Necessary Lies by Diane Chamberlain

 Ivy and Jane are two white women from different sides of the tracks: Ivy- a poor, pregnant 15-year-old, and Jane: a 22-year-old, newly married social worker assigned to Ivy's family. When Jane discovers the North Carolina Welfare Department is sterilizing impoverished black or white medically or mentally defective people, she risks everything to fight the system.

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