Behind the ‘hindu growth rate’ of Gujarat, ‘wombs for rent’

ANAND: Every night in this quiet western Indian city, 15 pregnant women prepare for sleep in the spacious house they share, ascending the stairs in a procession of ballooned bellies, to bedrooms that become a landscape of soft hills.

A team of maids, cooks and doctors looks after the women, whose pregnancies would be unusual anywhere else but are common here. The young mothers of Anand, a place famous for its milk, are pregnant with the children of infertile couples from around the world.

The small clinic at Kaival Hospital matches infertile couples with local women, cares for the women during pregnancy and delivery, and counsels them afterward. Anand’s surrogate mothers, pioneers in the growing field of outsourced pregnancies, have given birth to roughly 40 babies.

More than 50 women in this city are now pregnant with the children of couples from the United States, Taiwan, Britain and beyond. The women earn more than many would make in 15 years. But the program raises a host of uncomfortable questions that touch on morals and modern science, exploitation and globalization, and that most natural of desires: to have a family.

Dr. Nayna Patel, the woman behind Anand’s baby boom, defends her work as meaningful for everyone involved.

“There is this one woman who desperately needs a baby and cannot have her own child without the help of a surrogate. And at the other end there is this woman who badly wants to help her (own) family,” Patel said. “If this female wants to help the other one … why not allow that? … It’s not for any bad cause. They’re helping one another to have a new life in this world.”

Experts say commercial surrogacy _ or what has been called “wombs for rent” _ is growing in India. While no reliable numbers track such pregnancies nationwide, doctors work with surrogates in virtually every major city. The women are impregnated in-vitro with the egg and sperm of couples unable to conceive on their own.

Commercial surrogacy has been legal in India since 2002, as it is in many other countries, including the United States. But India is the leader in making it a viable industry rather than a rare fertility treatment. Experts say it could take off for the same reasons outsourcing in other industries has been successful: a wide labor pool working for relatively low rates.

Critics say the couples are exploiting poor women in India _ a country with an alarmingly high maternal death rate _ by hiring them at a cut-rate cost to undergo the hardship, pain and risks of labor.

“It raises the factor of baby farms in developing countries,” said Dr. John Lantos of the Center for Practical Bioethics in Kansas City, Missouri. “It comes down to questions of voluntariness and risk.”

Patel’s surrogates are aware of the risks because they’ve watched others go through them. Many of the mothers know one another, or are even related. Three sisters have all borne strangers’ children, and their sister-in-law is pregnant with a second surrogate baby. Nearly half the babies have been born to foreign couples while the rest have gone to Indians.

Ritu Sodhi, a furniture importer from Los Angeles who was born in India, spent US$200,000 (euro138,910) trying to get pregnant through in-vitro fertilization, and was considering spending another US$80,000 (euro55,563) to hire a surrogate mother in the United States.

“We were so desperate,” she said. “It was emotionally and financially exhausting.”

Then, on the Internet, Sodhi found Patel’s clinic. After spending about US$20,000 (euro13,890) _ more than many couples because it took the surrogate mother several cycles to conceive _ Sodhi and her husband are now back home with their 4-month-old baby, Neel. They plan to return to Anand for a second child.

“Even if it cost $1 million (euro690,000), the joy that they had delivered to me is so much more than any money that I have given them,” said Sodhi. “They’re godsends to deliver something so special.”

Patel’s center is believed to be unique in offering one-stop service. Other clinics may request that the couple bring in their own surrogate, often a family member or friend, and some place classified ads. But in Anand the couple just provides the egg and sperm and the clinic does the rest, drawing from a waiting list of tested and ready surrogates.

Young women are flocking to the clinic to sign up for the list. Suman Dodia, a pregnant, baby-faced 26-year-old, said she will buy a house with the US$4,500 (euro3,125) she receives from the British couple whose child she’s carrying. It would have taken her 15 years to earn that on her maid’s monthly salary of US$25 (euro17).

Dodia’s own three children were delivered at home and she said she never visited a doctor during those pregnancies.

“It’s very different with medicine,” Dodia said, resting her hands on her hugely pregnant belly. “I’m being more careful now than I was with my own pregnancy.”

Patel said she carefully chooses which couples to help and which women to hire as surrogates. She only accepts couples with serious fertility issues, like survivors of uterine cancer. The surrogate mothers have to be between 18 and 45, have at least one child of their own, and be in good medical shape.

Like some fertility reality show, a rotating cast of surrogate mothers live together in a home rented by the clinic and overseen by a former surrogate mother. They receive their children and husbands as visitors during the day, when they’re not busy with English or computer classes.

“They feel like my family,” said Rubina Mandul, 32, the surrogate house’s den mother. “The first 10 days are hard, but then they don’t want to go home.”

Mandul, who has two sons of her own, gave birth to a child for an American couple in February. She said she misses the baby, but she stays in touch with the parents over the Internet. A photo of the American couple with the child hangs over the sofa.

“They need a baby more than me,” she said. The surrogate mothers and the parents sign a contract that promises the couple will cover all medical expenses in addition to the woman’s payment, and the surrogate mother will hand over the baby after birth. The couples fly to Anand for the in-vitro fertilization and again for the birth. Most couples end up paying the clinic less than US$10,000 (euro6,945) for the entire procedure, including fertilization, the fee to the mother and medical expenses.

Counseling is a major part of the process and Patel tells the women to think of the pregnancy as “someone’s child comes to stay at your place for nine months.”

Kailas Gheewala, 25, said she doesn’t think of the pregnancy as her own.

“The fetus is theirs, so I’m not sad to give it back,” said Gheewala, who plans to save the US$6,250 (euro4,340) she’s earning for her two daughters’ education. “The child will go to the U.S. and lead a better life and I’ll be happy.”

Patel said none of the surrogate mothers has had especially difficult births or serious medical problems, but risks are inescapable.

“We have to be very careful,” she said. “We overdo all the health investigations. We do not take any chances.”

Health experts expect to see more Indian commercial surrogacy programs in coming years. Dr. Indira Hinduja, a prominent fertility specialist who was behind India’s first test-tube baby two decades ago, receives several surrogacy inquiries a month from couples overseas.

“People are accepting it,” said Hinduja. “Earlier they used to be ashamed but now they are becoming more broadminded.”

But if commercial surrogacy keeps growing, some fear it could change from a medical necessity for infertile women to a convenience for the rich.

“You can picture the wealthy couples of the West deciding that pregnancy is just not worth the trouble anymore and the whole industry will be farmed out,” said Lantos.

Or, Lantos said, competition among clinics could lead to compromised safety measures and “the clinic across the street offers it for 20 percent less and one in Bangladesh undercuts that and pretty soon conditions get bad.”

The industry is not regulated by the government. Health officials have issued nonbinding ethical guidelines and called for legislation to protect the surrogates and the children.

For now, the surrogate mothers in Anand seem as pleased with the arrangement as the new parents.

“I know this isn’t mine,” said Jagrudi Sharma, 34, pointing to her belly. “But I’m giving happiness to another couple. And it’s great for me.”

Economic Times

Global Hindutva in support of Gujarat’s super hindu leader

Press Trust of India

Sunday, December 2, 2007 (Patan)

A large number of Gujarati NRIs have landed in their native state to lend support to political parties they are backing in the upcoming assembly election, due on December 11 and 16.

Many are supporters of incumbent Narendra Modi, who feel the state has developed under the stewardship of the BJP leader. Opposing them are a considerable number of Congress
supporters, who say Modi has divided the state.

Although they cannot vote in the state assembly polls, the NRIs who have come from places like the UK and US are pumping in huge amounts of money in campaigning, besides trying to woo voters for the party of their choice.

”Though I can’t vote, still I would like to see to it that the right people are voted to power. Even if I can’t vote I would like to make sure that other 100 people at least go and vote. It’s very important,” says 42-year-old Rajen Patel from London, an ardent supporter of Modi.

Patel, who claims he campaigned for former US vice president Al Gore when he was in the presidential race, says about 100 like-minded NRIs in the UK have decided to come to Gujarat to support Modi as they believe he is ushering in growth and development.

”We would like to invest in Gujarat as things have improved a lot here. There is less of corruption now and action is taken on complaints made even over phones,” he says.

Rejecting the claims of development under Modi’s government are Congress supporters, who have also come together based on their political affiliation.

”What development are they talking about? Everything is a hogwash. No state can develop where people are divided. And that’s what BJP has done here,” says Deepak Amin, who has come all the way from Seattle (US) to support Congress.

”To be number one you have to be united first. When you talk about Hindu rastra, you ignore the rest of the people in the country. What about them?” Amin laments.

He says he is in touch with at least 15 other like-minded NRIs from various countries.

”We have held several rounds of meetings in Seattle, New York, New Jersey etc to discuss our agenda before coming to India. We will be reaching out to people to pass on our message,” Amin says.

He said his ‘group’ was opposed to the way BJP is bragging about development in Gujarat, adding ”It’s just like their ‘India Shining’ campaign”.

But the Modi camp would like to differ. ”There’s discipline, peace and harmony now unlike earlier,” says Patel.

On his group’s strategy, Patel says, ”We will place ourselves in different regions of the state. Like five-six people in Vadodara, 10 in Ahmedabad and four in Surat, while one of us will be travelling to meet people and help the party in the electoral process.”

He claims Modi has many fans in the UK and US who want to know what can they do to help their state.

India, Where paradoxes reign supreme

It has become a cliché to speak of India as a land of paradoxes. The old joke about our country is that anything you say about India, the opposite is also true. We like to think of ourselves as an ancient civilisation but we are also a young republic; our IT experts stride confidently into the 21st century but much of our population seems to live in each of the other 20 centuries. Quite often the opposites co-exist quite cheerfully.

One of my favourite images of India is from the last Kumbha mela, of a naked sadhu, with matted hair, ash-smeared forehead and scraggly beard, for all the world a picture of timeless other-worldliness, chatting away on a cellphone. I even suggested it to the publishers of my newest book of essays on India as a perfect cover image, but they assured me it was so well-known that it had become a cliché in itself.

And yet, clichés are clichés because they are true, and the paradoxes of India say something painfully real about our society.

How does one come to terms with a country whose population is still nearly 40% illiterate but which has educated the world’s second-largest pool of trained scientists and engineers, many of whom are making a flourishing living in Silicon Valley? How does one explain a land where peasant organisations and suspicious officials once attempted to close down Kentucky Fried Chicken as a threat to the nation, where a former prime minister bitterly criticised the sale of Pepsi-Cola since 250 million of our countrymen and women don’t have access to clean drinking water, and which yet invents more sophisticated software for the world’s computer manufacturers than any other country on the planet? A place where bullock carts are still an indispensable mode of transportation for millions, but whose rocket and satellite programmes are amongst the most advanced on earth?

The paradoxes go well beyond the nature of our entry into the 21st century. Our teeming cities overflow while two out of three Indians still scratch a living from the soil. We have been recognised, for all practical purposes, as a leading nuclear power, but 600 million Indians still have no access to electricity and there are daily power cuts even in the nation’s capital.

Ours is a culture which elevated non-violence to an effective moral principle, but whose freedom was born in blood and whose independence still soaks in it. We are the world’s leading manufacturers of generic medication for illnesses such as AIDS, but we have three million of our own citizens without access to AIDS medication, another two million with TB, and tens of millions with no health centre or clinic within 10 kilometres of their places of residence.

Bollywood makes four times as many movies as Hollywood, but 150 million Indians cannot see them, because they are blind. India holds the world record for the number of cellphones sold (8.5 million last month), but also for the number of farmer suicides (4000 in the Vidarbha district of Maharashtra alone last year).

This month, in mid-November, the prestigious Forbes magazine list of the world’s top billionaires made room for 10 new Indian names. The four richest Indians in the world are collectively worth a staggering $180 billion, greater than the GDP of a majority of member states of the United Nations. Indian papers have reported with undisguised glee that these four (Lakshmi Mittal, the two Ambani brothers, and DLF chief K P Singh) are worth more than the 40 richest Chinese combined.

We seem to find less space in our papers to note that though we have more dollar billionaires than in any country in Asia – even more than Japan, which has been richer longer – we also have 260 million people living below the poverty line. And it’s not the World Bank’s poverty line of $1 a day, but the Indian poverty line of Rs 360 a month, or 30 cents a day – in other words, a line that’s been drawn just this side of the funeral pyre.

Last month, the Bombay Stock Exchange’s Sensex crossed 20,000, just 20 months after it had first hit 10,000; but on the same day, some 25,000 landless people marched to Parliament, clamouring for land reform and justice. We have trained world-class scientists and engineers, but 400 million of our compatriots are illiterate, and we also have more children who have not seen the inside of a school than any other country in the world does.

We have a great demographic advantage in 540 million young people under 25 (which means we should have a dynamic, youthful and productive workforce for the next 40 years when the rest of the world, including China, is ageing) but we also have 60 million child labourers, and 72% of the children in our government schools drop out by the eighth standard. We celebrate India’s IT triumphs, but information technology has employed a grand total of 1 million people in the last five years, while 10 million are entering the workforce each year and we don’t have jobs for them.

Many of our urban youth rightly say with confidence that their future will be better than their parents’ past, but there are Maoist insurgencies violently disturbing the peace in 165 of India’s 602 districts, and these are largely made up of unemployed young men.

So yes, we are a land of paradoxes, and amongst those paradoxes is that so many of us speak about India as a great power of the 21st century when we are not yet able to feed, educate and employ our people. And yet, India is more than the sum of its contradictions. It may be a country rife with despair and disrepair, but it nonetheless moved a Mughal Emperor to declaim, ‘‘if on earth there be paradise of bliss, it is this, it is this, it is this…’’ We just have a lot more to do before it can be anything like paradise for the vast majority of our fellow citizens.

25 Nov 2007, 0000 hrs IST,Shashi Tharoor, Times of India

967 Cases of Atrocities against Dalits in Gujarat

Dalits in Gujarat eclipsed under Modi: Meira

Claiming that the Dalits were “eclipsed” under the present dispensation in Gujarat, Union Social Justice and Empowerment Minister Meira Kumar on Monday criticised the Narendra Modi-led government for the “atrocities” meted out against Dalits and other backward sections of the society.

“The present government in Gujarat has a poor track record in tackling crimes against the backward sections of the society,” Kumar said addressing the day-long ‘jan-mitra shibir’ (conference of party workers) organised by the scheduled caste cell of Congress.

She claimed that Dalits were “eclipsed” in Gujarat at present.

“In the year 2005, there were a total of 967 cases of atrocities against Dalits in Gujarat where many were murdered, raped, burnt and seriously injured,” Kumar told the gathering of party workers who had assembled from different parts of the state.

“This year in just six months, there were a total of 412 cases of atrocities registered against backward classes including Dalits,” she said adding the figures she was quoting were sourced from the Social Justice department of Gujarat.

“In many of these cases FIRs are yet to be registered,” Kumar added

Press Trust of India, Gandhinagar, July 3, 2006