In this groundbreaking work on American public policy and human fertility control, policies and practices of the 70s, 80s, and 90s are reviewed and analyzed in each of the fifty states. Arguing that morality politics have helped make fertility policies contentious and complex, McFarlane and Meier conclude that current policies are inadequate for addressing unintended pregnancy and even contribute to high abortion rates. The authors offer alternative public policy designed to be more effective in the future.