I even know a lot of American women who deliberately check into a hospital to imitate birth in front of everyone they know, then return from there with a baby, so that no one will know that he is adopted.Okay, that probably has happened? (The author does say that he learned a lot of his English from TV. It sounds like a soap opera plot to me.) But to say "many American women" do this? What?!? Or maybe I'm completely ignorant?
Overall, I found his chapter on adoption to be lacking. Of course, I was reading it right at the time that Russia-America adoption relations were falling apart, and it isn't fair to judge a book written before an event for not covering it, but still.... He left out a lot of other parts of American life; he could have just not touched adoption, too, instead of covering it badly.
(I just reread the chapter, and it's really not that bad, but I still think it could have been left out.)