We pay when someone who doesn’t want kids receives permanent birth control (a bilateral salpingectomy is a surgical procedure to remove both fallopian tubes), preventing any need for an abortion in the future. They lock in their reproductive choice, avoiding at least $330k per child (in 2023 dollars) in expenses 0-18, as well as avoiding the creation of an unwanted child if they cannot get an abortion as the US reproductive healthcare situation rapidly degrades. If they change their mind in the future, IVF is an option (although the data shows regret rates to be very low).
At the moment, this permanent birth control is covered by the ACA at 100% as preventative care. We have prepared for any changes to this by establishing travel logistics across the border into Canada, Mexico, and other LATAM destinations at favorable rates (medical tourism).
Planned Parenthood can continue to receive Medicaid funding by carving off abortion services into an independent entity that receives non government funding for abortions (only 4% of the services Planned Parenthood provides are abortion services).
By empowering women to not have children they never want to have, you empower, enable freedom, and avoid suffering at scale.
This sounds just like some people approach pets
People trying to plan accurately, end up with a list of things to think about containing more than seven items, and human psychology is such that this makes it *feel* infinite despite us being able to see that it isn't.
People who don't worry to much and vibe it, get pregnant/cause pregnancy by accident, often but not always as teens. Despite not planning carefully, and even in pre-industrial societies where a lot more problems were rapidly fatal and the best you could hope for in such cases regarding childcare allowance was a shotgun marriage, vibing it generally works.
With more certainty:
I'm not sure what the distribution is of women hearing about painful births and saying "nope!", but I do know it's more than none.
I know a few deliberately childfree couples who like the higher income and lack of responsibility, and have zero interest in proposals such as this.