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An Industry of Frauds? State Policy, Migration Assemblages and Nursing Professionals from India

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Abstract

India’s governmental regulation of emigration and the emergence of the country’s migration industry have both been largely guided by the facilitation of low-skilled outmigration. Taking the rapidly growing migration of nursing professionals from India as a point of departure, this chapter seeks to understand the way the Indian state’s concerns and interests entangle with that of an emerging migration industry in significant ways. Recounting in detail a case of migration fraud, it argues that there is a dialectic relationship between the character and functioning of the migration industry and state policy.

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Notes

  1. 1.

    Ministry of Overseas Indian Affairs, Emigration Policy Division, F.No. O1-11012/10/2013/EP, March 12, 2015, https://www.mea.gov.in/images/pdf/9-nurses-recur.pdf, accessed May 24, 2017.

  2. 2.

    The ECR countries are (1) Afghanistan, (2) Bahrain, (3) Indonesia, (4) Iraq [presently suspended], (5) Jordan, (6) Kingdom of Saudi Arabia, (7) Kuwait, (8) Lebanon, (9) Libya [presently suspended], (10) Malaysia, (11) Oman, (12) Qatar, (13) South Sudan, (14) Sudan, (15) Syria, (16) Thailand, (17) United Arab Emirates, and (18) Yemen [presently suspended]. See, Emigration and You, Ministry of External Affairs, Government of India, http://www.mea.gov.in/Images/attach/20_Emigration_and_You.pdf, accessed April 10, 2018.

  3. 3.

    According to the rule, the charges that a recruiting agent in respect of services renders could be ‘equivalent to wages for 45 days as per the employment contract subject to maximum Rs. 20,000’.

  4. 4.

    Mathew International, established in 1974, with its Headquarters in Mumbai, India, is one of the pioneers of overseas recruitment and manpower placements and held a good portion of the Mumbai’s overseas recruitment when Bombay was the hub of recruitment. It expanded over time and Kerala remains one of their key catchment areas, with an office in Kochi.

  5. 5.

    Hawala, meaning transfer or trust, in its classic form is an informal system of money transfer across national borders and is largely trust driven. Of late, the system and its network are getting significantly formalized. See ‘How hawala money-transfer schemes are changing’, The Economist, October 15, 2015, https://www.economist.com/blogs/economist-explains/2015/10/economist-explains-12, accessed April 15, 2018.

  6. 6.

    Signed blank cheques and stamp papers were extracted from them as securities.

  7. 7.

    The Act of 1922 specified procedures for emigration and steps to be taken by foreign agents in India for the welfare of such emigrant workers, apart from making government notifications mandatory for recruitment and emigration.

  8. 8.

    An office called ‘Controller General of Emigrants’ in the Ministry of External Affairs was supposed to work broadly on the principles laid down by the colonial Emigration Act of 1922.

  9. 9.

    The formation of the ‘MOIA’ in September 2004 could be seen as a testimony of Government of India’s growing interest in the affairs of overseas Indians. It got merged with the Ministry of External Affairs in January 2016, with a stated reason of avoiding duplication of work and improving efficiency.

  10. 10.

    The PGE administers the through field offices called Protectors of Emigrants (POE) located in the seven cities originally, subsequently increased to ten. They are Chandigarh, Madras, Delhi, Hyderabad, Calcutta, Bombay, Cochin and Trivandrum, and recent additions being Jaipur and Raibareli.

  11. 11.

    Governmentality combines government and rationality in it and, according to Michael Foucault, is the “art of government” that include a wide variety of control techniques by a ‘liberal state’ seemingly for the benefit of the people and with their consent. It is governing people through positive means to generate willingness of individuals to participate in their own governance (Foucault 1991).

  12. 12.

    Till late 2007, the ECR passport holders had to get their ECR status suspended by the POE for even visiting any of the ECR counties. Unlike individual submissions, the RAs are required furnish additional documentation including demand letter, power of attorney from the employer, and employment contract, besides indemnity bond (upon the discretion of the POE) and a duly sworn in affidavit (see Rajan et al. 2011).

  13. 13.

    The POE is empowered to reject an application for emigration clearance on various grounds; see Rajan et al. (2011, 33–34).

  14. 14.

    See for the terms and conditions of the Registration Certificate, Emigration Rules, 1983, Section 10; and for the grounds on which registration may be suspended or cancelled, Emigration Act of 1983, Chapter III, Section 14. The Emigration (Amendment) Rules, 2009, has made a few timely amendments to it. There are 1187 registered and active recruiting agents functioning in India as of September 21, 2018; see https://emigrate.gov.in/ext/openPDF?strFile=RA_LIST_REPORT.pdf, accessed September 21, 2018.

  15. 15.

    In case of exploitation of Indian workers, upon recommendation from the respective Indian Missions, the PGE could also place any foreign employer or Company under the ‘Prior Approval Category’ (PAC).

  16. 16.

    The documents include (1) Demand Letter, (2) Employment Contract, (3) Copy of VISA, (4) Copy of first page and last page of passport, (5) Emigrant photograph, (6) Copy of Aadhar Card (mandatory in case UID is entered in the emigrant registration form), (7) Copy of PBBY policy, (8) Copy of Rs. 20 lakhs life insurance policy (mandatory in case destination country is Libya), and (9) Affidavits, as applicable as per the jurisdiction POE office.

  17. 17.

    https://emigrate.gov.in/ext/home.action.

  18. 18.

    All information from eMigrate platform, https://emigrate.gov.in/ext/home.action.

  19. 19.

    See Emigration and You, Ministry of External Affairs, Government of India, http://mea.gov.in/images/pdf/emigration_and_you_new.pdf, accessed March 15, 2018.

  20. 20.

    For a comparative understanding, this is 3% in China and 8.3% in the United States (Kalra 2015).

  21. 21.

    FIR No. RC 5(A)/2015- CBI/Cochin, registered by the CBI.

  22. 22.

    ‘CBI files the charges: How Kerala’s nurses were ripped off by consultants,’ Indian Express, January 21, 2017, http://www.newindianexpress.com/states/kerala/2017/jan/21/cbi-files-the-charges-how-keralas-nurses-were-ripped-off-by-consultants-1562063.html, accessed May 15, 2017.

  23. 23.

    ‘Ten months on, MEA nod awaited to prosecute protector of emigrants in nursing scam,’ Indian Express, January 21, 2017, http://www.newindianexpress.com/states/kerala/2017/jan/21/ten-months-on-mea-nod-awaited-to-prosecute-protector-of-emigrants-in-nursing-scam-1561894.html, accessed May 15, 2017.

  24. 24.

    All these information is taken from the Central Administrative Tribunal, Ernakulam Bench Order (O.A. No.180/00451/2016), December 7, 2016, on the compliant of the said POE to revoke his suspension and reinstatement in service; https://indiankanoon.org/doc/119649230/, accessed May 20, 2017.

  25. 25.

    ‘Kerala nursing recruitment scam: Uthup Varghese remanded in shooting case,’ Deccan Chronicle, April 6, 2017, https://www.deccanchronicle.com/nation/crime/060417/kerala-nursing-recruitment-scam-uthup-varghese-remanded-in-shooting-case.html, accessed May 21, 2017.

  26. 26.

    ‘It was rags-to-riches for scam accused,’ The Hindu, August 11, 2017, http://www.thehindu.com/todays-paper/tp-national/tp-kerala/it-was-rags-to-riches-for-scam-accused/article19469753.ece, accessed April 23, 2018.

  27. 27.

    ‘HC rejects bail plea of Uthup,’ The Hindu, June 13, 2015, http://www.thehindu.com/news/cities/Kochi/hc-rejects-bail-plea-of-uthup/article7311805.ece, accessed May 23, 2017.

  28. 28.

    http://www.iikwebadvt.com/ShowArticle.aspx?ID=36743&SECTION=0, accessed May 23, 2017.

  29. 29.

    It is reported later that the recruited nurses did not get government jobs in Kuwait, instead are being accommodated in the school health program on a much lesser pay than the promised. See ‘More than 800 recruited nurses are jobless in Kuwait,’ The Times of India, June 19, 2015, https://timesofindia.indiatimes.com/city/kochi/More-than-800-recruited-nurses-jobless-in-Kuwait/articleshow/47728151.cms, accessed April 28, 2018.

  30. 30.

    Minister of State for External Affairs V. K. Singh in Rajya Sabha, reported in NDTC as ‘India’s Remittance Inflow Further Declines By $4.3 Billion In 2016–17,’ NDTV, March 16, 2018, https://www.ndtv.com/india-news/indias-remittance-inflow-further-declines-by-4-3-billion-in-2016-17-1824471, accessed April 28, 2018.

References

  • Anand, S., & Fan, V. (2016). The health work force in India: Human resources for health observer series no. 16. Geneva: World Health Organization.

    Google Scholar 

  • Anstey, V., & Anstey, V. P. (1977). The economic development of India. New York: Arno Press.

    Google Scholar 

  • Bank, D., & Thorat, A. (2015). Issues of unequal access to public health in India. Frontiers in Public Health, 3, 245.

    Google Scholar 

  • Bhaskar, T. L. S. (2000). The Telugu Diaspora in the United States. CGIRS Working Paper Series—WP#2000-1.

    Google Scholar 

  • Blythe, J., & Baumann, A. (2009). Internationally educated nurses: Profiling workforce diversity. International Nursing Review, 56(2): 191–197.

    Google Scholar 

  • Carter, M. (1995). Servants, sirdars and settlers: Indians in Mauritius, 1834–1874. New Delhi: Oxford University Press.

    Google Scholar 

  • Das, A. (2009, August 3). Will it help unearth the rampant trade in illegal emigration? Current News.

    Google Scholar 

  • Foucault, M. (1991). Governmentality. In G. Burchell, C. Gordon, & P. Miller (Eds.), The Foucault effect: Studies in governmentality (pp. 87–104). Hemel Hempstead: Harvester Wheatsheaf.

    Google Scholar 

  • George, S. M. (2000). When women come first: Gender and class in transnational migration. Berkeley: University of California Press.

    Google Scholar 

  • Gill, R. (2016). Scarcity of nurses in India: A myth or reality? Journal of Health Management, 18(4), 509–522.

    Article  Google Scholar 

  • Guilmoto, C. Z. (1993, January 16–23). The Tamil migration cycle, 1830–1920. Economic and Political Weekly.

    Google Scholar 

  • HLEG. (2011). High level expert group report on universal health coverage for India. New Delhi: Planning Commission of India, Government of India.

    Google Scholar 

  • Huttenback, R. K. (1973). The British empire as a White Man’s Country: Racial attitudes and immigration legislation in colonies of white settlement. Journal of British Studies, 13(1), 108–137.

    Article  Google Scholar 

  • John, S. (2007, March 11). Sunrise industry: Nursing a dream. Times of India. 2007. https://www.pressreader.com/india/the-times-of-india-new-delhi-edition/20070311/282282430842006. Accessed 28 March 2018.

  • Joumard, I., & Kumar, A. (2015). Improving health outcomes and healthcare in India. OECD Economics Department Working Paper No. 1184. http://www.oecd.org/officialdocuments/publicdisplaydocumentpdf/?cote=ECO/WKP%282015%292&docLanguage=En. Accessed 16 March 2018.

  • Kalra, A. (2015, February 28). India keeps tight rein on public health spending in 2015–16 budget. Reuters. https://www.reuters.com/article/india-health-budget/india-keeps-tight-rein-on-public-health-spending-in-2015-16-budget-idUSL4N0W20CA20150228.

  • Khadria, B. (2007). International nurse recruitment in India. Health Services Research, 42(3), 1429–1436.

    Article  Google Scholar 

  • Kodoth, P. This volume. Unauthorized recruitment of migrant domestic workers from India to the Middle East: Interest conflicts, patriarchal nationalism and state policy. In M. Baas (Ed.), The Migration Industry in Asia (pp. 77–107).

    Google Scholar 

  • Kodoth, P., & Varghese, V. J. (2012). Protecting women or endangering the emigration process: Emigrant women domestic workers, gender and state policy. Economic and Political Weekly, 47(43), 56–66.

    Google Scholar 

  • Lal, B. V. (Ed.). (2006). The encyclopedia of the Indian diaspora. Singapore: Singapore National University.

    Google Scholar 

  • Lake, M., & Reynolds, H. (2008). Drawing the global colour line: White men’s countries and the international challenge of racial equality. Cambridge: Cambridge University Press.

    Google Scholar 

  • Metcalfe, T. R. (2005). Forging the Raj: Essays on British India in the heyday of empire. New Delhi: Oxford University Press.

    Google Scholar 

  • Metcalfe, T. R. (2007). Imperial connections: India in the Indian Ocean Arena, 1860–1920. New Delhi: Permanent Black.

    Google Scholar 

  • MOIA. (2006). Handbook for Overseas Indians (HOI). New Delhi: Government of India.

    Google Scholar 

  • Mongia, R. V. (1999). Race, nationality, mobility: A history of the passport. Public Culture, 11(3), 527–555.

    Article  Google Scholar 

  • Mongia, R. V. (2003). Impartial regimes of truth: Indentured Indian labour and the status of the inquiry. Cultural Studies, 18(5), 749–768.

    Article  Google Scholar 

  • Mongia, R. V. (2007). Historicizing state sovereignty: Inequality and the form of equivalence. Comparative Studies in Society and History, 49(2), 384–411.

    Article  Google Scholar 

  • Nair, S. (2012). Moving with the times: Gender, status and migration of nurses in India. New Delhi: Routledge.

    Google Scholar 

  • Nair, N. (2017, June 30). Kerala nurses wage war against abysmal pay and government apathy; laugh indefinite strike. Firstpost. https://www.firstpost.com/india/kerala-nurses-wage-war-against-abysmal-pay-and-government-apathy-launch-indefinite-strike-3760655.html. Accessed 2 April 2017.

  • Nawaz, A. (2017, February 27). How India’s recent migration policies helped Bangladesh and Pakistan to Eat into our GDP. The Outlook. https://www.outlookindia.com/website/story/how-indias-recent-migrant-policies-helped-bangladesh-and-pakistan-eat-into-our-g/298076. Accessed 3 May 2017.

  • Ong, A., & Collier, S. J. (Eds.). (2008). Global assemblages: Technology politics and ethics as anthropological problems. Oxford: Wiley-Blackwell.

    Google Scholar 

  • Peebles, P. (2001). The plantation tamils of Ceylon. London: Continuum International Publishing Group.

    Google Scholar 

  • Percot, M. (2006). Indian nurses in the Gulf: Two generations of female migration. South Asia Research, 26(1), 41–62.

    Article  Google Scholar 

  • Radhakrishnan, M. G. (2010, June 21). Kerala: Republic of Kasargod. India Today.

    Google Scholar 

  • Radwan, I. (2005). India: Private health services for the poor—A policy note. Health, Nutrition and Population (HNP) Discussion Paper. Washington, DC: The World Bank.

    Google Scholar 

  • Rajan, S. I., Varghese, V. J., & Jayakumar, M. S. (2011). Dreaming mobility and buying vulnerability: Overseas recruitment practices and its discontents in India. New Delhi: Routledge.

    Google Scholar 

  • Ramasamy, P. (1992). Labour control and labour resistance in the plantations of Malaya. Journal of Peasant Studies. Special Issue.

    Google Scholar 

  • Ross, S. J., Polsky, D., & Sochalski, J. (2005). Nursing shortages and international nurse migration. International Nursing Review, 52(4), 253–262.

    Google Scholar 

  • Senior, K. (2010). Wanted: 2.4 million nurses, and that’s just in India. Bulletin of the World Health Organization, 88(5), 327–328.

    Article  Google Scholar 

  • Shirras, F. G. (1931). Indian migration. In W. F. Willcox (Ed.), International migrations volume II: Interpretations (pp. 591–616). NBER.

    Google Scholar 

  • Singha, R. (2006). A ‘proper passport’ for the colony: Border crossing in British India, 1882–1920. Colloquium series, Program in Agrarian Studies, Yale University. http://www.yale.edu/agrarianstudies/papers/16passportill.pdf. Accessed 5 February 2008.

  • SLD and NGA. (2013). A Study on Migration of Indian Nurses to the OECD Countries: Trends and Challenges. New Delhi: Society for Labour Development and National Guestworker Alliance USA.

    Google Scholar 

  • Spetz, J., Gates, M., & Jones, C. B. (2014). Internationally educated nurses in the United States: Their origins and roles. Nursing Outlook, 62(1), 8–15.

    Google Scholar 

  • Thiollet, H. (2016). Managing migrant labour in the Gulf: Transnational dynamics of migration politics since the 1930s. IMI Working Paper Series No. 131. University of Oxford.

    Google Scholar 

  • Tinker, H. (1974). A new system of slavery: The export of Indian labour overseas 1820–1920. London: Oxford University Press.

    Google Scholar 

  • Varghese, V. J. (2018, March 1). ECR Devoid of orange is still a deterring passport. Kafila. https://kafila.online/2018/03/01/ecr-devoid-of-orange-is-still-a-deterring-passport-v-j-varghese/.

  • Varghese, V. J., & Rajan, S. I. (2012). Broadening exchanges and changing institutions: Multiple sites of economic transnationalism. In S. I. Rajan (Ed.), India migration report 2012: Global financial crisis, migration and remittance (pp. 322–346).New Delhi and Abingdon: Routledge.

    Google Scholar 

  • Venkat, T., Tadepalli, S., & Manuel, T. (2017, December 3). The life of labour: Nurses’ strike broken after HC threat, 48000 workplace fatalities in India every year. The Wire. https://thewire.in/labour/nurse-strike-tamil-nadu-workplace-safety-labour-rights. Accessed 2 April 2018.

  • Walton-Roberts, M., Bhutani, S., & Kaur, A. (2017). Care and global migration in the nursing profession: A north Indian perspective. Australian Geographer, 248(1), 59–77.

    Article  Google Scholar 

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Varghese, V.J. (2020). An Industry of Frauds? State Policy, Migration Assemblages and Nursing Professionals from India. In: Baas, M. (eds) The Migration Industry in Asia. Palgrave Pivot, Singapore. https://doi.org/10.1007/978-981-13-9694-6_6

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