There are a number of examples in post Civil War America of eugenic programs but none as effective and widespread as the mass female sterilization in Puerto Rico. Beginning in the years following WW I, a program was initiated by the United States government, the medical community and the local government of Puerto Rico, to name a few, which resulted in the unprecedented sterilization of 1/3 of the female population by 1965, and the continued use of sterilization on a broad scale by Puerto Rican women as a form of birth control
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