General, with all due respect, could you in good conscience, consent to this woman getting herself pregnant with another batch of children, considering she's not right in the head, is exerting herself beyond reason, and has no means to take care of the children other than to leech off the American taxpayers, just so you, the good doctor, can make a buck?
This isn't "personal prejudice", this is knowing the difference between right and wrong, accusations of seeming "judge-mental" be damned.
Hades, I find your reasoning to be flawed in this matter. Doctors have numerous patients. Not performing a non-essential (to life) requested procedure on some mentally-troubled person is going to send him to the poor house.
And even so, he's screwing more people over than he's helping.