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Enforcement of such a license wouldn't be so hard if there was public medicine. The methods that comes easiest to my mind would be if all hospitals were required to check for pregnancy preliminarily before treatment, or if females were required to consent to a pregnancy test before being allowed treatment, like consenting to a breathalyzer if you're suspected of being a drunk driver, and possibly to go so far as detaining an unlicensed individual if an abortion wasn't consented to right then and there. However, in a true democracy this would only be possible I believe if abortion was universally accepted(at least among elected officials), commonplace and the health-care system in place at the time was heavily socialized. But giving hospitals the authority to detain people, and administer abortions by force is an exceeding disturbing idea to me at least, images of Hitler and Co. come to mind. Hopefully, it will never have to come to that. But on the other hand would it be better if the ecosystem was destroyed by overpopulation and unchecked economic expansion?

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