For three decades China was the largest source of children adopted by Americans, about 82,000 between 1999 and 2023, mostly girls born under the one-child policy. As supply dwindled while demand and a roughly $3,000 donation per child kept rising, orphanages bought babies from traffickers and officials relabeled confiscated children as orphans. China ended the program in August 2024.
The scale of trafficking is the central dispute: the trial involved about 85 to 100 babies, ledgers show hundreds, and thousands are alleged but not provable. Brian Stuy's estimate that more than three-quarters of adoptions were affected is contested, as is whether demand caused the abuses or merely fed existing local corruption.