The goal for the twins, as for most cochlear implanted children, was that they would attend a typical (and noisy) mainstream school. In a 2018 New York Times editorial, filmmaker Irene Brodsky writes: “Whether to get a cochlear implant was, and still is, a first-world debate.” However, the cochlear implant market is expanding rapidly, and developing countries are new and fast-growing markets. In addition, India and other countries such as Pakistan and Malaysia, for example, also feature public and privately funded programs providing children with cochlear implants. A quick google search of cochlear implant activation videos, for example, depicts parents weeping in joy after their children’s implant processors are activated. During my research, Indian government administrators often told me that cochlear implants enabled deaf children to become productive citizens.