The United States Preventive Services Task Force and several other professional organizations consider IUDs and implants as “first-line contraception”

The United States Preventive Services Task Force and several other professional organizations consider IUDs and   implants as “first-line contraception” Part of the reason for this is that they are extremely effective, which reduces the risk of pregnancy and therefore the risk of life-threatening conditions (remember that the United States has the highest rate of perinatal mortality — death during the childbearing year — of any wealthy nation, so this is a real consideration).  

Another part of this reasoning is that because they are extremely effective and require the assistance of a healthcare provider to stop using (with some exceptions  self-removal of IUDs is fairly common.  and the research so far does not find it to be unsafe), which means that there is an element of control by the healthcare system in deciding whether to become pregnant. 

What does this mean for people who are Black, or disabled, or poor, for example? How do we value pregnancy of people with different identities? Is this different from the involuntary sterilization described in https://www.pbs.org/independentlens/documentaries/no-mas-bebes/ ? What does it mean for healthcare providers?