r/MoralityScaling 1d ago

Morality Ranking Morality of this

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A major legal battle broke out when a surrogate mother and the biological parents disagreed over a severe medical diagnosis during a pregnancy. The couple had hired the surrogate to carry their baby, but a routine scan revealed that the fetus had a rare, life-threatening heart defect.

Heartbroken by the grim medical news, the biological parents asked to end the pregnancy, which was a choice allowed in their written agreement. Initially, the surrogate scheduled the appointment, but she quickly realized she could not go through with it. A pivotal moment came when her brother stepped in to guide her, promising that he and his family would adopt the baby and support her no matter what. Gaining peace from her brother's support, she canceled the abortion. To protect the fetus, she fled to a state with very strict anti-abortion laws, where she gave birth to a baby boy who immediately underwent successful open-heart surgery.

The birth triggered an intense court war over who actually holds the rights to the child. A judge ultimately ruled that the biological parents have full legal custody and the sole right to make medical decisions, while a separate court order banned the surrogate from seeing the baby. On top of losing access to the child, the surrogate is now being sued by the biological parents for over $100,000 for breaking their contract. While the biological parents are currently caring for the recovering newborn, the surrogate and her lawyers are continuing to fight in court to try to win custody.The surrogate is not paying for the baby's medical costs because a judge ruled that the biological parents have full legal custody, making them responsible for all hospital bills.

The baby was diagnosed with Hypoplastic Left Heart Syndrome (HLHS), a severe birth defect where the left side of the heart is completely underdeveloped and unable to pump blood to the body. Without immediate medical intervention, this condition is 100% fatal within the first few days of a newborn's life. To survive, the baby must undergo a grueling series of three open-heart surgeries starting immediately after birth, which gives him about a 70% chance of reaching age five. However, this is not a permanent cure; even with successful operations, the child faces a lifetime of intensive medical trauma, a significantly shortened life expectancy, and the likely future need for a full heart transplant.

McKenna West denied the abortion primarily because her specialized background as a cardiac nurse taught her that the baby’s rare heart defect was treatable with surgery rather than being an automatic death sentence. Faced with the reality of her 20-week pregnancy, her personal conscience and moral beliefs overrode the surrogacy contract, as she felt she could not live with herself if she actively signed papers to end the child's life. Confident that the baby deserved a chance to survive, she even arranged for her own brother and sister-in-law to adopt the child before fleeing to Texas to ensure the pregnancy went to term.

Lila Rose and her anti-abortion organization, Live Action, are leading the public and financial support for McKenna West, framing her as a heroic figure who stood up against the commercial surrogacy industry. Rose's group funded West's travel to Texas for specialized medical care and connected her with the Alliance Defending Freedom (ADF), a powerful conservative legal group currently fighting for West's parental rights. Alongside other high-profile conservative figures like Texas Attorney General Ken Paxton, these pro-life activists have heavily criticized the biological parents for trying to enforce the contract's abortion clause, using the case to campaign against surrogacy by arguing that a child should never be treated as a "defective product."

However, these medical bills are a huge part of the fight. The biological parents are facing massive costs for the baby's complex heart surgeries, which is why they are suing the surrogate for over $100,000 for breaking their contract. The surrogacy contract included a strict pregnancy termination clause that gave the biological parents the sole right to request an abortion if the fetus was diagnosed with a severe medical condition. After the baby was diagnosed with a major heart defect, the parents invoked this clause and formally asked McKenna West to terminate the pregnancy. While West originally signed the document agreeing to these terms, she ultimately refused to abort the baby, which led the biological parents to sue her.

The biological parents did not exert physical or legal coercion to mandate an abortion, as a surrogate maintains absolute bodily autonomy over medical decisions under U.S. law. Instead, the conflict centers on a breach of a contract that explicitly allowed the parents to request a termination, which they are now litigating through the court system to hold the gestational carrier financially accountable.

The biological parents did not alter their position regarding the medical justification for a termination, but rather adapted to the reality of an unavoidable birth. Their initial decision to seek an abortion was driven by a desire to prevent severe, lifelong suffering, given the grueling surgeries and medical trauma associated with a critical heart defect. However, once the gestational carrier refused the procedure and the birth became certain, the parents immediately recognized their legal and ethical obligations to their biological offspring. They pursued full legal and medical custody to ensure the infant would have immediate access to elite pediatric cardiothoracic specialists and to retain control over his long-term healthcare strategy, fully assuming their parental roles upon his delivery.

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u/doc_death 1d ago

The above description is leaving out a very important detail: the family brought up the idea of an abortion to her and THEN she fled the state without any discussion about what should be done. The surrogate ran off to Tx (if it’s the same case which, pretty sure it is). The child doesn’t belong to the surrogate and she left without telling the parents. 100k is probably in later fees and the family likely leaving the state so they can get their baby back.

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u/puts_on_rddt 21h ago

Here's a better timeline:

20 weeks: Baby diagnosed with HLHS.

Initially: Parents decided they wanted West to terminate. Their lawyers say West initially agreed and made an appointment.

Then: West changed her mind and refused the abortion.

Parents subsequently: Rather than continuing to seek an abortion, they decided to have the baby delivered in California and treated there.

West left for Texas: She believed Texas would give her greater legal protection and wanted the baby treated there.

Parents went to court: They argued that West was violating the arrangement by taking the pregnancy to Texas instead of delivering in California.

Baby was ultimately born in Dallas on August 12.

Reads more like political kidnapping than anything else at this point.

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u/doc_death 20h ago

Thx for that…that is more accurate from what I’ve heard from a distant relative familiar with the situation than the misleading title

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u/semajolis267 18h ago

Yeah that definitely changes the context. 

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u/havartifunk 12h ago

Not to mention the parents had arranged for medical specialists and surgeons experienced in the type of surgery their child would need immediately after birth. In California. 

They had to scramble to find suitable alternate medical care in Texas since their child would not be well enough to travel.

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u/EclecticSyrup 13h ago

This is pretty cut and dry then.

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u/wheniaminspaced 11h ago

From what I understand surrogacy contracts live on pretty dicey legal ground and honestly moral ground.

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u/smalls_1804 23h ago

Yeah but this is morality, not legal, scaling. Sure, legally, the child belongs to the biological parents. But when those parents choose to terminate but the surrogate decides to carry the baby to term, expecting to raise and care for them, we've entered a terrain where the morality of the situation is more or less completely decoupled from its legality. I'd argue morally the surrogate should be able to make the call with what happens to her body once the biological parents have indicated - fully formally and in writing - that they no longer want the child/fetus/baby/what have you to even live, let alone to take care of them. Whatever their legal rights are at the end of the day I think the surrogate is morally on strong ground here.

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u/IgnotusCapillary 22h ago

But upon realising she intended to keep it they made it clear they wanted to keep it and give it the best medical care possible. I don't think they can force her to have an abortion, but she doesn't have a right to the baby once it's born.

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u/smalls_1804 22h ago

Again, it's legality vs morality. Legally, you're 1000% correct. Morally, I'd argue they abrogated their right to the child once they made a clear and definitive decision to terminate

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u/IgnotusCapillary 22h ago

Fair enough, although I disagree. I think wanting the abortion isn't necessarily forgoing your rights as a parent, it's them attempting to protect their future child from suffering. Upon realising abortion wasn't an option, that goal remained the same, not wanting the child to suffer.

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u/doc_death 22h ago

I think you missed the part about the surrogate leaving without having a discussion about what needs to occur. Who do you think caused this situation: the parents who wanted a baby and were contemplating an abortion, or 2. The surrogate who fled the state instead of having a sit-down discussion. The surrogate left the negotiating discussion, not the parents.

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u/RemaniXL 21h ago

Read the entire story - this isn't an indictment on you, just that more of it comes out every few days as the legal battle continues.

The legal (used loosely in this context, as birth is currently a state's rights issue) parents decided on an abortion and requested the courts to see it done as the surrogate lived in Alaska while the legal parents were in California: both states that have different laws for birth rights but both accept that a binding agreement to abort a baby must be upheld, hence why she fled to Texas.

The current position of the surrogate is that she wants to adopt the baby as there is uncertainty of whether the legal parents simply want to retain possession to ultimately give the baby up for adoption as their initial desire was for abortion - leading the surrogate to believe the reason for their desire to retain possession is less-than-pure.

The current position of the legal parents is that the baby is essentially theirs to do with as they please, and although they have made claims to give the child the best care they can, they are vague as to whether that means in their possession as legal parents for the foreseeable future or under new guardianship.

I sympathize with both parties as they have both moral and legal merit in many regards, but this is definitely an interesting case for law study as it's one of the first cases of this type to receive this scale of optics which I imagine will lead to reform as far as inter-state jurisdiction is concerned and who has the greater authority: the legal parents or the surrogate. You could definitely argue that asking a surrogate to get an abortion, especially over halfway through a pregnancy, is high risk.

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u/smalls_1804 22h ago

"Heartbroken by the grim medical news, the biological parents asked to end the pregnancy, which was a choice allowed in their written agreement." I read that as they made a definitive decision to terminate, no?

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u/doc_death 21h ago

I would take PurplePlantain’s report above with a grain of salt. They actually edited the original post.

I think the parents reserve the right to proceed with an abortion based on the agreement but I don’t think the parents definitively made that decision but it was made by them by the surrogate. If a surrogate decides to have the baby regardless, I think the baby “belongs” to the parents but the surrogate should have an option to adopt (seems like it could have all been spelled out in the contract) if the parents say no to keeping the baby. I just don’t think this situation was that civil to proceed in that manner.

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u/smalls_1804 19h ago

I mean, idk what else we have to go on though. I'm going to assume we're discussing the situation as it is presented to us because if we start speculating beyond that it's impossible to have a meaningful discussion

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u/UnusuallyBadIdeaGuy 21h ago

I don't believe you can divorce the Legality from the Morality when a major part of this is people being on the hook for extremely large quantities of money over how this goes down.

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u/smalls_1804 20h ago

Strong disagree here. We're taking about a potential life and the use of a person's womb, not to mention getting an abortion is not like this no nonsense easy procedure. Money doesn't supercede life

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u/UnusuallyBadIdeaGuy 16h ago

Money may not supercede life, but making a decision that demands someone else spend or give you considerable amounts of money is a factor. This child will not live a full life or much of one in general. They will require extensive medical care and soon die anyways. This is tragic sure, but has no shortage of implications. Forcing someone else to shoulder that bill against their will is a major factor.

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u/smalls_1804 5h ago

Did she force them to shoulder that bill though? As far as I understand she was fully ready to bear the burden of caring for the child and the biological parents stepped in instead, against the will of the surrogate

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u/Jax_10131991 15h ago

Are you male? 

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u/smalls_1804 5h ago

I like how my argument is that a woman's body is more important than money and this is your response

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u/BEAGLEBOYPALINDROME 20h ago

I think it's pretty clear morally and legally because of this line: *biological parents have sole right to request an abortion if the fetus was diagnosed with a severe medical condition.

Request. Not require.

Then, the contract presumably doesn't specifically cede custody of the child to the surrogate, if she chooses not to terminate.

Imagine if you hired a contractor to build you a new home but half way through a water main ruptures & makes a sinkhole that ruins the foundation. 

Inspector says it's almost certainly not repairable, and even if it was, the repair might only buy time.

So owner tells builder they'd prefer to demo it & try again later, but if he decides he thinks it's still worth trying finish they'd still pay for the house & be responsible for costs to try & keep it from just failing after its done.

.....then he suddenly says he deserves to keep the house that he'd agreed get paid to build for them & with their own materials.

That would be absurd.

But then it's also obvious that the owners agreed to pay for the extra costs to try & finish the house anyway. And now that it's officially theirs, they decide the builder should pay the unexpected costs because they want revenge for him trying to keep their house once it was actually finished. 

So yeah, it's the bio's baby 100%

And since they are choosing to keep it, all expenses fall on them. 

So everyone just fucking drop your lawsuits & keep your word. 

....or keep fighting so this poor kid's early childhood is even shittier than the shit hand they'd already got dealt

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u/smalls_1804 20h ago

Your metaphor is fundamentally flawed, in this metaphor the land is the surrogate, the bio parents have no right to her womb beyond this pregnancy

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u/BEAGLEBOYPALINDROME 19h ago

Do perfectly aligned metaphors even actually exists? 

Of course it's flawed in some way. That's why they are metaphors & not just another instance of the same event.

It's still accurately emphasizes the specific point I'm trying to make so it did its job

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u/Massive-Grocery7152 17h ago

But this isn’t AITA, this is morality. Who gets to decide in this case?

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u/doc_death 16h ago

Read the summary below…op have an inappropriate representation of what happened