This subject reminds me of a science fiction novel I read years ago as a teen. It was set in a dystopian future (is there any other?) where population problems became so profound, in part to due to much longer lifespans (in the book, the average age of a US citizen had been extended with 'miracle medicine' to something like 150 to 160 years of age) that in order for families to get anything approaching decent medical care the parents had to undergo sterilization. Indeed, the plot of the book, in part, was about a low level criminal who smuggled black market surgical kits to surgeons who performed lifesaving surgeries on folks who refused to be sterilized. I even think the name of the book was "Bladerunner" (not to be consfused with the other book and movie by the same name.

SubKommander Dred

Make that "The Bladerunner" by Alan Nourse...

SubKommander Dred