LARC-first recommendations to curb unintended pregnancies inaccurately identifies unintended pregnancy as the cause, rather than a consequence, of social inequality (Higgins, 2014; Higgins, Kramer, & Ryder, 2016). The practice of LARC deployment as a cure for social and moral ills follows the historical patterns of population control where black women, indigenous women, women of color, women with disabilities, and women on state or federal assistance have been disproportionately targeted (Abramovitz, 2006; INCITE!, 2013; Solinger, 2010). The use of contraceptive mechanisms to limit pregnancy among groups of women whose childbearing is perceived negatively (Malat, 2000) is juxtaposed against the promotion of pregnancy among white, middle class, and wealthy, able-bodied women. The unique properties of LARC—being highly effective, nonagentive, and provider-controlled—combined with systematic, coercive practices designed to limit contraceptive choice are critical to the foundation of soft sterilization.