Fertility Inc.: When the Surrogate Gets Left With the Bill episode artwork

EPISODE · Mar 6, 2026 · 30 MIN

Fertility Inc.: When the Surrogate Gets Left With the Bill

from The Journal. · host The Wall Street Journal & Spotify Studios

Reproductive technology is a modern miracle. It's made it possible for millions of people to become parents who might otherwise not have been able to. But growing demand has spawned a multibillion-dollar industry that’s largely unregulated in the U.S.  In our first episode looking at the wild west of the fertility industry, Ryan Knutson speaks with a three-time surrogate who ended up in a big legal battle. Nia Trent-Wilson was left with hundreds of thousands of dollars in medical debt after a family didn’t pay up after delivery. WSJ’s Katherine Long reports on how the industry fosters a dramatic power imbalance between surrogates and intended parents. Further Listening: - The Mystery of the Mansion Filled With Surrogate Children - America’s Maternal Health Crisis Sign up for WSJ’s free What’s News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices

Reproductive technology is a modern miracle. It's made it possible for millions of people to become parents who might otherwise not have been able to. But growing demand has spawned a multibillion-dollar industry that’s largely unregulated in the U.S.  In our first episode looking at the wild west of the fertility industry, Ryan Knutson speaks with a three-time surrogate who ended up in a big legal battle. Nia Trent-Wilson was left with hundreds of thousands of dollars in medical debt after a family didn’t pay up after delivery. WSJ’s Katherine Long reports on how the industry fosters a dramatic power imbalance between surrogates and intended parents. Further Listening: - The Mystery of the Mansion Filled With Surrogate Children - America’s Maternal Health Crisis Sign up for WSJ’s free What’s News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Fertility Inc.: When the Surrogate Gets Left With the Bill

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This episode was published on March 6, 2026.

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Reproductive technology is a modern miracle. It's made it possible for millions of people to become parents who might otherwise not have been able to. But growing demand has spawned a multibillion-dollar industry that’s largely unregulated in the...

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