not work out, she decided to pursue
the difficult and awesome responsibility of
having a baby and raising him by herself. At the
age of 47, Buchweitz went to a fertility clinic
and had an embryo implanted in her womb. She
carried her child for nine months and then
delighted when her plan came to fruition, and
she gave birth to a baby boy.
Ten months
later, however, she found out that she might
lose her son. It was not because she did
anything wrong or had failed to lavish
sufficient love and attention on him. It turned
out that her doctor had made a mistake and
implanted an embryo that was meant for someone
else.
The doctor in
question reportedly told Buchweitz that he knew
of his error almost immediately after making it.
He failed to tell her, however, because he was
afraid that she would terminate her pregnancy.
He decided to leave it "in God's hands."
The Ensuing
Tort Litigation
As noted above,
Buchweitz subsequently sued and received a
million dollar settlement. The case was
straightforward. The doctors should have taken
greater care to ensure that they did not implant
an embryo in a woman whose status as the child's
parent would foreseeably be contested.
The fertility
specialists' job was to help Susan Buchweitz and
the other couple (whose identity has not been
disclosed) conceive babies whom each,
respectively, would be entitled to keep. The
doctors failed spectacularly at that job.
Now, Buchweitz
faces much more difficult litigation. She must
defend a lawsuit in which the other couple seeks
custody of her son. Thus far, a family court in
California has awarded the biological father
twice-weekly access to the child and has given
Buchweitz temporary custody.
The Essence
of Motherhood
The couple,
according to Buchweitz, "don't accept me as my
son's mother." In their view, the woman who
takes care of him now has no claim to him at
all. Buchweitz says that this is the worst part
of the mix-up.
The competing
parents, of course, were not to blame for the
error. Indeed, they too may have a legitimate
interest in a parental relationship with the
little boy who has known only one mother. But
compared to what Buchweitz invested in the
existence of the boy, the superiority of the
couple's claims is anything but obvious.
As I discussed
in
an earlier column, the attributes that
define a "mother" are ordinarily all assembled
in one person. Therefore, it is typically
unnecessary either to rank them in order of
importance or to determine which, if any, are
superfluous and which are essential to the
status in question. Salient among the attributes
are pregnancy, a genetic link, and an expressed
intention to raise and care for a child as one's
own.
In this case,
both Buchweitz and the couple did what would
ordinarily have resulted in their respective
acquisition of full parental rights. The couple
went to a fertility specialist and asked for the
retrieval and implantation of an embryo created
from the husband's sperm and a donor egg.
Buchweitz requested an embryo that had been
donated precisely for someone who would implant
it and give birth to a child who would be her
own. She was not a volunteer surrogate mother,
and the couple did not voluntarily donate an
embryo to a stranger.
In the light of
what each of the parties did, it is therefore
puzzling that the couple would consider it so
obvious that the "real" parent is the one with a
genetic connection. The willingness to leap to
this conclusion reflects a very male-centered
orientation to the essence of what it is to be a
mother.
Fatherhood
Should Not Be the Paradigm by which Motherhood
Is Judged
Think about how
one becomes a father. Ordinarily, a man achieves
biological paternity by providing sperm cells
that unite with egg cells to divide and
ultimately grow into a human being. Once a child
is born, the man is a father simply by virtue of
that initial contribution. Over time, he may
prove to be a good or a bad father. To acquire
the status in the first place, however, usually
demands only a sperm contribution and a
nine-month wait.
Consider, by
contrast, the meaning of biological motherhood.
Conception (and the DNA input entailed) only
begins the process of maternity. Pregnancy makes
significant demands of a woman. For women,
"biological motherhood" is at least as likely to
evoke an image of pregnancy as it is of egg
donation. Unlike in the case of paternity, then,
one can find oneself the biological child of two
women, if one woman gestates and the other
contributes an egg. I discussed this possibility
in
a prior column.
Still, even
when it comes to women and maternity, many
fixate on DNA when all other things are equal.
And in this case, all other things are. There is
not even a colorable argument, for example, that
Buchweitz somehow waived her parental rights, or
that she otherwise knowingly carried a child who
could be claimed by other people.
Ignoring
Gestation As A Claim to Biological Motherhood
To define away
pregnancy as a nonessential ingredient of
biological motherhood is thus to dismiss as
irrelevant the unique (and clearly essential)
contribution that women make to the perpetuation
of our species. To focus exclusively upon
Buchweitz's failure to contribute DNA is to
suggest that the only important aspect of
biological parenthood is the part in which men
can participate -- the contribution of DNA.
Some might
respond here that by focusing on DNA, we treat
men and women equally. It is not, after all, a
man's fault that he cannot gestate a child, so
why should he be penalized?
This question,
though, assumes that pregnancy is simply an
advantage that women have over men, for which
they should get no credit, much as men should
not be given points for their (on average)
superior height and physical strength. It
ignores the reality that carrying a pregnancy is
not simply a capacity that women alone have; it
is also a difficult job that some women perform.
If a woman does
not carry a pregnancy to term, the fact that she
theoretically could (i.e., her gender-based
capacity) does not alone entitle her to call
herself a child's mother. But if she does make
her special contribution, then it is a form of
sex discrimination to pretend that she did
nothing of value, simply because what she did is
uniquely female.
To be sure,
there are other ways of becoming parents beside
the biological. Adoptive parents are rightfully
offended when people ask about their children's
"real" parents, referring to the biological
mother and father. In Buchweitz's case, however,
no one has offered to give up the little boy she
has raised for three years. Two different
families attempted to create a child who would
be theirs, respectively, and each succeeded in
that attempt. The dispute here is thus over who
the true biological parent is.
To factor
Buchweitz out of the equation would thus not
only do her an injustice but would treat
paternity as the paradigmatic way of becoming a
parent. This represents a biased approach to
reproduction.
Susan Buchweitz
should not have to rely on financial
compensation to make her whole. She should be
given her rightful place in the class of people
who are legitimately the parents of the baby to
whom she gave birth.
Has
Buchweitz Given Up Her Maternal Rights By Suing
Her Doctors?
One issue
remains, however. Buchweitz sued and recovered
money from the insurer of her fertility
providers. Doesn't this weaken her claims to the
boy?
It might seem
so, for two reasons. First, her suit against her
providers might look like a statement from her
that she is somehow dissatisfied with the child
that resulted from her fertility treatment.
Second, her financial recovery might appear to
stand as a substitute for the relationship that
she had hoped to have (but has now resigned
herself to giving up) with her child.
On closer
scrutiny, however, neither conclusion follows
from the earlier litigation. First, Buchweitz
evidently was and continues to be happy with the
child to whom she gave birth. She considers him
her son and herself his mother. Her suit and
recovery reflect the fact that because of the
fertility doctors' errors, she faces the
possibility of losing her child, and she must
fight for rights that should have been hers
automatically. She is not dissatisfied with the
child, in other words, but with her own
precarious status. (For the same reason, the
couple suing for custody should perhaps also be
able to recover from the fertility specialists'
insurers.)
Second, the
cost - in money and emotional anguish - of
having to fight for custody is real, precisely
because Buchweitz does love her son and
does not want to give him up to another family.
It is for that cost that she could legitimately
claim recovery against the fertility clinic.
But these costs
and Buchweitz's recovery do not tell us who is
and who should be the parents of one
three-year-old boy. For that, we must rely on
the Solomonic wisdom of the courts.