In the 2000s American evangelical leaders recast adoption as a Biblical mandate, building an orphan-care movement just as international adoption began to decline. Champions saw the gospel in action; critics argued the movement became a demand engine that pressured fragile supply systems and overlooked corruption. Its largest agency eventually left international adoption.
Whether there was an orphan crisis is disputed, since the big statistics lump together children with no parents and those with living family. Scholars also disagree on whether orphan theology is ancient doctrine or a modern construction, how representative the scandals were, and why Bethany really changed course.