Interface News Reporter | Zhang Xilong
Interface News Editor | Xu Yue
Recently, many hospitals in Xiangyang, Hubei, Foshan, Guangdong, Nanning, Guangxi and other places have been reported for selling birth medical certificates. According to the whistleblower, a birth certificate costs more than 100,000 yuan, and the birth certificate obtained through these illegal channels can be used to "whitewash" the identity of the abducted child.
The birth medical certificate is a medical certificate of birth information issued by a health care institution in accordance with the law, and is one of the bases and vouchers for declaring household registration and nationality, obtaining social security for newborns, receiving medical services, applying for nursery school, and applying for immigration and study abroad.
However, according to Jiemian News, there is another purpose for buying and selling birth certificates, that is, to obtain a birth certificate with the names of biological fathers and mothers for babies born through surrogacy.
A surrogate pregnant woman fraudulently used the buyer's file information to give birth to a baby in the hospital, and then applied for a birth certificate through a paternity test. In this line of work, low-key can be done for a long time. ”
Obtaining a birth certificate is the last link in the surrogacy industry, and it is also the key to determining "success or failure". "If you can't get a birth certificate and can't get a household registration, the money you spent in the early stage will be wasted. Another person described it to Xiang Yang.
How much does it cost to buy a birth certificate?
Under normal circumstances, after giving birth, a mother can apply for a birth certificate online for free. And in the surrogacy industry, the cost rises to five figures.
Different intermediaries give different algorithms for the cost of birth certificates. A common way is that according to whether surrogacy, sperm donation/egg, and IVF are needed, the agency lists different packages, and the total cost generally ranges from 500,000 to 1.6 million, including the cost of the birth certificate.
There are also agencies that mark the price of the birth certificate code separately. Zhuo Bin, a staff member of a Chongqing agency, gave the figure, "The cost of the birth certificate is reimbursed, 30,000 yuan." When asked, "Is this fee for the hospital?" and the other party replied, "It can be understood in this way."
A contract sent to Xiang Yang stated: "If Party A is under the age of 45, Party B shall unconditionally assist in applying for a birth certificate, and Party A does not need to pay." If you are over 46 years old or above, the production hospital may charge the corresponding fee, which is subject to the charge of the production hospital, and Party B will try its best to coordinate it, but the corresponding cost needs to be borne by Party A. ”
"The older you are, the lower the pregnancy rate, the birth certificate will cost a little money, and if a woman in this age group gives birth, it is mostly IVF or surrogacy. Xiang Yang explained that there are different birth certificate fees for different ages.
In addition to age groups, there are also differences in costs depending on the region. According to a "fee standard" provided by AnJie, the purchase cost of elderly customers is higher: "The cost of 46-50 years old is generally 2-70,000 yuan. ”
In addition, the cost of obtaining a birth certificate is not the same for single men and single women. Zhuo Bin mentioned that the woman alone can also get a birth certificate, "just explain the situation, such as 'the relationship is broken, and the man can't be contacted'." ”
For the man, in order to obtain a birth certificate, he also needs to provide the registration information of a female partner - this cost can reach 30,000 yuan. Xiang Yang's agency provides services to find a woman: "Finding a girl to cooperate with the birth certificate is equivalent to giving birth out of wedlock, and it costs about 30,000 yuan. The girl has to scan her face to handle the file, and we will change the maternity information to hers later. ”
Nana works in a city with a hospital in Cambodia and a laboratory in China, with a partner hospital in Nanning. She mentioned, "If the man doesn't find a female partner, we can help arrange it with an additional 20,000-30,000 yuan." ”
Many hospitals were exposed to selling birth certificates, which also brought waves to the surrogacy industry. During the communication process, Nana and several other intermediaries asked several times to "communicate by voice, it will be better to speak in a sensitive period." Nana admitted, "There will be an impact, but there is still a lot of money, and there is still a place to do it." But it is difficult to say whether the follow-up policy will change. If it is completely improved, the certificate will become very expensive. ”
Uncertainty in obtaining birth certificates has increased, and intermediaries have begun to offer new schemes for household registration. Nana said that you can not get a birth certificate first, go to the unmarried child to settle down, and the man will do a paternity test to register the household, "If you really want a birth certificate, we recommend choosing Cambodia." Find a female companion to go abroad with you and use her name directly to make a birth certificate, she is the nominal mother. ”
"Every year, we have to make a dot, give money and gifts"
There is a very strict issuance process for one birth certificate per person. According to the website of the National Health Commission, the first issuance of birth medical certificates includes both inside and outside health care institutions, the former needs to review the original valid identity documents of the newborn parents, and the latter needs to review the original parentage statement and paternity test certificate in addition to the ID card.
In the process of surrogacy, a very important part of the biological parents to become the parents on the birth certificate is to "steal the day" - to exchange the information of the surrogate pregnant woman with the client's personal information. This operation is carried out in the early stage. "The customer gave us the woman's information, and we arranged for her to go to the cooperative hospital to set up a file, and use her information to handle the admission and prenatal examination, and the pregnant mother went to the hospital to give birth, and after giving birth, the name of the husband and wife customer was written. Nana said.
Zhuo Bin's institution will file the pregnant woman when she is three months pregnant, and operate it into the customer's prenatal examination information, "The follow-up has always been the customer's prenatal examination information." At the same time, he emphasized, "If this kind of operation is carried out, no hospital can operate it, and our institution will operate it." ”
An examination report sent to Xiang Yang showed that the pregnant woman was 35 years old, "This is the age of the customer, and we have changed the information." He repeatedly stressed that birth certificates have high requirements for the authenticity of information.
The depth of the cooperative relationship with the hospital and even the relevant departments is the decisive factor for "stealing the day". Several intermediaries said that their institutions have cooperative hospitals, mainly private hospitals, where surrogate pregnant women give birth.
At present, private hospitals account for the majority of the hospitals that have been investigated for buying and selling birth certificates, such as Foshan Fuaijia Obstetrics and Gynecology Hospital in Guangdong Province and Chengai Hospital in Nanning, Guangxi.
But public hospitals are also involved. In 2021, it was reported that 4,885 birth certificates were stolen from Shangqiu Maternal and Child Health Hospital in Henan Province, and some of them were sold to Fujian and other places to register children of unknown origin.
In February 2023, the Liangyuan District People's Court of Shangqiu City sentenced Li Mouying, the former section chief of the Health Care Department of Shangqiu Maternal and Child Health Hospital, to eight years in prison, and Cao Moulian and Ding Mouling, the former deputy section chiefs, were sentenced to four years in prison respectively.
But that's just the tip of the iceberg, and the buying and selling of birth certificates is still going underground.
Xiang Yang's institution has been established for more than ten years, "There are a lot of customers in Guangdong, basically every province has customers. The preliminary examination is carried out in public hospitals, and if you are pregnant in the later stage, it will be arranged at the nearest hospital to see if the policy is strict. Xiang Yang mentioned, "Our system is very large and perfect. The reporter randomly asked whether the hospital in a city in Guangdong was "easy to manage", and Xiang Yang replied, "It's all in the province, and it's easy to manage." ”
"We have companies in Zhengzhou and other places, and a company has five or six departments, such as local promotion, online sales, logistics, pre-nurses, doctors, cooperative intermediaries, and many people. His institution has formed a very mature division of labor team, "with its own team of doctors and laboratories, professional logistics management, surrogate mothers live in a community with a better environment, and have nannies to take care of them." Each client has an independent service team that will serve until the baby is born. ”
Xiang Yang told reporters that after he was discharged from the army in 2015, he was taken by his family to do this business, "Some of the client's children are three or four years old." He mentioned that the boss has a "relationship" with the hospital.
They have even partnered with public hospitals. But he also found that "the management is getting stricter and stricter, and we are helpless." At the delivery hospital, it has to be done every year. ”
(All names in the article have been changed)