The girl obviously has what are known as "issues" in today's lexicon of euphemisms.
I HATE eupemisms - it's a perversion of the language.
In the old days we would have just said she's a ****ing moron and leave it at that.
The sterilization thing is a very slippery slope, a little too much on the Dr Mengele side for me -
On the other hand, she's now created 8 lives - in addition to her other 6 children - that she can in no way support either financially or - given that spooky mess between her ears - emotionally.
Hard to think of something like a birth that should be a source of joy being a tragedy of sorts when you start to consider what those children will have to face in the future...
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