Fertility Cafe

The Surrogacy Industry Has a Serious Problem


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What happens when an industry built to help people build families starts failing the very people it's supposed to serve?

In this season seven finale of Fertility Café, host Eloise Drane steps out from behind the interview chair to speak directly about what's been happening in the fertility and surrogacy space: the progress worth celebrating, the structural failures that keep producing real harm, and the political forces reshaping access to care right now.

Eloise draws on nineteen episodes of conversations, years of experience inside this industry, and her own story as a former surrogate to give an honest assessment of where things stand and why so many people are getting hurt along the way.

From agencies collapsing mid-pregnancy to embryo mix-ups with no federal reporting requirement, from the California surrogacy fraud case to billionaires fathering over 100 children through the American surrogacy system, Eloise names what's happening and why it keeps happening.

If you've ever trusted this industry and wondered whether your trust was well placed...
If you're considering surrogacy or egg donation and want to go in with your eyes open...
If you believe that the people building families through these paths deserve better than what the system is currently offering...

This episode is for you.

You'll Learn

  • Why the surrogacy industry's lack of licensing requirements is at the root of its most serious failures
  • What the 2025 California surrogacy fraud case revealed about how women are being deceived
  • What is happening when wealthy men use the American surrogacy system to father dozens or hundreds of children
  • Why embryo mix-ups keep occurring and why there is still no federal requirement to report them
  • How fertility fraud by doctors using their own sperm without patient consent is still being uncovered today
  • Where federal policy is moving on IVF access and why progress on one side is being undercut on the other
  • Which states are leading on fertility insurance mandates and what those laws actually cover
  • What the push for restorative reproductive medicine in federal policy actually means for patients
  • Why Eloise believes a federal insurance mandate is the only thing that will truly move the needle on access
  • What the Vatican's call for a global surrogacy ban gets wrong about ethical, supported surrogacy
  • How to thoroughly vet an agency, clinic, or donor situation before you commit to anything
  • What the stories that never make the news say about what this industry looks like when it works
  • About Eloise Drane

    Eloise Drane is the founder of Family Inceptions, a licensed surrogacy and egg donation agency, and the host of Fertility Café. She has spent over two decades working across every facet of third-party reproduction as a professional, an advocate, and a former 3x surrogate herself. She brings that full picture to every conversation on this show, including this one.

    Resources & Links

    Website: familyinceptions.com
    Instagram: @fertilitycafepodcast
    YouTube: Fertility Café

    Related Episodes

    Ep 136: When the Donor and the Donor-Conceived Meet: One Remarkable StoryA sperm donor from the 1980s, a fertility specialist, and the sitting senator who came looking for him.

    Ep 135: I Carried Two Babies for Other Families: The Truth About Becoming a Surrogate TwiceDarnae Pitts on what surrogacy really looks like from the inside, twice.

    Ep 138: The Egg Donation Screening Process: What to Expect from Application to RetrievalChristina Alicea, a five-time egg donor and fertility field professional, demystifies the process from start to finish.

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    Fertility CafeBy Eloise Drane

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