Think they are aware of this. Have you tried to activate MediumÄs tipping feature? With this tool you can earn from India!

https://medium.com/online-writing-101/introducing-mediums-new-tipping-feature-with-faq-679135388098?postPublishedType=repub

Additionally, next yer Medium will pay all editors. Since many are from India I guess they also will pay them somehow.

https://medium.com/online-writing-101/medium-will-pay-its-writers-more-in-2023-ce7a2ad5c88