The horrid consequences of the eugenics movement.
I heard a story recently from one of our family practice residents. Seems that a friend of hers was sterilized without knowledge or consent, at the age of 19(!!!!!!) by a doctor who told her after the fact that he had 'taken care of her problem' during her cesarean.
I remember hearing stories about what were called "Mississippi appendectomies" - young black women in public hospitals with abdominal pain being told it was their appendix, and as long as he was in there the doctor tied her tubes.
I remember seeing a young woman from Mexico a few years back who was concerned that she was having trouble getting pregnant. As part of a basic workup, we did a pelvic US that showed an IUD in her uterus. She honestly had no clue.
An interesting tidbit - the Federal Family Planning law has for several years required that consent for any sterilizing operation (including a hysterectomy pre-menopause) be consented for at least 30 days in advance. This can be waived to 72 hours only in very specific circumstances. A hospital that ignores this law will not only not get paid for the operation, but for any other bills incurred duing that hospital stay. But private insurance has no such safety clause.