This week’s reading on Labor, Privatization and Class opened my eyes to the differences socially and culturally between America and various countries. Notably, there exists a high importance of intra-household hierarchies and the division of labor between family members in countries such as India, while in America there exists a more relaxed and malleable description of family life. The case study in Calcutta, India shows that domestic and kin relationships affect a pregnant woman’s access, use and knowledge of the healthcare system. The common trend found among pregnant women in India show a high percentage giving birth in a private institution as well as a high percentage of women having elective C-sections. This was shown to be more prevalent in middle- and high-class families, as well as in urban verses rural areas. I found it interesting that more women choose private birth centers over hospitals, given our recent class discussion of birthplace ranging from hospital, birth center, and home birth. Notably, the chapter bases these decisions on Indian women’s lack of trust and credibility of hospitals, whereas birth centers give the comfort and personal interest in wellbeing that the women are looking for. In addition, modern technology is seen as a blessing, and a way to enable a healthy infant born at a suitable time for the parents. It is shown as a prestigious technique, allowing women to avoid pain, shame and the cultural belief in pollution that follows a natural vaginal birth. In 2012, research shows that in Indian private institutions women are 3 to 10 times more likely to have an elective C-section than in hospital settings. In comparison to the US, more elective C-sections occur at hospitals than private institutions. The difference in these statistics may be due to differences in the wishes of pregnant women, who may prefer C-sections more in India than in the US. However, I believe this difference may be based on the characteristics of women who choose to give birth in each setting, while in the US most women attend a hospital birth women in India prefer a private institution and thus have different expectations of care.