If peoplw really want to get sterilized, free surgury would be more than enough to fill the clinics. If you were in the business of being nice, maybe you could put them in a nice hotel for a few nights before, make a little vacation out of it.
Why would you need to offer incentives for something people want? I mean, nobody has to bribe me to take birth control. Heck, I seek it out and pay good money for it. It’s a valuable thing for someone who really doesn’t want to get pregnent
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So the only reason you’d need to offer incentives is if you are trying to change people’s minds…in other words, to reach people who do not normally want to be sterilized, even if it were free. This is shady. Getting people to change their minds via education, knowledge, friendship, etc. is one thing. If you think your message willl sell, go for it. See if you can get them to see things your way.
But using people’s vulnerabilities (in this case, lack of money) to make a major life decision they would not normally make, is shady- be it paying a poor girl to marry you, paying a poor man to cut off his arm for your amusment, or paying a poor couple to sterilize themselves for your social engineering fantasy.
And this is the meat. Outside of perhaps China, there has never been an aggressive sterilization program that wasn’t actually about eugenics. And there has never been a eugenics program that did not have something very unwholesome- often genocidal- at its core. It’d be vey hard to convince me that this program was the exception.
Or the short version- think of how many wanted, needed, prayed for sterilization surguries (or for that matter, any surgry) that 20,000 cars would pay for. Why on earth would any good-intentioned program ignore that, and instead use those resources to entice people to do something they definitively (as they require outside incentives) don’t want to do.
There is no non-nefarious explaination. It’s eugenics. It’s just as ugly as it was a century ago, and it does not belong in the modern world.