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===Financial=== Economic incentives and career reasons also motivate women to choose sterilization. Regarding women who are voluntarily childless, studies show that there are higher "opportunity costs" for women of higher socioeconomic status because women are more likely than men to forfeit labor force participation once they have children. Some women stated the lack of financial resources as a reason they remained [[childfree]]. Combined with the cost of raising children, having children was viewed as a negative impact on financial resources.<ref name="Women's Voluntary Childlessness"/> Thus, childlessness is generally correlated with working full-time. "Many women expressed the view that women ultimately have to make a choice between motherhood and career." In contrast, childlessness was also found among adults who were not overly committed to careers. Here, the importance of leisure time and the potential to retire early was emphasized over career ambitions. Sterilization is also an option for low-income families. Public funding for contraceptive services comes from a variety of federal and state sources in the United States. Until the mid-1990s, "[f]ederal funds for contraceptive services [were] provided under [[Title X]] of the [[Public Health Service Act]], Title XIX of the [[Social Security (United States)|Social Security]] (Medicaid), and two block-grant programs, [[Maternal and Child Health Bureau|Maternal and Child Health]] (MCH) and Social Services."<ref name="Public Funding of Contraceptive">Gold, Rachel Benson and Barry Nestor. 1985. "Public Funding of Contraceptive, Sterilization, and Abortion Services". ''Family Planning Perspectives''. 17(1): 25β30.</ref> The [[Temporary Assistance for Needy Families]] was another federal block granted created in 1996 and is the main federal source of financial "welfare" aid. The U.S. [[Department of Health and Human Services]] administers Title X as the sole federal program dedicated to family planning. Under Title X, public and nonprofit private agencies receive grants to operate clinics that provide care largely to the uninsured and the underinsured. Unlike Title X, [[Medicaid]] is an entitlement program that is jointly funded by federal and state governments to "provide medical care to various low-income populations".<ref name="Methodology for Measuring Public Funding for Contraceptive">Sonfield, Adam, and Rachel Benson Gold. 2005. "Methodology for Measuring Public Funding for Contraceptive, Sterilization, and Abortion Services, FY 1980β2001". The Alan Guttmacher Institute.</ref> Medicaid provided the majority of publicly funded sterilizations. In 1979, regulations were implemented on sterilizations funded by the [[United States Department of Health and Human Services|Department of Health and Human Services]]. The regulations included "a complex procedure to ensure women's informed consent, a 30-day waiting period between consent and the procedure, and a prohibition on sterilization of anyone younger than 21 or who is mentally incompetent."<ref name="Methodology for Measuring Public Funding for Contraceptive" />
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