“When reframed in this way, critics often accuse couples intent on pursuing ART of being selfish for expending so much time, energy, and resources to have a biological connection to their child when they could pursue adoption in-stead. But beyond the practical barrier of adoption not being accessible to all prospective parents in all contexts given variables of age, sexual orientation, marital status, and the pool of available children, what is missing in this anti-ART/pro-adoption position is an explanation for why the criticism of narcissism or selfishness is directed primarily at couples who use ART, not also at those intent on bearing children the old-fashioned way through intercourse.

Why must those who cannot reproduce "naturally" be put in the position of having to justify their desire to have "their own" child — why isn't every prospective parent pressed to give an account?”