Laxmi Devi Kumhar, mother of Ramjee, tends to his daughter, Kusum, as his son, Karan, looks on. Laxmi pleaded with Ramjee to have more children, but after his second child was born, he took his wife, Mamta, to a doctor and she had her tubes tied. “In today’s times, it is very expensive to have a third baby,” Ramjee said. “We cannot afford it.” (Rick Loomis / Los Angeles Times)