Misdiagnosing Children as Seriously Ill to Bolster International Adoptions

Doctor's Office in Kazakhstan

Doctor's Office in Kazakhstan

It's a basic economic principle that heavy regulation leads to corruption in the form of black markets and cheating. Complying with regulations is expensive, so if you can find a way to get around the rules and skirt regulations, you can increase your gains.

In Kazakhstan, regulation of international adoption has led to the absurd result of doctors purposefully misdiagnosing infants with serious illnesses like cerebral palsy or spastic quadriplegia so that they can be adopted internationally.[1]

The Hague Convention on International Adoption was drafted to ensure that international adoptions are “made in the best interests of the child and with respect for his or her fundamental rights and to prevent the abduction, the sale of, or traffic in children and each State should take, as a matter of priority, appropriate measures to enable the child to remain in the care of his or her family of origin.”

Countries acceding to the convention, like Kazakhstan, implement standards that must be met before children from that country can be adopted internationally. One standard required of the Convention is that placement of a child in the country of origin must be sought before international placement may be considered.

Hence Kazakhstan's deviousness. By informing Kazakhstan citizens that a child is disabled in some way, adoption agencies can report that their citizens passed the child up, and offer it for adoption internationally, getting more money for the placement.

Kazakhstan's behavior is just one of many examples of how rigorous regulation leads to corruption rather than protection in the international adoption process.

People have a human right to parent, and children have a human right to live and thrive. By over-regulating international adoption, we are hurting and often outright denying those rights.


[1] ” International adoption: sick children are healthy?” by Altynai Zhumzhumina, in Tengri News, available at http://en.tengrinews.kz/people/International-adoption-sick-children-are-healthy-26236/

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