In some catholic countries, abortion was a long "taboo" topic, and to have aborted - was similar in status to a sex-worker. So there were "angel" makers, woman who aborted without a doctors license. It was dangerous- it was shunned, and it was absolutely necessary, because the normal sex-drive, with no money available for contraceptives - this was the only way out of "constant" reproduction, work-overload and deeper poverty.

If caught in the act of aborting, the very same woman, often with several children already, in fear of getting shunned and ostracized, would throw the "witch" doctor to the wulfes. And this is what this sounds like.

Requesting a black-market Vasectomy and then denying it when the light of public opinion falls on it. Such things happen in totalitarian states, like china, but not in democracy with independent courts like the us.

Does it matter what the ethnicity the doctor was, rather than the agency and government that allowed it?

What a weird aspect of the horrific violation of human rights to focus on.

I can see why people might jump right to the Nazis there, but it’s important to know that the Nazis took their cue on forced sterilization from the eugenics movement in the USA. At one point, some 30 states had laws allowing for it.

https://en.m.wikipedia.org/wiki/Eugenics_in_the_United_State...

Because of course all non whites are basically the same. He's a Gujarati doctor; his politics are going to be well to the right, like any self-respecting prosperous Indian professional.