Well, it depends how one defines "exploitation". If the definition includes all cases when richer people pay poorer people for goods and services - then surrogacy is sometimes an exploitation in western countries as well (in many other cases the surrogate mother is a friend or relative of the future parents and does it free of charge). However, the public control on these matters in the west limits the the amount of money to be paid for that "service". And yet, some people still call it "