調查人員稱，這些客戶很富有，有人願意支付10萬美元購買包括住宿、保母和購物遊在內的生育旅遊套餐，但在醫院分娩時卻支付很少費用。美國檢查官哈納（Nick Hanna）說:「他們的一些顧客甚至明確的表示了蔑視美國法律的態度，不僅忽視美國法庭要求他們留在境內配合出庭的通知，還積欠醫院帳款。 」
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