The typical scenario is an indigenous woman going to the hospital to give birth, and the doctor refusing to give her the newborn until she "agrees" to ligation.

The typical scenario is an indigenous woman going to the hospital to give birth, and the doctor refusing to give her the newborn until she "agrees" to ligation. It's not official government policy, just as killing people for driving while black is not official government policy in the US, but that doesn't mean it doesn't happen, nor that it is punished when found out.