http://news.bbc.co.uk/2/hi/americas/3189763.stmTo its critics, Project Prevention or Crack - an American organisation which pays drug addicts and alcoholics to be sterilised -is a terrifying throwback to the neutering of "defectives" during the 20th Century.
But the woman who runs this not-for-profit programme believes she is offering a service to everyone: the drug addict, the taxpayer, the child who has not yet been born, and if she has her way - will never be born.
The project targets poor women - and you tell me what sort of choice it is when it's made by someone living in poverty and desperate for money
As the programme reaches its fifth anniversary, Barbara Harris also believes she has cause to celebrate.
Some 1,050 addicts - mainly women - have undergone sterilisation as part of her programme over the past five years.
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Dr Laura Schlessinger, one of the nation's most popular radio talk-show hosts, has made hefty donations and has frequently plugged the project.
Richard Scaife, heir to the Mellon fortune in Pittsburgh, is also reported to have donated, along with Jim Woodhill, a right-wing venture capitalist from Texas.