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One reason is that many of these sterilizations took place in institutions that again had no accountability. ... All of this was happening behind closed doors. People weren't necessarily aware of it, people who were subjects to this sterilization, many of the survivors still to this day find it so painful and hard to talk about that experience, it's so marked with shame and secrecy for them, that it's not like they're writing long confessionals about it. But some have.