At least in my personal experience in the US, it is nigh on impossible to find someone that will sterilize a younger, childless woman. I have tried to inquire about it in my past (I'm 23 now) and every attempt to even discuss it with people that are otherwise open to discussion about most anything (e.g. Planned Parenthood) have been stonewalled.
I haven't seriously considered it and was approaching it more from a curiosity point of view, but the reaction I got was mindblowing. You are pretty much interrogated about and judged on why you're asking about it even if the doctor has no intention to perform any such procedure on you ("it's for your own good"), and sometimes it doesn't even matter that you already have kids. One of my friends has even gone to multiple doctors to find one that would tie her tubes despite having 3 kids in a marriage going on 15 years and problems with most forms of birth control. (I have no idea how men fare in this regard.)
The other unfortunate thing is that there's still no 100% effectiveness with almost all methods of sterilization: worst case it's no better than near perfect use of the pill, best case it's just slightly better than IUDs/implants - it's a matter of arguing whether one or a couple of 9s go after 99%. The only real benefit is that it's a do-it-once-and-forget type of thing as well as something men can do, unlike IUDs that need replaced every x years or similar that are only for women.
And my 2c to politics: I don't think abortion is an edge case as it ties into a greater freedom of reproductive choice for women that make up half the US population before we even get started on how this affects their partners and families. Obama is not incorrect in saying that this is an economic and also crucial issue, as even everyday things like easy access to birth control (one less stressor for me and my partner! thank you!) are being assaulted by the super far extremist right. How serious they are shall remain to be seen (and on a state level it seems pretty serious), but as a woman I am scared shitless by the idea that a presidential candidate is included in that group of people.
This is not to say that SOPA and many, many other issues aren't also important, but absolute single-issue voting doesn't help anyone in any regard because there are plenty of non-tested, extremist, and pointlessly single minded people that support SOPA. There just is no such thing as a candidate that represents everything I care about the way I want, so I choose the one that I feel will do the least damage across more issues.
I haven't seriously considered it and was approaching it more from a curiosity point of view, but the reaction I got was mindblowing. You are pretty much interrogated about and judged on why you're asking about it even if the doctor has no intention to perform any such procedure on you ("it's for your own good"), and sometimes it doesn't even matter that you already have kids. One of my friends has even gone to multiple doctors to find one that would tie her tubes despite having 3 kids in a marriage going on 15 years and problems with most forms of birth control. (I have no idea how men fare in this regard.)
The other unfortunate thing is that there's still no 100% effectiveness with almost all methods of sterilization: worst case it's no better than near perfect use of the pill, best case it's just slightly better than IUDs/implants - it's a matter of arguing whether one or a couple of 9s go after 99%. The only real benefit is that it's a do-it-once-and-forget type of thing as well as something men can do, unlike IUDs that need replaced every x years or similar that are only for women.
And my 2c to politics: I don't think abortion is an edge case as it ties into a greater freedom of reproductive choice for women that make up half the US population before we even get started on how this affects their partners and families. Obama is not incorrect in saying that this is an economic and also crucial issue, as even everyday things like easy access to birth control (one less stressor for me and my partner! thank you!) are being assaulted by the super far extremist right. How serious they are shall remain to be seen (and on a state level it seems pretty serious), but as a woman I am scared shitless by the idea that a presidential candidate is included in that group of people.
This is not to say that SOPA and many, many other issues aren't also important, but absolute single-issue voting doesn't help anyone in any regard because there are plenty of non-tested, extremist, and pointlessly single minded people that support SOPA. There just is no such thing as a candidate that represents everything I care about the way I want, so I choose the one that I feel will do the least damage across more issues.