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Travel Parents by Adoption and Parents by Reproductive Technology Contemporary Issues in Adoption and ART Parenting Adam Pertman, writing about adoption, and Debora Spar, writing about ART, both express similar concerns for parents and families. Both recognize that parents want very much to create families, and public sector adoptions are open to all, but both regret that the costs involved in conceiving one’s own child through ART or seeking an infant through private adoptions or international adoptions are so high that prospective parents must be people of financial means or have excellent medical insurance to pay for ART. Countries like Israel make ART available to all women through health coverage, and it would be possible to do that in this country so there could be equal access for all women. Both authors urge greater transparency in fees for services that vary widely, and in credentialing people involved in the work. With the exception of the medical personnel involved in ART, there is little credentialing or regulation of private adoption lawyers, facilitators, private agencies, sperm banks, or the procedures many of these places follow so medical information on birth parents or donors is stored and available for offspring when they seek it.

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