{"title":"“传播爱心”还是“打工度假”?","authors":"Jung Chen","doi":"10.1016/j.socscimed.2025.118520","DOIUrl":null,"url":null,"abstract":"<div><div>This study investigates the narratives of egg donation (ED) in Taiwan and transnational contexts. Although commercial ED is prohibited in Taiwan, legally fixed compensation remains relatively high (USD 3000). Internationally, ED is a profitable segment of the fertility industry, driving cross-border donor recruitment. Targeted donors are typically young women who, while economically precarious, are valued for their biocapital, namely, high-quality oocytes. Despite this, many receive limited information about the health risks associated with hormone stimulation and oocyte retrieval. Drawing on 362 user-generated posts (2018–2025) from a Taiwanese online forum, alongside content from the websites of 40 domestic fertility clinics and six transnational ED brokers, this study conducts a thematic analysis of recruitment strategies and donor responses. Key themes include donor representation, eligibility, medical procedures, compensation, and the (non-)disclosure of health risks. Findings reveal a complex entanglement of commodification and decommodification across both domestic and cross-border ED contexts. In Taiwan, clinics typically use altruistic narratives to frame ED, while donors describe it as a meaningful act of care or ‘spreading love’, rather than reproductive labour. In contrast, cross-border ED is more explicitly tied to capitalist logics, often depicted as a profitable ‘working holiday’, reinforcing racialised commodification. Importantly, financial motivation and altruistic rhetoric are not mutually exclusive; instead, they operate in tandem to construct socially acceptable narratives that mitigate stigma and imbue ED with emotional and moral significance. The study recommends mandating comprehensive risk disclosure in Taiwan and developing transnational regulatory frameworks to reduce the legal and health risks of cross-border ED.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118520"},"PeriodicalIF":5.0000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"‘Spreading love’ or ‘working holiday’? The narrative of altruistic rhetorics, financial motivations, and risks in domestic and transnational Taiwanese egg donation\",\"authors\":\"Jung Chen\",\"doi\":\"10.1016/j.socscimed.2025.118520\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>This study investigates the narratives of egg donation (ED) in Taiwan and transnational contexts. Although commercial ED is prohibited in Taiwan, legally fixed compensation remains relatively high (USD 3000). Internationally, ED is a profitable segment of the fertility industry, driving cross-border donor recruitment. Targeted donors are typically young women who, while economically precarious, are valued for their biocapital, namely, high-quality oocytes. Despite this, many receive limited information about the health risks associated with hormone stimulation and oocyte retrieval. Drawing on 362 user-generated posts (2018–2025) from a Taiwanese online forum, alongside content from the websites of 40 domestic fertility clinics and six transnational ED brokers, this study conducts a thematic analysis of recruitment strategies and donor responses. Key themes include donor representation, eligibility, medical procedures, compensation, and the (non-)disclosure of health risks. Findings reveal a complex entanglement of commodification and decommodification across both domestic and cross-border ED contexts. In Taiwan, clinics typically use altruistic narratives to frame ED, while donors describe it as a meaningful act of care or ‘spreading love’, rather than reproductive labour. In contrast, cross-border ED is more explicitly tied to capitalist logics, often depicted as a profitable ‘working holiday’, reinforcing racialised commodification. Importantly, financial motivation and altruistic rhetoric are not mutually exclusive; instead, they operate in tandem to construct socially acceptable narratives that mitigate stigma and imbue ED with emotional and moral significance. The study recommends mandating comprehensive risk disclosure in Taiwan and developing transnational regulatory frameworks to reduce the legal and health risks of cross-border ED.</div></div>\",\"PeriodicalId\":49122,\"journal\":{\"name\":\"Social Science & Medicine\",\"volume\":\"384 \",\"pages\":\"Article 118520\"},\"PeriodicalIF\":5.0000,\"publicationDate\":\"2025-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Science & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0277953625008512\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277953625008512","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
‘Spreading love’ or ‘working holiday’? The narrative of altruistic rhetorics, financial motivations, and risks in domestic and transnational Taiwanese egg donation
This study investigates the narratives of egg donation (ED) in Taiwan and transnational contexts. Although commercial ED is prohibited in Taiwan, legally fixed compensation remains relatively high (USD 3000). Internationally, ED is a profitable segment of the fertility industry, driving cross-border donor recruitment. Targeted donors are typically young women who, while economically precarious, are valued for their biocapital, namely, high-quality oocytes. Despite this, many receive limited information about the health risks associated with hormone stimulation and oocyte retrieval. Drawing on 362 user-generated posts (2018–2025) from a Taiwanese online forum, alongside content from the websites of 40 domestic fertility clinics and six transnational ED brokers, this study conducts a thematic analysis of recruitment strategies and donor responses. Key themes include donor representation, eligibility, medical procedures, compensation, and the (non-)disclosure of health risks. Findings reveal a complex entanglement of commodification and decommodification across both domestic and cross-border ED contexts. In Taiwan, clinics typically use altruistic narratives to frame ED, while donors describe it as a meaningful act of care or ‘spreading love’, rather than reproductive labour. In contrast, cross-border ED is more explicitly tied to capitalist logics, often depicted as a profitable ‘working holiday’, reinforcing racialised commodification. Importantly, financial motivation and altruistic rhetoric are not mutually exclusive; instead, they operate in tandem to construct socially acceptable narratives that mitigate stigma and imbue ED with emotional and moral significance. The study recommends mandating comprehensive risk disclosure in Taiwan and developing transnational regulatory frameworks to reduce the legal and health risks of cross-border ED.
期刊介绍:
Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.