I wonder what kind of vetting process the couple went through in the US as well. The story may over-simplify the process.

In Canada, my family knew a couple who tried to adopt a child in the decades ago because of infertility. The vetting process and the paperwork from the government agency was "audacious". They said the amount of red tape was so much to the point that the fertile couples would not adopt locally.

Back in the day, adopting a child from China and Romania was easier than adopting locally.