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Steve Snyder “Every Family Lawyer Should Know:”

Of the 8.1 million people suffering from infertility, a vast number of them are participating in medical procedures — to remove and store their sperm and eggs and create and store their embryos. In addition, they are often participating in 3rd-party reproduction … to create children with potentially fragmented connections to their genetic/gestational/intended parents. There are simply too many infertile couples participating in medical procedures to expect that any family lawyer will remain unaffected by, or can remain blithely unaware of, issues related to ART.

Steven Snyder: Personal Perspectives on Baby Selling Scheme, or Things That Make Me Go, “Huh?”

That People Are Still Confused About What Was Really Going On.

I have read a number of comments, blog posts, etc. (by some usually knowledgeable ART professionals) about the U.S.-Ukrainian baby-selling scheme that have misunderstood or misstated the facts.  In order to fully appreciate the gravity of the case, we must first understand exactly what was happening.

Carla Chambers, years ago, worked as a surrogate for Theresa Erickson through Ms. Erickson’s surrogacy agency.  Sometime after working with Ms. Erickson as a surrogate, Ms. Chambers was arrested in 2000 as she was trying to use fresh semen samples to impregnate women in New Zealand whom she had solicited through advertisements as “surrogates” who then traveled to California to deliver the babies.  The babies, according to a concurrent newspaper report, were then adopted by U.S. parents.  (Type or paste the following URL into your browser to read the original story:  http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=139079.) 

 We do not know who the “Californian-based adoption attorney” who “masterminded” this previous scheme was those eleven years ago from this article, but this past scheme was obviously not Ms. Chambers’ idea.  Thus, this new scheme isn’t Ms. Chambers’ first, and it is unlikely that this one was her idea, either.  (We know it wasn’t Hilary Neiman’s idea because her plea agreement clearly states that she was solicited into the conspiracy three years after Ms. Erickson and Ms. Chambers had already started running it.)  Ms. Chambers may or may not have been working with the same attorney in both schemes.  We just don’t know.  For federal investigation and prosecution purposes, these events are beyond the applicable statute of limitations.

The next scheme (of which we are aware) surfaces in this Ukrainian baby selling scheme.  Here is how it worked. Just as in the first scheme, Ms. Chambers advertised for “surrogates.”  When a woman contacted her in response to an ad, she would readily explain that she operated her surrogacy programs “differently.”  She would then explain to each prospective recruit, in detail and before the recruit actually traveled for any embryo transfer, exactly what would happen.  (Since I firmly believe that Ms. Chambers grossly misrepresented the actual facts when referring to these programs as “surrogacies,” I will refer to the women she recruited as what they actually were – “birth mothers” – not surrogates.)  She told each of them, with the support and affirmation of Ms. Neiman, that the process was completely legal.

According to one of the birth mothers, the birth mother would be tested only for STDs once she was accepted.  There would be no other psychological screening, education, legal consultation, or preparation of the birth mother for the process.  If the birth mother had no STDs, Ms. Chambers would typically meet her and fly with her to the selected fertility clinic in the Ukraine, where Ms. Chambers told the birth mother the physician would transfer “donated” embryos to her uterus.  (In fact, the embryos were custom-created by Ms. Chambers through the clinic with egg and sperm donors whom Ms. Chambers personally selected.  The embryos weren’t really “donated” at all.)  On more than one occasion, Ms. Chambers, who is well over 40 years old, would also have embryos transferred to her in an effort to become pregnant, as well.  After several days, Ms. Chambers and the birth mother would fly back home, where the birth mother would wait for three months to determine whether she would successfully carry a pregnancy as a result of the embryo transfer.  If the birth mother was pregnant, then, and only then, would the conspirators advertise for parents to receive the baby.

During recruitment, the birth mothers sometimes asked Ms. Chambers and her conspirators various questions.  The birth mothers asked what would happen if no parents stepped forward to receive the baby.  They were told that there was a long list of parents waiting to receive children, that that simply never happened, and that they should not be concerned about that possibility.  (Let’s be clear here.  If, indeed, parents weren’t found, the resulting children would be the birth mother’s children and sole legal responsibility.)  The birth mothers asked who would pay for the medical expenses related to their pregnancy before they were matched.  They were told that they should submit all bills through their own insurance companies as if it was their own pregnancy (which, in fact, it was at this point, I suppose).

If a birth mother successfully completed the first trimester, the conspirators would “advertise” for prospective parents to receive the child.  (Type or paste the following URL into your browser to see a sample: http://www.babycrowd.com/forums/adoption/Caucasian_baby_USA_looking_for_suitable_parents_/.  When prospective parents responded, they were told that the birth mother was a pregnant surrogate whose intended parents had backed out.  They were also told that, for $100,000.00 or more, they could “step in” to this surrogacy and receive the baby who was already in gestation.  At least a dozen sets of intended parents did so.

All of the birth mothers were told that they had to travel to California to deliver the baby.  This gave the California courts jurisdiction over the parentage orders.  Once the birth mothers gave birth in California, Ms. Erickson would knowingly and intentionally file false pleadings with the San Diego courts alleging the case was a surrogacy and seeking a prebirth parentage determination in favor of the prospective parents.  Ms. Erickson would also knowingly and intentionally complete and submit false insurance application forms to obtain coverage for the hospital expenses incurred from the California Access for Infants and Mothers insurance program.

That Some Sources Claim Those Who Reported the Conspirators to the Authorities Were Self-Motivated.

I have heard rumblings from certain quarters that those who reported the conspirators’ activities to the authorities were “competitors” who sought to target Theresa Erickson out of self-interest simply to gain professional advantage.  This could not be further from the truth.  Again, let’s look at what actually happened.

I was sitting peacefully in my office at my desk when I received a call from another member of the ABA Assisted Reproductive Technology Committee, of which I am chair.  This individual, who chooses to remain anonymous to this point, had been contacted by a prospective surrogate who asked questions about “another way” of becoming a “surrogate” mother.  This prospective recruit then went on to describe the Ukrainian baby-selling scheme in detail to this other attorney.

The recruit not only described the baby-selling scheme, she forwarded volumes of emails to this attorney written between the recruit and Ms. Chambers in which Ms. Chambers also described the scheme and clearly named the other two persons involved – Ms. Erickson and Ms. Neiman.  Ms. Erickson’s participation, in particular, alarmed this other attorney because Ms. Erickson was a very visible industry professional and an active member of our committee.  The attorney, who believed the group’s activities were highly inappropriate, contacted me and forwarded to me all of the emails so I could assist this other attorney in determining an appropriate response to this information.  This other attorney believed we should do something but did not know what to do.

After receiving this detailed information clearly implicating all three conspirators in the scheme, I spoke with the other attorney.  I told this attorney that if my name came up in connection with questionable activity, I would want those involved to contact me personally to ask me directly to my face whether any allegations against me were true.  Therefore, I told the other attorney that I was going to call Ms. Erickson and ask her personally about the scheme and her involvement in it, if any.  The other attorney asked to be a silent participant in the call, so I called Ms. Erickson with the other attorney conferenced on the line.

When Ms. Erickson answered my call, I explained that information had come to me about a Ukrainian baby-selling scheme and that her name was clearly listed as the attorney who would do the parentage orders for the parents in California.  I also explained that the emails were from Ms. Chambers, one of Ms. Erickson’s former surrogates.  I told Ms. Erickson everything I knew, including that Ms. Chambers alleged that she was officing in Ms. Erickson’s office and that drugs were being sent to the prospective surrogates using Ms. Erickson’s office address.  I clearly told Ms. Erickson that this scheme was inappropriate, if not illegal, and told her that if she was involved she should stop her activity immediately for the sake of the industry if not herself.

Ms. Erickson’s response to me was that she agreed that the scheme would be inappropriate but that she knew nothing about it and was not involved.  She said that she had done one parentage order for Ms. Chambers, but it was a case in which there actually was a set of IPs who had backed out.  She went on to say that if she knew Ms. Chambers was involved in such a scheme, she would immediately advise her to stop it.  I asked for contact information for Ms. Chambers so I could also speak with her personally, which Ms. Erickson denied she had.  I later asked Ms. Erickson to speak with Ms. Chambers and tell her to stop her activities.  Ms. Erickson responded that she would “call” Ms. Chambers and do so.

After the call, the other attorney and I spoke.  Beyond the inconsistent information about whether Ms. Erickson actually had contact information for Ms. Chambers, we agreed that there were other disconcerting inconsistencies in what she had told us.  We agreed that there was a high likelihood that Ms. Erickson was lying to us about the scheme and her involvement.

A day or two after my call to Ms. Erickson, two emails were sent, one by Ms. Erickson and one by Ms. Chambers.  Ms. Erickson’s was to me, essentially trying to encourage me not to mention her possible involvement in the scheme.  It read as follows:

I just want you to be aware that I have made several phone calls and sent a few emails, and I would hope that solves some of the issues; however, at the same time, I would appreciate the professional courtesy of not implicating me in any way that may damage my reputation that I have worked so hard to develop and nurture, as I have done nothing wrong. 

In fact, I have done the same for you many times despite things that have occurred, . . .  and I would hope that any information that you discuss does not involve my name or create any innuendoes where they are not warranted.  I understand that we are competitors; however, there is enough business for everyone, and I know that you understand how I do business.

(As you can see, Ms. Erickson was already creating the smoke-screen defense, which has now been adopted by her defenders, of “competitors” trying to wrongfully incriminate her for their own advantage.)  Ms. Chambers’ email, which was forwarded to us by the prospective birth mother, was to every woman she had recruited as a “surrogate” in the scheme, and hers told them all to stop talking to anyone about the scheme because “some asshole attorney” was “sticking his nose” in their business.  (I really took no offense, though.) 

In light of the responses we received, the reporting attorney and I believed we could not do anything meaningful to stop the scheme.  We did not have the authority or resources to investigate it, and we could not get the conspirators, through Ms. Erickson, to stop it of their own volition.  The only option we had left was to report it to appropriate authorities.

In determining what to do, I continually referenced myself back to my professional obligation under the relevant rules of professional conduct governing me as an attorney.  Those rules expressly state two things.  First:

Maintaining The Integrity Of The Profession

Rule 8.4 Misconduct

It is professional misconduct for a lawyer to:

(a) violate or attempt to violate the Rules of Professional Conduct, knowingly assist or induce another to do so, or do so through the acts of another;

(b) commit a criminal act that reflects adversely on the lawyer’s honesty, trustworthiness or fitness as a lawyer in other respects;

(c) engage in conduct involving dishonesty, fraud, deceit or misrepresentation;

(d) engage in conduct that is prejudicial to the administration of justice;

Second:

Maintaining The Integrity Of The Profession

Rule 8.3 Reporting Professional Misconduct

(a) A lawyer who knows that another lawyer has committed a violation of the Rules of Professional Conduct that raises a substantial question as to that lawyer’s honesty, trustworthiness or fitness as a lawyer in other respects, shall inform the appropriate professional authority.

(Please notice the “shall” in the above rule.  It isn’t optional.  We didn’t have a choice.)

In addition to our professional responsibility, both the reporting attorney and I personally believed we had a moral obligation to protect the women whom the conspirators were recruiting into their scheme, the parents who were fraudulently induced to illegally buy the children, and the resulting children, as well as the ART industry as a whole.  We did not want this scheme to continue and later become public in a way that showed we, as the industry, knew about it yet did nothing to stop it.  It was our responsibility to do something, no matter how uncomfortable or unpalatable it was.

We could have reported the scheme to either the relevant lawyer’s boards of professional responsibility or, if, as I believed, there was national and international fraud involved, to the FBI.  Because there were two different responsibility boards involved (California for Ms. Erickson and Maryland for Ms. Neiman), there was the risk that the investigations would not be coordinated in either time or scope.  This created a greater possibility that the conspirators could cover their tracks and deny responsibility.  Those boards also could not do anything meaningful about Ms. Chambers’ involvement since she was not an attorney.  Therefore, I decided we should go to the FBI to determine whether they would investigate the allegations based on the facts as I knew them.

When I contacted the Minnesota Bureau, the investigators were less than enthusiastic.  Minnesota is not exactly an ART “hotspot,” and they viewed the conduct as originating in either California or Maryland.  They told me to send a general inquiry addressed to their San Diego office and would not even give me a personal contact in that office.  I was skeptical that such an inquiry would be successful, so I decided to contact Andy Vorzimer because he had worked with San Diego law enforcement in previous industry issues (i.e. – SurroGenesis and others).

When I contacted Andy, I learned that he had been contacted separately about the scheme by another ART attorney whom the surrogate had retained to represent her in connection with a pregnancy related to the scheme.  We both agreed that it made sense for Andy to initiate contact with the appropriate authorities in San Diego to see if they would investigate the allegations.  I thought that this was the most fair course of action since the FBI could investigate the scheme in a unified fashion on both coasts and would do so confidentially.  In addition, the FBI would actually exonerate Ms. Erickson and the others if, indeed, there was no illegal activity going on.  Unfortunately, there was, and the investigation and the conspirators’ subsequent guilty pleas irrefutably confirmed it.

All of the ART attorneys involved in identifying and reporting this matter are, indeed, Ms. Erickson’s competitors in some fashion.  We all practice in the same area for the same potential clients.  However, NONE of the attorneys were ill-motivated by that competition to Ms. Erickson’s personal detriment in reporting this matter.  Frankly, there is plenty of business for all of us, and most of us practice in different areas of the country.  We simply had an overriding ethical obligation that we could not professionally or personally ignore.  If we had ignored the information that was, literally, thrust upon us, we would have become personally complicit in the scheme as much as the conspirators themselves.

I wish I had not been one of the persons in our industry who received this information.  I wish I had not been one of the ones who had to decide what to do and whether to do it.  But I was.  When the story broke more than a week ago, I told someone, “I don’t know whether to be happy or sad.”  I am happy that we were able to successfully police our own industry.  I am happy for the future birth mothers, parents, and children who will never become involved.  I am sad, however, for the conspirators, the poor decisions they made, and the very real and very appropriate consequences they face.  I am sad for them and their families.  I am sad that our area was subjected to yet more negative publicity and scrutiny.  I hope this never happens again.  The only way to make that more likely is to have reported it as we did and for Ms. Erickson, Ms. Chambers, and Ms. Neiman to be appropriately punished.  It is called accountability and deterrence.

Shame on anyone who is out there whispering that Ms. Erickson and the others were simply the unfortunate objects of the envy and conspiracy of her peers.  Those whispers are based on misinformation and are the mere mutterings of those who are biased and woefully uninformed.  Mr. Vorzimer, I, and all the other ART attorneys who brought this to light (as a collective industry group and not as mean-spirited individuals) behaved ethically and did exactly what should have been done.  The only unethical behavior was that of the conspirators, and they have only themselves to blame for their circumstances and consequences.  Let’s put the accountability where it truly belongs.

Ambre’s Toronto Trip

Ambre’s pumped for her CReATe site visit later this week! She’ll also be checking in with our partner hotels in Toronto while she’s there.

Be sure to check out our Facebook @ IARC Fertility next week to see how her trip went!

Steve Snyder: Initial Thoughts on U.S./Ukrainian Baby-Selling Scheme

The Today Show ran the story this morning about the baby-selling scheme in which Theresa Erickson, Carla Chambers, and Hilary Neiman have entered guilty pleas.

I am an attorney who has practiced Assisted Reproductive Technology (ART) law for more than twenty years, and I am actively involved in legislative and advocacy issues in ART both nationally and internationally. Here is my initial professional perspective in my effort to help others to properly characterize and focus this story.

Although Ms. Chambers did get the women involved as birth mothers pregnant through embryo transfer (a form of ART), this does not make the women involved “gestational surrogates” or make this story about “surrogacy.” The women involved were birth mothers, just as in adoption, and the story is about selling babies in violation of adoption laws, not about surrogacy.

Surrogacy is an arrangement in which prospective intended parents enter into an agreement with a third-party who agrees to carry a pregnancy to term for the benefit of the intended parents. The agreement exists BEFORE the pregnancy.

In this case, there was no agreement of any kind before the pregnancies were created. This was simply IVF with an embryo transfer to an intended birth mother. It is no different than if the women had become pregnant through intercourse and then tried to sell their babies. It has nothing to do with surrogacy. It has to do with the clear violation of existing adoption laws.

If various quarters of the media or individuals attempt to point to this matter as motivation for regulation of surrogacy or fertility medicine to avoid such cases in the future, the answer is that surrogacy/fertility regulation would have nothing to do with the case at hand. There were (and are) numerous laws and regulations already in existence that clearly prohibit and make illegal the conduct in which these conspirators engaged. It is illegal in California (the governing jurisdiction) to claim an arrangement is a surrogacy unless there is an agreement in place before the pregnancy. Where a pregnancy is not the result of a surrogacy agreement, it is illegal to pay and receive money for (sell) a baby. There are federal laws prohibiting false and fraudulent claims to be made across state lines in an effort to profit from baby selling. There could have been no more (or more relevant) law in place to prevent what happened in this case.

There are also numerous FDA regulations and ASRM guidelines that would prevent the medical procedures that took place from occurring in the U.S. FDA regulations would have required additional medical testing of the gamete donors/embryo recipients who provided the sperm/eggs to the physicians who performed the embryo transfers. They also would have required much more complete screening of the birth mother, including a psychological evaluation and, hopefully, a legal clearance letter regarding a prior written agreement among the parties. The medical procedures could not have occurred in the U.S. as they did in the Ukraine. This is exactly why the conspirators flew these women thousands of miles to another country with a more “relaxed” medical environment for the embryo transfers. This case is not about “better regulation.”

This case is about criminal mentality. The people involved simply wanted to ignore (i.e. – break) the law, and they willfully did so. This group, each of them, wanted to profit from illegal activity, did not think they would get caught, and ignored numerous already-existing laws. They could just as easily have been embezzlers or bank robbers. Their mentality is not distinguishable, and their culpability is no less. You can pass a law prohibiting certain behavior, but you cannot prevent people from ignoring the law. You simply cannot legislate against individual bad acts, and that is what we have here.

Please don’t characterize, refer to, or discuss this as a case involving surrogacy. It isn’t.

Steven H. Snyder, Esq.

Testimonial from an Intended Parent...

Hi Mr. Snyder,

I have been a client of your company for over 2 years now. I would just like to take this opportunity to tell you about the amazing job done by all your staff, but especially your daughter, Keely, and Kim Post. We had to use your services twice as the first donor did not work out , but with the assistance by our physician, we were successful with the second donor and now have a beautiful baby boy. It all started with Keely who answered my endless questions and Kim who explained the process and who sent us the many profiles. Kim was amazing and so understanding through the whole process especially during our first loss and she guided me all the way. Even when complications happened, she was there with amazing advise and expert guidance. Thank you for making our dreams come true.  L, Intended Mother

Happy Holidays from IARC

Surrogacy case entererd…

To All,

Attached is the unpublished decision issued by the Minnesota Court of Appeals in a contested traditional surrogacy case. It holds that a traditional surrogate is the mother under the provisions of the UPA as presently in effect in Minnesota, but upholds the trial court’s ruling that the same-sex male couple who were the intended parents properly received sole legal and physical custody of the child based on the record.

The case involved a same-sex, committed couple who responded to a surrogacy ad of a woman who offered to be a traditional surrogate online. The surrogate downloaded a contract online, offered it to the intended parents to sign, and the parties signed it without any revision or legal representation. No psychological screening was done on any of the parties (see court discussion of the surrogate’s questiionable psychological make-up). The parties then conducted an at-home insemination without any medical consultation or screening, and the surrogate became pregnant. (These are some facts I know because of some invovlement I had in the case in the early stages before it went to litigation that are not necessarily clear from the record.)

This is ongoing proof that there is a right way and a wrong way to undertake surrogacy arrangements. (e.g. – Michigan case in which IPs found a surrogate online, skipped contract and psych screening, then had an IVF child using donor sperm and egg, and ultimately lost the twin (?) children when the surrogate changed her mind. (Exactly why DID the IVF clinic proceed with this case with all the missing components, anyway?)) When you do it the right way, it is very reliable and successful; when you do it the wrong way (and nothing could have been much more wrong than what was done in this case), it very often leads to frustration and litigation. We just can’t stop people from ignoring the guidelines because of economic considerations . . . can we?

(The case cited in footnote 5 was my gestational surrogacy case that was decided in favor of my single, gay parent (terminating all of the gestaional surrogate’s parental rights and removing her name from the birth certificate) pursuant to a choice of law provision that was enforced to apply Illinois law to the case.)

Happy reading!als v eag case

Have a passion for helping create families? We do too.

IARC is seeking a talented, enthusiastic administrative assistant to join our team!

IARC is a unique fertility agency that matches surrogates and egg donors with parents that aren’t able to have a family naturally. In a world where infertility affects one out of every six couples, our family-building options are important and becoming increasingly popular among intended parents. Join a team where you are personally committed to the success of the organization, and most importantly, you realize your efforts in helping a couple build their dreams of a family.

Overview: We are currently looking for dedicated, passionate individuals to fill two positions: Egg Donor Coordinator and Program Coordinator.

Our Egg Donor Coordinator conducts telephone interviews with prospective egg donor candidates and is involved with outlining all aspects of the program to these egg donors. The Egg Donor Coordinator educates them about their roles and responsibilities in great detail so they understand the full implications of their involvement.

Our Program Coordinator works with the egg donors, surrogates, and clients to coordinate all aspects of the fertility treatments. This includes medications, medical and psychological appointments, and travel arrangements. The Program Coordinator’s focus is on the continued coordination of all the various parts of the program and communication of the details to all parties involved.

Experience with marketing/social media and/or bilingual in French, Spanish, German, or Italian is also highly desired.

Requirements: Must have great verbal and written skills. As these positions are ever-changing, the ideal candidates should be able to learn quickly and adapt to numerous responsibilities and environments. Must have a positive attitude and strong desire to provide excellent customer service. Must be able to multi-task without compromising attention to detail. Must be proficient in MS Office.

Pay: +/- $30,000 based on skills and experience.

To inquire: Please e-mail your resume to selena@snyderlawfirm.com

Transitioning from IVF to a Donor Cycle

The American Fertility Association wrote a great article about the difficult decision to use an egg donor when IVF seems to be unsuccessful. Many parents struggle with the intimate decision to use a donor egg, but sometimes it becomes the only option. It only seems appropriate to re-post the article here.

Infertility is an unexpected obstacle for many people, and the journey can be unpredictable. Patients may find themselves at a crossroads after multiple failed attempts with fertility treatments, and begin to look for other options. The American Fertility Association (The AFA), a national non-profit organization which provides educational resources and support to men and women, especially those trying to conceive, and Fertility SOURCE Companies, one of the largest and most comprehensive egg donor and surrogacy programs in the country, are partnering together to provide a one-stop-shop for patients looking for information on donor egg cycles.

With the help of a grant from Fertility Source Companies, The AFA created a comprehensive fact sheet, embedded with an informational video on transitioning from In Vitro Fertilization (IVF) to a donor egg IVF cycle. This decision can be overwhelming, and this fact sheet aims to help lessen the burden on patients by providing information on the medical procedure, legal aspects that come with choosing an egg donor, and psychological support.

“The educational information included in this video and fact sheet is invaluable to our intended parents transitioning from a traditional IVF cycle to an egg donor,” says Susan Bloom, the Director of Recruitment for The Donor SOURCE. “The best ammunition we can give our intended parents is knowledge and education about the process they are about to undertake, along with the resources to have all their medical and legal questions answered.” Bloom continues, “at The Donor SOURCE, we pride ourselves in the guidance we give our intended parents every step of the way, from matching them with a donor to their IVF transfer.”

The AFA is committed to supporting men and women in creating their families by continually providing updated educational material and outreach events on infertility prevention, reproductive health and family building. The AFA’s website features an extensive online library, weekly newsletter, webinars and toll-free help line which are part of the many tools available to consumers free of charge.

“Because of the generous support of Fertility SOURCE Companies, The AFA is able to continue to provide first-rate education for infertility patients,” says Ken Mosesian, Executive Director for The AFA. “The family building journey has many inherent challenges, and our goal is to provide educational support to intended parents so they can make informed decisions with confidence.”

Making the decision to move from IVF to a donor egg cycle is a personal one. The AFA and Fertility SOURCE Companies are excited to work together on this project, in hopes of arming patients with as much information as possible, so the decision will be an informed one.

To see the entire fact sheet please click here.

For more information about donor cycles or learning the first steps in choosing a donor, contact IARC at info@iarc-usa.com or call 763-494-8800.