Fertility Tourism, Do the Ends Justify the Means?

When listening to Molly Shanley's March 10th lecture on Fertility Tourism and the Ethics of Inter-country Surrogacy, I was surprised to learn that Professor Shanley believes that fertility tourism is ethical. While Shanley notes that surrogacy often creates an unnatural hierarchy of humans (and often social classes), can created a skewed vision of family, and seems outright exploitative (and potentially reminiscent of Margaret Atwood's The Handmaid's Tale, a dystopian novel where