My co-worker and her partner, bless their souls, have adopted three brothers, ages 0-4, all born to the same mother. Mom is a homeless drug addict living in San Francisco, who seems to make a yearly ritual of getting pregnant, having a baby in the hospital, and then walking away with no-strings-attached.
She recently had her fourth baby, which my co-worker won’t be able to adopt because they are people of limited means (besides, who knows when that particular train is going to leave the station?). Co-worker also told me that mom isn’t even 30 yet! That tells me that she could have a long and storied career of baby-making still ahead of her.
It seems rather apparent to me that this is a non-optimal situation for basically everyone involved. Mom has to deal with being pregnant for 9 months out of every year (give or take), the state and/or city has to pay for her annual hospital bills, and the children are born with little to no prenatal care (not that they aren’t available, but if Mom is using, she probably doesn’t care about her monthly checkups) and the effects of prenatal drug use.
The debate is, what (if anything) is to be done about this situation? The more, um, “aggressive” among us might advocate for something resembling forced sterilization. I wouldn’t go as far as that, but at a minimum I think she would need fully subsidized contraception (preferably something pseudo-permanent like an IUD or Norplant) PLUS some other incentive. The contraceptive won’t likely be enough, because why would she want to take the time to have the procedure done? Clearly long-term planning isn’t in her nature.
Of course, it’s been mentioned that perhaps being pregnant is actually a net benefit to her, as panhandling is more effective when you’re begging for two. Keep in mind that this is taking place in San Francisco, a city with some of the most widely available services for the homeless of any city in the US.
Is there anything to be done here, really? Or is this just a case of “you can lead a horse to water, but you can’t make him drink”?