Per Susan B. Apel offrire compensi in denaro alle madri surrogate è la cosa giusta da fare («Why Compensating Surrogate Mothers is the Right Thing to Do», Bioethics Forum, 8 marzo 2011). Un esempio dei suoi argomenti:
Another argument against compensation is that it exploits women, particularly poor women. Women who have few or no marketable skills and maybe fewer choices will be seduced into giving their bodies over to be used by others.La questione è controversa, ma comunque la si pensi, l’articolo della Apel è da leggere tutto.
[…] But the exploitation argument is paternalistic, often ignoring the voices of the gestational carriers themselves, many of whom claim that the opportunity to obtain such work is a valuable and valued one.
These women have used their compensation to do things like purchase a home, or send their children to school, that would otherwise have been impossible. In addition, the let’s-not-allow-women-to-be-exploited-in-this-way argument never seems actually to improve women’s lives. Unless the exploitation argument is followed by real efforts to give women more education or other opportunities for remunerative work, the argument leaves the arguers feeling morally right with themselves, but it leaves poor women in their same deplorable plight.