"Millers case did clear the high bar for sterilization set by the Ethical Religious Directives."
That can only mean that the tubal ligation is not directly intended for sterilization, but for some other purpose. I'm just wondering what that purpose could be.
She could have had a high risk pregnancy, diabetic maybe, cancer? A subsequent pregnancy could harm her physically. Devil is in the ddtails, and once agan I may have knee-jerked without all the facts.