A discussion of possible pitfalls in promoting long acting reversible contraceptives in the USA:
A recent experiment in St. Louis designed to “promote” LARCs targeted disproportionately African-American (50 percent) and poor (37 percent public assistance) women with the result that, while less than 10 percent of American women regularly choose LARCs for themselves, 75 percent of the St. Louis group used them.
The bigger philosophical question is what happens when infertility is the default, as contrasted with fertility.
Though from what I can see, the growing number of men who have had vasectomies have already achieved this culture of infertility. Friends my age on the online dating scene appear to but rarely encounter men who haven’t had one.
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