[gurneyHaleck]

I can see it now:

  "This graph depicting
   revenue reveals that
   the maternity ward is
   quite the cost center. It
   should be going up and 
   to the right!

   Smithers, why are there
   so few pregnancies? We
   need more in-patients,
   otherwise our overhead
   starts eating away at 
   our profits."

  "Well, sir, I suppose 
   there aren't as many
   teen pregnancies as 
   there used to be, and
   with the benefit of 
   modern procedures, the
   pregnancies we do see
   are fairly uncomplicated..."

  "Uncomplicated?! Why,
   everyone knows live
   vaginal births are the
   devil's causeway. Those
   infants can't be as 
   healthy as these so-
   called 'doctors' seem
   to believe. See to it
   that more tests are 
   performed. I'm sure we
   can find something wrong 
   with some of these 
   freeloaders."

...enter Dr. Nick.

  "Hi, everybody!"

[sageikosa]

You'll just need to have permission before you can get pregnant; cost problem solved (except for the expanding bureaucracy to manage the rules and operations of maternity).