"Yet birth, and lust, and illness, and death are changeless things, and when one of these harsh facts springs out upon a man at some sudden turn of the path of life, it dashes off for the moment his mask of civilization and gives a glimpse of the stranger and stronger face below."

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A study of interactions between women and obstetricians offers an explanation. It described three levels of increasing power imbalance: In the first, you fight and lose; in the second you don't fight because you know you can't win. However, in the highest level of power differential, your preferences are so manipulated that you act against your own interests, but you are content. Elective [meaning requested for no medical reason, not to be confused with needed surgery planned in advance] repeat cesarean exemplifies that highest level.

— Henci Goer