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Hand-in-glove with recent debates about marriage should be debates about artificial reproductive technologies, or ARTs. These have been largely unregulated in the US, resulting in a wild west of anonymous sperm donation, surrogacy, three party reproduction (egg, sperm and surrogate all from different people) and hundreds of thousands of frozen embryos awaiting….something.
Most Western countries regulate this industry. Though I’m generally against excessive regulation, I think we — as a nation — need to do the soul-searching and caution that the ART industry is seems so uninterested in doing for itself. In most Western countries, anonymous sperm donation is illegal, as is surrogacy. Many regulate the number of embryos that can be transferred per cycle, resulting in far fewer multiple births. These regulations arise from a great many legitimate ethical concerns. Most nations — and some U.S. states, to some degree — but not in America as a whole.