I remember reading something about the forced/coerced sterilization of women in
Puerto Rico, of African-Americans, and Native Americans (on some reservations,
the rate of sterilization reached 80%) which may answer some
of the concerns raised.  Some women chose this option since they did not want
any more children.  Others were told that sterilization was necessary in order
to receive welfare payments. In fact, I am sure the latter was regularly used
by welfare authorities in the 1950s and 1960s to control the fertility of the
poor.
 
However, sterilization has deep roots in the US ... roots so deep that Hitler
studied them and incorporated them into Nazi eugenic policy (always learn from
the best).  From the 1920s to the 1950s ... even in many cases in the 1970s ...
sterilization was almost routine in many government funded medical procedures
for the poor (particularly in the South).
 
Regarding the Catholic Church, Columbia has an extensive sterilization program
for women.  I am sure that the Catholic hierarchy condemns it, and much of the
clergy condemns it, but the government (with US government support until the
late 1980s) encourages it and its probably more accessible than other forms of
birth control.
 
 
Andrew Sessions
Department of Political Science
University of Wisconsin
Madison, WI 53706, USA

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