Aggressive

In the seventies, for example, a group of Indian Health Service physicians implemented an aggressive program of Native American sterilization. According to a U.S. General Accounting Office study, hospitals in just four cities sterilized 3,406 women and 142 men between 1972 and 1976. The women widely reported being threatened with the loss of welfare benefits or custody of their children unless they submitted to sterilization. A federal court ordered that all future Indian Health Service sterilizations employ the proper safeguards of legitimate therapeutic procedures, and that "individuals seeking sterilization be orally informed at the outset that no Federal benefits can be withdrawn because of failure to accept sterilization." During the same four-year period, one Oklahoma hospital alone sterilized nearly 8 percent of its fertile female patients. No one will ever know the full scope of Indian sterilization in the postwar period because medical records were either not kept or were incomplete.

--Edwin Black, "War Against The Weak: Eugenics And America's Campaign To Create A Master Race", p. 400

[Note: The "Indian Health Service" is bankrolled by the US government, which, oddly, Black doesn't mention in his book--TLC]