When trying to bring this sort of thing up with a mixed group of people, I use the term “Republican low-wage policies” to describe a whole set of policies, and now I’m going to have to add forced-births to the list. Decades ago, it was just an insistence on denying citizenship to migrant farm workers to suppress wages, then add to that ‘no child left behind’ making it harder to teach more to students that could achieve more, then the whole home-school/charter-school movement where funds that used to go to public schools getting split and diluted, and so on.
And yes, I can see how it’d be hard to get sterilized without the health care and career to provide and pay for it.