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Honestly it’s so difficult to get done as it is that they don’t even need to outlaw. It’s virtually unobtainable for most women unless they already have “enough” kids, whatever that means to a specific doctor, or they travel to find a willing doctor.
It took me 8 years to get it done because I’ve never reproduced (childfree by choice). And I’m one of the easier stories. I got it done at 27, in 2015, and while some doctors are more willing now, most aren’t. Especially in conservative areas.
All they have to do is keep making doctors scared to offer proper reproductive care, make it risky and they stop going into that field. You don’t need to make it illegal, just impossible. Rich white people will still be able to choose, so they don’t care.
I had to deal with a whole bunch of people asking me hypothetical questions. What if you regret it? (what if I regret having them?), what about your future partner? (If they are right for me they also don’t want kids, and I don’t plan to get married anyway). What if you change your mind? (I will adopt if that happens. I don’t believe sharing my junk genetics is important, and the chances of issues are high anyway since I’m also broken, and there are plenty of not-infant kids who need homes if I get maternal, but kids under 5 aren’t my jam and probably never will be, and I’m probably too negligent to raise them right anyway). Ultimately they couldn’t argue with my logic but it took years of finding the right doctors getting the right consultations, etc.