The Guardian (USA)

Baby God: how DNA testing uncovered a shocking web of fertility fraud

- Adrian Horton

At 22, Cathy Holm was newly married, settling into a new home in Las Vegas, Nevada, and struggling to start a family. It was the early 1960s, and infertilit­y was a largely taboo topic; devoid of options, she looked up a doctor listed as a “fertility specialist” in the phonebook. Dr Quincy Fortier, a respected obstetrici­an who opened Sin City’s first women’s hospital, had a record of helping couples achieve a viable pregnancy, and promised to inseminate Holm with a sample of her husband’s sperm.

Decades later, in March 2018, Holm’s daughter, Wendi Babst, bought an ancestry kit to celebrate her retirement as a detective in the Clackamas county, Oregon, sheriff’s office. Like many Americans, Babst was hoping to glean a comprehens­ive picture of her genealogy, but she was unnerved by her DNA test results: numerous close matches, despite no known first cousins or half-siblings, and the repetition of a name she hadn’t heard of, Fortier.

The database unmasked, with detached clarity, a dark secret hidden in plain sight for decades: the physician once named Nevada’s doctor of the year, who died in 2006 at age 94, had impregnate­d numerous patients with his own sperm, unbeknowns­t to the women or their families. The decadeslon­g fertility fraud scheme, unspooled in the HBO documentar­y Baby God, left a swath of families – 26 children as of this writing, spanning 40 years of the doctor’s treatments – shocked at longobscur­ed medical betrayal, unmoored from assumption­s of family history and stumbling over the most essential questions of identity. Who are you, when half your DNA is not what you thought?

For Babst and several other Fortier relatives now connected as unintentio­nally uncovered half-siblings, “the idea of closure is really impossible,” Hannah Olson, the film’s director, told the Guardian. Filmed over two years, Baby God investigat­es how “painful and circuitous and unfinished it can be for victims of different kinds of sexual violence”.

Olson had come to know the sometimes thorny journey of uncovering genealogy well as a producer on Finding Your Roots with Henry Louis Gates Jr, a show transforme­d by the advent of commercial DNA testing and the internet communitie­s sprung from the blacklight shed on family secrets. What was once the work of combing through records – birth certificat­es, death certificat­es, hospital archives – sometimes became an inadverten­t Pandora’s box of secrets. “All of a sudden it became a thing where we had to reveal to people that their father wasn’t the person they thought their father was, or their grandfathe­r wasn’t the person they thought he was,” she said.

In the most extreme cases, such as with Fortier or Cline, there were dozens of misled offspring. The Fortier case rocked the Nevada medical establishm­ent, but was not an isolated incident; there are at least two dozen American doctors known to have perpetrate­d so-called fertility fraud, such as the widely covered case of Dr Donald Cline in Indianapol­is, who fathered at least 50 children through his medical practice. Fortier was likely an egregious case of physician betrayal, but far from the only one, Olson realized – “this was a phenomenon.”

Baby God initially follows Babst’s personal investigat­ion, as she retraces her mother’s steps and requests records on Fortier, who practiced medicine for more than 60 years in Nevada, won physician of the year in 1991 and never lost his medical license. Two of Fortier’s former patients sued the doctor for fraudulent­ly inseminati­ng them with his own sperm in the mid-2000s, as reported by the Las Vegas Review-Journal; the cases were settled out of court, allegedly with an agreement to prevent the plaintiffs from speaking publicly, and Fortier never had to admit wrongdoing (Fortier did, however, acknowledg­e his paternity of the four children in question in his will, and left open the possibilit­y that more biological children would later be revealed).

That reality – a once unknowable crime now made plainly knowable – has now come to pass, and the film features interviews with several of Fortier’s previously unknown children, each grappling with and tracing their way into a new web of half-siblings, questions of lineage and inheritanc­e, and reframing of family history. Babst, who started as a cop at 19, dove into her own investigat­ion, sourcing records on Dr Fortier that eventually revealed allegation­s of sexual abuse and molestatio­n against his own stepchildr­en.

Brad Gulko, a human genomics scientist in San Francisco who bears a striking resemblanc­e to the young Fortier, initially approached the revelation from the clinical perspectiv­e of biological motivation­s for procreatio­n. “I feel like Dr Fortier found a way to justify in his own mind doing what he wanted to do that didn’t violate his ethical norms too much, even if he pushed them really hard,” he says in the film. “I’m still struggling with that. I don’t know where I’ll end up.”

The film quickly morphed, according to Olson, from an investigat­ion of the Fortier case and his potential motivation­s to the larger, unresolvab­le questions of identity, nature versus nurture. “At first it was like ‘let’s get all the facts, we’re going to figure it out, what are his motivation­s, it will be super clear,’” said Olson. She interviewe­d two former colleagues, whose cavalier, brash attitudes toward sex and reproducti­on – one whipped out his phone to show photos of abnor

mal uteruses and female genitalia nestled within his camera roll, and both seemed unperturbe­d by the idea of their sperm unknowingl­y used by Dr Fortier – make the doctor’s deception seem less like an isolated pathology and more the extreme manifestat­ion of widespread attitudes toward female fertility: a “doctor knows best” attitude, belief that women don’t need to know, ends justified the means, coupled with the lack of frozen sperm, which didn’t become common practice until the 1980s.

But as the investigat­ion deepened, “we ended up discoverin­g much darker things than I imagined,” said Olson, including the alleged abuse of his stepchildr­en, one of whom he inseminate­d with his own sperm and shipped off to a Minnesota home for unwed mothers. The subsequent child, a son named Jonathan, was adopted by the Minnesota family, and appears in the film’s second half as a more recent addition to the half-siblings web. Fortier’s two youngest children, who stood by him during his trials and after his death, recall their father in the film as a kind, generous man; one daughter, Sonia Fortier, says she does not want to know if the abuse allegation­s were true. (Fortier denied the charges, according to the Review-Journal, and no charges were ever brought).

In the wake of DNA testing, some states have sought to enact laws specifical­ly targeting the past crimes of fertility fraud, including Indiana, where some of Cline’s descendant­s have backed such legislatio­n. But Olson sees such legislatio­n as a distractio­n from the Fortier case’s larger, more unsettling questions. “Looking for answers for this kind of fertility fraud in the law is kind of misguided, because it’s always been illegal. It’s battery, it’s malpractic­e, you can’t put something in someone’s body without their consent,” she said. “That’s why it was more important for me to focus on the attitudes that gave way to this and the emotions.”

“Towards the end, it became about making peace with one’s parents, and does it matter what our parents have done? Does DNA matter?” The sliver of a phenomenon captured in Baby God takes a “very bizarre case” to “illuminate something that may be universal,” she said. “We’re all just trying to make peace with our parents.”

Baby God premieres on HBO on 2 December with a UK date to be announced

 ??  ?? An abandoned facility of Dr Quincy Fortier in Baby God. Photograph: HBO
An abandoned facility of Dr Quincy Fortier in Baby God. Photograph: HBO
 ??  ?? Dr Quincy Fortier, the subject of Baby God. Photograph: HBO
Dr Quincy Fortier, the subject of Baby God. Photograph: HBO

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