In 1997 it was alleged that China required families with children born "out of plan" to pay a fine. Because the financial penalty often exceeded a family's yearly income, Tibetan women, for example, were obliged to submit to abortions and sterilization operations, or else risk the arrest and imprisonment of their husbands. Tibetan children born "out of plan" were denied the papers necessary to atend day-care centres and school and to receive medical care. Because these children's names were not registered, the family did not receive a ration card for the additional family member.
Other reports indicate that Tibetan women are subjected to abortions and sterilization procedures without being told of the nature of the operation, purportedly unrelated to their pregnancy.