Consider the following scenario: "A couple seeks medical advice from Dr. Brown as they would like to conceive a child but suffer from azoospermia, i.e., they do not produce sperm. The use of semen from another male is discussed during the doctor's visit. However, Dr. Brown's clinic has great difficulty recruiting semen donor and advises that there is very little supply available and many other couples ahead of them on the waiting list. The couple offers to pay a provider as they are desperate to have a child. Dr. Brown sees the pain and anguish of the couple and knows that by offering money to potential donors he would probably be able recruit more providers and thereby relieve the distress on families with infertility issues." The ever-growing acceptance and use of assisted human reproduction techniques has caused demand for "donated" sperm and eggs to outstrip supply. Medical professionals and others argue that monetary reward is the only way to recruit sufficient numbers of "donors". Is this a clash between pragmatics and policy/ethics