If you want to adopt a child in the United States, you will face a series of bureaucratic roadblocks. The process of using donated sperm or eggs is much easier. The person selling you the right to bear and raise their biological child often does so anonymously, with no strings attached.
Sperm donations generate between 30,000 and 60,000 conceptions every year, and roughly 6000 children are conceived through egg donation annually. About 1 million American adults are the biological children of sperm donors.
A study by the Institute for American Values has revealed that people born through sperm donation are both grateful to the fertility industry and uneasy about the way they were conceived, supportive of assisted fertility, but disturbed by the idea that money was exchanged for their existence.
Americans conceived through sperm donation are more likely than their peers to support policies that encourage sperm and egg donations. At the same time, large minorities report being troubled by "the circumstances of my conception." They are more likely to oppose payments for sperm and eggs than most Americans.
They are more likely to feel alienated from their immediate family than biological or adopted children. They are twice as likely as adoptees to report envying peers who knew their biological parents, twice as likely to worry that their parents "might have lied to me about important matters."
The realities of commercialized reproduction - in which donors can father dozens of children by different mothers, creating networks of half siblings who will never know each other - weigh on them. This also creates worry that they may accidentally fall into a romantic relationship with a relative.
Some burdens are unavoidable in a process that replaces natural conception with scientific technique, but some could be eased with changes in the legal system. Many European nations have done much more than America to recognize that children as well as adults have an interest in the way assisted reproduction works. Britain, Sweden, Norway and Switzerland have banned anonymous sperm and egg donation, allowing children conceived through donors access to their family histories once they turn 18. Many countries have also limited the number of children a sperm donor can father to well below the 25 that the American Medical Association allows.
Changes like these would reduce the number of donors, and create longer waiting times for people wanting to conceive a child through a donor, but they may also ease the uncertainty than donor children find themselves born into.