In Vitro Fertilisation: 40th Anniversary

Baroness Boycott Excerpts

Thursday 13th September 2018 Lords Chamber

[Baroness Boycott (CB)]

My Lords, I thank my noble friend for bringing this anniversary to our attention and congratulate her on the incredibly valuable work that she has done. I was pleased, not surprised and slightly saddened to learn about another unknown, unsung heroic feminist scientist. I thank the noble Baroness, Lady Barker, for bringing her to my attention.

Forty-six years ago, I was a co-founder the feminist magazine Spare Rib. We were a great deal more worried about not getting pregnant at that point than about getting pregnant. We were right in the early years of the pill, the cap and the coil, and all the extraordinary things to do with contraception rather than conception. None of us had any children and we were woeful in dealing with the issue of how one might be a member of the women’s lib, as we were then, as well as being a mother. But I remember clearly some of my older friends who had worked and then tried to get pregnant in their 30s. For a particular friend to whom I was very close, it just failed and she hit her early 40s and had no children. We were only just six years before this quite extraordinary scientific development hit the world and, suddenly, the prospect of what it could mean for you as a woman to be able not only to have contraception but to be helped with conception when you needed it. It was a staggeringly wonderful invention.

It has done so many things for our lives and our times. As was mentioned by others, we have redefined to a great extent what it means to be a family: a family is about one or two loving adults of either sex bringing up a child that they greatly want. It has been babies born to same-sex partners and babies born to single women who have given up on ideas about how to find Mr Right. It is nothing short of a miracle and it is not an overestimation to say that it has changed not only the way we make babies but the family. A recent Cambridge University study showed that children raised by same-sex couples do just as well as those raised in heterosexual marriages. It is not a matter of the structure; it is a matter of the love.

However, I have concerns. Like many things in our world, access to IVF has all too often become the privilege of the rich, despite recommendations from NICE that all women who are over 30 and have been trying for two years or more to have a baby should be entitled to three cycles of IVF on the NHS. These decisions are made by local CCGs. As a result, only 12% of them currently offer those three cycles. IVF, like many things, has fallen victim to a postcode lottery. Can it be in any way true that your income should determine your right to be a parent?

We live in a society where we believe that everything we might desire will be available if only we can scratch up the money, but the promises that IVF clinics make to women are fulfilled in only 21% of cases. Forty years on from this extraordinary breakthrough, does it seem ethical that we allow clinics to trade on human desperation, turning what should be an altruistic medical invention into a gold-mine for the very few?

I know that we have strict laws around surrogacy in this country, but it also concerns me that very wealthy people can outsource gestation, increasingly these days to poor women overseas who will literally rent out their womb for a nine-month period. About 15 years ago, I had a television series and interviewed a very rich man. He was single, gay and, as Jane Austen would have said, in possession of a considerable fortune, but he was lacking something, and that something, he thought, was a child. I watched and filmed as he found an egg from a website in California—the donor was a six-foot tall Stanford graduate with long blond hair; he was a very small, dark-haired man. He got a womb from a different organisation, also online, and he flew over to Los Angeles for a week to deposit his sperm. Around nine months later, he was flying back to London with triplets. It was apparently quite tricky getting the passports, but they now reside somewhere in Hampshire.

His surrogate and the egg donor were extremely well paid; they were women who knew what they were doing and were apparently completely content with the arrangement. But it worries me: is it morally justified? Does it matter that a child’s biological origin is obscured by so many different routes, a bit like an offshore bank account? Only time will tell. These developments are happening faster than we can debate and consider them morally. Or does it again come back to money and being able to do what you want with it?

Women the world over are being sexually exploited and victimised through war, slavery and trafficking, and one of the consequences of this technology should never be an extra reason to exploit extremely vulnerable women who set themselves up to say, “I will rent my womb”. It is exactly the same as the illegal trade in kidneys—at least I think it is.

My final concern is what this has done for men. One of the things I think we got wrong in the early days of feminism was to say to blokes, “We want your jobs. We want to be in the boardroom, in the law courts, standing in front of university students, in politics, and what we would like you to have of our lot is the cooking, the ironing and the childcare”. It was not really a very intelligent trade. The end result is that roles for women have expanded enormously—we can be all those things—but I believe that it is still very difficult for men to be fathers, because as a society we do not put enough credit where that credit is due. It worries me that men, when it comes to IVF, are pretty much left out of the picture. They deposit their deposit and then they go on and hope for the best. I would hate to see this extraordinary science in some way devaluing fatherhood. Fatherhood is fantastically important to children and to men, and we should make sure in all this debate that we remember that it is just as important as motherhood.

Obesity

Baroness Boycott Excerpts

Wednesday 18th July 2018 Lords Chamber

[Baroness Boycott (CB) (Maiden Speech)]

My Lords, first I am grateful to the noble Lord, Lord McColl, for this debate, which has enabled me to make my maiden speech so early, and to noble Lords for their kind words and welcome. I am incredibly honoured to stand here before you today. The first thing I would like to say is how very grateful I am to everyone from all parts of the House for their kindness towards me, to the noble Baronesses, Lady Kennedy and Lady Jenkin, who introduced me, and to my noble friend Lady Kidron who has been such a splendid mentor. I will always be very grateful to all the people who work in this amazing building for showing me where to go, providing a welcoming smile and always making me feel, literally from the moment I walked in, really welcome and at home.

After a long career, which has included founding a feminist magazine Spare Rib when I was 21 and editing three national newspapers, in 2008 I accepted the post of chair of the London Food Board, working first for Boris Johnson and then for Sadiq Khan. For the past decade, all aspects of food have been central to my life and my professional life: food policy; food poverty; urban food growing; the effects of the way we eat and grow food on climate change; children’s holiday hunger; animal welfare; and—you name it—very much so, obesity.

Life does not happen without food. Its construction is a miracle. We are all ultimately powered by plants, which in turn are powered by the sun. Food builds our bodies and provides our daily fuel, and what nature gives us is precisely calibrated to enable us to thrive. No one in this building or in this country would dream of filling the tank of their precious Ferrari with Coca-Cola, yet we are happy to fill the world’s most complex machine—the human body, the bodies of our little babies—with weird, highly processed junk which bears scant relationship to what I would call food. Yes, of course, it is tasty. It is tasty beyond belief. It is salty, sugary and spicy. I am far from immune, but this availability has triggered a health crisis which is, across the world, spinning out of control.

Food-related disease is now the world’s number one killer, but it is not so just as a result of heart disease and cancers. Bad diets lead to obesity which means living with ill health for much of your life, and it is sadly the poorest in our society who carry the biggest burden here. Diabetes, one of the possible outcomes of obesity, is not a pretty disease; it leads to lost limbs, loss of energy and kidney failure. Twenty limbs are amputated every day in this country as a result of diabetes. Did you know that last year in Vietnam they chopped off more limbs than they did at the height of the Vietnam War because of diabetes?

For me, obesity is not an individual problem. We are quick to blame the individual as a fat failure, but all the evidence points to the culprit being the ready availability of high-fat, high-sugar foods—foods that overwhelm the impulse control of children, young adults and adults, which are packaged and promoted to create the impression that they are fun, cool and life-enhancing. Many are placed in shops where children are bound to encounter them: at the tills and at grasping height. If noble Lords need further evidence, in this country 99.8% of advertisers’ budgets is spent on what I would call unhealthy food and only 1.2% on fruit and vegetables.

Changing diets can completely transform health outcomes in lots of ways. It is time for an integrated approach to food policy with it no longer being sectioned out to different departments. We must recognise that the huge burden that is being placed on the National Health Service, which other noble Lords have referred to, could be lifted if we all ate better. It is not just about obesity. One of the things that shocked me when I was chair of the London Food Board was to discover that, in this great city of ours, one of the prime reasons that the elderly go into hospital in London is malnutrition and dehydration. So a council saves—let us be generous here—£15 a day on a meals-on-wheels and a person ends up in a high dependency £600-a-night hospital bed. This is because of cuts. Councils cannot afford it. Why can we not rethink this system? One pot of money. We all deserve to eat well.

I am both humbled and very excited to be amid so many of you who care so much about a subject that I care so much about. I hope that by adding to your number, I can add to your strength. We can, through food policy, achieve a better world—one that is fairer, that calls a halt to the inequalities that we see now where the poorest in our society are not only condemned to poorer lives, but all too often to poorer health outcomes. I know that food lies at the heart of many of the problems we need to fix, but it is also the route to so many of the solutions where everyone, whatever their background, can enjoy a good life, made possible through good food. It is my privilege and my pleasure to join your Lordships to work to that positive outcome.