The need for what I may call birth services was already recognized in the pre-Gilead period, where it was being inadequately met by “artificial insemination,” “fertility clinics,” and the use of “surrogate mothers,” who were hired for the purpose. Gilead outlawed the first two as irreligious but legitimized and enforced the third, which was considered to have Biblical precedents; they thus replaced the serial polygamy common in the pre-Gilead period with the older form of simultaneous polygamy practiced both in early Old Testament times and in the former state of Utah in the nineteenth
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