Reduced health insurance payments for hospital births had a bigger impact on sterilization rates than correcting an injustice

Changes in how healthcare is managed have had a meaningful effect on what contraceptive options are available to women.

By: Liana Woskie, Tufts University and Kimberly Turner, University of Pittsburgh, The Conversation

Outlets: The Conversation

Published: May 22, 2026

Words: 1,327

Last Updated: 2 months ago


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By Liana Woskie, Tufts University and Kimberly Turner, University of Pittsburgh

For decades, female sterilization has been one of the most common forms of birth control in the U.S.: 11.5% of U.S. women, ages 15-49, use female sterilization as their primary contraceptive method – nearly identical to the pill.

But the history of sterilization is also deeply entangled with coercion in the form of racial targeting, invalid consent and state …