So you need parental consent to contract a state-sanctioned marriage under the age of 18 in the U.S., but you, all by yourself, can give full consent to the irreversibility of sterilization at 15? Chances are, you do not even know your future spouse, yet you’re already determining his or her fate as well?

With back-to-school season in full swing across the nation, parents in Oregon have more to worry about than shopping for sweaters and purchasing pencils. In the state of Oregon, the Obamacare mandate, which went into effect on August 1, 2012, provides free sterilizations to girls as young as fifteen. Now, your daughter, your high school freshman, can choose, without your consent, to be permanently sterilized.  Forget the milestones of obtaining a driver’s license at 16 and being able to legally drink at 21 – getting sterilized at 15 is now the first step in the social maturity process of an American youth. 

The “Required Health Plan Coverage Guidelines” set forth by the U.S. Department of Health and Human Services states: “Non-grandfathered plans and issuers are required to provide coverage without cost-sharing consistent with these guidelines in the first plan year.that begins on or after August 1, 2012.All [FDA] approved contraceptive methods, sterilization procedures, and patient education and counseling for all women with reproductive capacity.” 

Under Oregon State Law, the state’s revised statutes (ORS) defines “informed consent” for 15-year-olds independently pursuing reproductive sterilization as being “(a) Based upon a full understanding of the nature and consequences of sterilization pursuant to information requirements set forth in ORS 436.225(1); (b) Given by an individual competent to make such a decision; and (c) Wholly voluntary and free from coercion, express or implied.”
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