Poor   women mostly from rural areas were advised immediate     Uterus removal as they might become victim of grave medical   complications like cancer. The patients believing doctors immediately get ready   for the operation.  The numerous cases of forced     surgery helped nursing homes to swindle insurance   amount with the help of insurance company officials and state govt.   officials.
	   
	  “The   removal of Uterus on thousands of women of all age group including even minors   is a serious human rights violation not to talk of medical ethics. The poor   ladies got into the trap of middlemen and nursing home owners who has virtually   converted removal of Uterus into a full-fledged money minting industry” said   Sudhansu Kumar, a Mukhia of Naya Nagar Panchayat of Samastipur.
	   
	  The   cases of performing hysterectomy on even minor girls and Males were reported   from some districts when initial probe was done.  Scamsters     used fictitious names to claim insurance money from   Insurance Companies under the aegis of the scheme. Sources from Samastipur   district said that not less than 12 cases of hysterectomy on male patients were   also brought to the notice. 
	  According   to District Magistrate’s version at least about 100 cases were found where   surgery had not taken place at all. He also organized a camp in his district to   evaluate cases with the help of ultrasound.
	  “Many   small nursing homes without even a proper operation theatre got several lakhs in   lieu of operations. Virtually the whole exercise turned into an organized scam   in connivance with govt. officials, nursing homes and insurance companies” told   govt. sources.
	  The   initial probe was initiated in Samastipur when the insurance company, ICICI   Lombard, raised an alarm after receiving a bill of a whopping several crores   from the 16 nursing homes. A claim of Rs. 10,000 can be made for a single   hysterectomy.
	  The   highest number of hysterectomy was performed in  Samastipur   district followed by  Madhubani.  Detailed information   from  Nalanda and Vaishali are still awaited’.  About   5000 hysterectomy was conducted only in Samastipur district.
	   
	  The   major amount disbursed  to the nursing homes  are in   the Nalanda district,  incidently  the home district   of Chief Minister  Nitish Kumar where at least  24.2   crores were paid in the year 2010-11 as hospitalization cost to 65 nursing homes   and hospital.  Other districts where major disbursement was made   are Vaishali 10.2 crores, Samastipur 6.9 Crores and Muzaffarpur 5.9 crores and   so on.
	  The   matter also found resonance in the state assembly when opposition members   charged the involvement of state govt. officials in the scam. The speaker Uday   Narayan Chaudhary ordered a house committee probe into the whole affair where as   opposition was demanding immediate CBI probe.
	  The   state Labour Resources Minister Janardhan Singh Sigriwal, however, denied the   charges of corruption and said there were no irregularities in uterus removal of   women in the state. He further said that uteruses of 16,765 women were removed   in 11 districts of the state.  
	  RJD   legislator Bhai Birendra accused Chief Minister Nitish Kumar's government of   being hand in glove in the loot of the money of Rashtriya   Swasthya Bima Yojana.  He said that the govt. had looted the money   of the lowest rung of the society and played with their health that would have a   very serious future implication. Large scale surgery on ultra poor just to make   money is a crime against humanity.
	   
	  In   2008, Government of India launched the Rashtriya Swasthya Bima Yojna (RSBY)   insurance scheme for the women belonging to BPL families. They got economic   shock due to hospitalization for the treatment of severe aliment. Under the   scheme, the beneficiary had to pay a registration fee of Rs.30 and that covered   the health insurance for Rs.30,000 and could ensure  medical   treatment in the approved hospitals.
	  The   whole programme went hey wire in the state owing to poor monitoring system or it   deliberately became planned move to make money taking benefits of loop holes in   the scheme. Many poor ladies had to lose their womb.