In the near future, widespread use of remotely controlled androids called "surrogates" enables everyone to live in idealized forms from the safety of their homes. Compared to their surrogates, the human operators are depicted as slovenly and homebound. Protected from harm, a surrogate's operator feels no pain when their surrogate is damaged, and they can make their surrogate perform acrobatics beyond human capability. In Boston, FBI agent Tom Greer has been estranged from his wife Maggie since their son's death in a car crash several years before. He never sees her outside of her surrogate and she criticizes his desire to interact via their real bodies.

Tom and his partner, Agent Jennifer Peters, investigate the death of two people who were killed when their surrogates were destroyed at a Fort Point club. Jared Canter, one of the victims, is the son of Dr. Lionel Canter, the inventor of surrogates and the former head of their manufacturing company, Virtual Self Industries (VSI). The two determine that a human, Miles Strickland, used a new type of weapon to overload the surrogates' systems and kill their operators. After locating Strickland, Tom attempts to bring him into custody. Strickland uses the weapon and injures Tom during the chase; Tom inadvertently crash-lands into an anti-surrogate zone known as the Dread Reservation (one of many throughout the US). A mob helps Strickland and destroys Tom's surrogate. The Dread leader, a man known as the Prophet, kills Strickland and confiscates the weapon.


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With his surrogate destroyed, Tom is forced to interact in the world without one. He learns that VSI originally produced the weapon, designed to load a virus that overloads a surrogate's systems, thus disabling it, under a government contract. Unexpectedly, the weapon also disabled the fail-safe protocols protecting operators. The project was promptly scrapped and all prototypes supposedly destroyed. Tom also learns that Andrew Stone, his FBI superior, supplied the weapon to Strickland and ordered Dr. Canter's assassination, upon VSI's request, for his criticism of surrogate use. Jared, who had, unbeknownst to the assassin, been using one of his father's many surrogates, was killed instead. An unknown man murders Jennifer in her home and then hijacks her surrogate, and the Prophet orders the weapon delivered to her. During a military raid on the reservation, the Prophet is shot, revealing he was actually a surrogate, with audience learning that Canter himself was its operator. Tom steals the code that activates the weapon from Stone, but "Jennifer" escapes with the codes.

Immediately travelling to Canter's home, Tom discovers that Canter has been controlling not only the Prophet, but also Jennifer and the surrogate he used to kill Jennifer as well. Using Jennifer's surrogate in FBI Headquarters, Canter uses the weapon to kill Stone and proceeds to upload the virus to all surrogates, which will destroy them and kill their operators. Canter reveals that he only wanted to empower the disabled to live normal lives, but after he was fired from VSI, they capitalized on surrogacy for profit. Convinced his plan is unstoppable, Canter disconnects from Jennifer's surrogate and swallows a cyanide pill. Tom takes control of Jennifer's surrogate and, with the assistance of the network's system administrator, Bobby Saunders, insulates the virus so the operators will survive, but a second step is required to save the surrogates. After a moment of consideration, Tom chooses to let the virus permanently disable surrogates worldwide. With all the surrogates disabled, people emerge from their homes, confused and afraid.

Returning home, Tom shares an emotional embrace with Maggie in her real form. The film ends with an aerial view of the collapsed surrogates along with overlapping news reports of downed surrogates all over the world and how people are now "on their own" again.

What is already known:  Studies in the West have found that surrogates do not suffer long-term psychological harm. One study has shown that surrogates bond less with the foetus than expectant mothers.

Participants/materials, setting, methods:  Semi-structured interviews and standardized questionnaires were administered to 50 surrogates and 69 expectant mothers during pregnancy and 45 surrogates and 49 expectant mothers post-birth. All gestational surrogates were hosting pregnancies for international intended parents.

Main results and the role of chance:  Surrogates had higher levels of depression compared to the comparison group of mothers, during pregnancy and post-birth (P < 0.02). Low social support during pregnancy, hiding surrogacy and criticism from others were found to be predictive of higher depression in surrogates post-birth (P < 0.05). Regarding prenatal bonding, surrogates interacted less with and thought less about the foetus but adopted better eating habits and were more likely to avoid unhealthy practices during pregnancy, than expectant mothers (P < 0.05). No associations were found between greater prenatal bonding and greater psychological distress during pregnancy or after relinquishment.

Limitations, reasons for caution:  All surrogates were recruited from one clinic in Mumbai, and thus the representativeness of this sample is not known. Also, the possibility of socially desirable responding from surrogates cannot be ruled out.

Wider implications of the findings:  As this is the first study of the psychological well-being of surrogates in low-income countries, the findings have important policy implications. Providing support and counselling to surrogates, especially during pregnancy, may alleviate some of the psychological problems faced by surrogates.

Background:  Clinical practice relies on surrogates to make or help to make treatment decisions for incapacitated adults; however, the effect of this practice on surrogates has not been evaluated.

Study selection:  Eligible studies provided quantitative or qualitative empirical data, by evaluating surrogates, regarding the effect on surrogates of making treatment decisions for an incapacitated adult.

Data synthesis:  40 studies, 29 using qualitative and 11 using quantitative methods, provided data on 2854 surrogates, more than one half of whom were family members of the patient. Most surrogates were surveyed several months to years after making treatment decisions, the majority of which were end-of-life decisions. The quantitative studies found that at least one third of surrogates experienced a negative emotional burden as the result of making treatment decisions. The qualitative studies reported that many or most surrogates experienced negative emotional burden. The negative effects on surrogates were often substantial and typically lasted months or, in some cases, years. The most common negative effects cited by surrogates were stress, guilt over the decisions they made, and doubt regarding whether they had made the right decisions. Nine of the 40 studies also reported beneficial effects on a few surrogates, the most common of which were supporting the patient and feeling a sense of satisfaction. Knowing which treatment is consistent with the patient's preferences was frequently cited as reducing the negative effect on surrogates.

Conclusion:  Making treatment decisions has a negative emotional effect on at least one third of surrogates, which is often substantial and typically lasts months (or sometimes years). Future research should evaluate ways to reduce this burden, including methods to identify which treatment options are consistent with the patient's preferences.

Surrogacy agencies often provide thorough screening services to gather important information about prospective surrogates, ensure they fully understand what they are committing to, and protect the intended parents in the process.

The most important requirement for prospective surrogates is that they are ready to commit to intended parents for the duration of the surrogacy process. Throughout the screening process, surrogacy professionals will also ensure the prospective surrogate meets certain qualifications. These qualifications vary by agency, but most require surrogates to meet the following criteria:

Prospective surrogates will have access to education and support throughout the screening process to ensure they feel confident and committed to their surrogacy plans. Once a prospective surrogate has completed the necessary screening steps and has met all qualifications, she is ready to be matched with intended parents.

Surrogate.com exists to support surrogates along this life-changing journey. Through personal experience, we know that a great agency is the key to a successful process. That's why we've chosen to partner with American Surrogacy

This agency has a proven track record of success, offers the best surrogate compensation possible, and has created a streamlined process for surrogates. American Surrogacy shares our core value of putting surrogates first to ensure you have the best experience possible.

So, while surrogates might not necessarily win elections for their candidates, they do bring attention to them. And attention is a gold mine in politics, so expect to keep seeing them for the foreseeable future.

Gestational surrogates. A technique called "in vitro fertilization" (IVF) now makes it possible to gather eggs from the mother (or an egg donor), fertilize them with sperm from the father (or a sperm donor), and place the embryo into the uterus of a gestational surrogate.

The American Society for Reproductive Medicine accepts certain family ties as acceptable for surrogates. It generally discourages surrogacy, though, if the child would carry the same genes as a child born of incest between close relatives.

The American Society for Reproductive Medicine says surrogates should get a medical exam to check that they are likely to have a healthy, full-term pregnancy. The organization suggests they get tests that check for infectious diseases such as syphilis, gonorrhea, chlamydia, HIV, cytomegalovirus, and hepatitis B and C. 17dc91bb1f

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