An example from my state. I'm told it's like this because "north carolina elected to not expand medicaid" (my social worker family member tells me). So if you're poor in NC and apply for medicaid, they reject you but you get the second prize of free vasectomies (while technically being enrolled in medicaid for numbers that look nice to outsiders that don't realize there's tiers). I assume it's because we give incentives here for having children so it's practically a second welfare system.
Beaurocratic stuff makes my head hurt, so I may have some details wrong, but this is my best current understanding. They at least try to make it discreet by not saying upfront what it is, but "family planning" is the tip-off.
Via taxation.
https://medicaid.ncdhhs.gov/providers/programs-services/family-planning-and-maternity/be-smart-medicaid-family-planning
An example from my state. I'm told it's like this because "north carolina elected to not expand medicaid" (my social worker family member tells me). So if you're poor in NC and apply for medicaid, they reject you but you get the second prize of free vasectomies (while technically being enrolled in medicaid for numbers that look nice to outsiders that don't realize there's tiers). I assume it's because we give incentives here for having children so it's practically a second welfare system.
Beaurocratic stuff makes my head hurt, so I may have some details wrong, but this is my best current understanding. They at least try to make it discreet by not saying upfront what it is, but "family planning" is the tip-off.