Positive Prevention, a population control organization in Seattle, offers a $200.00 cash incentive to people who are addicted to drugs and alcohol to undergo a form of long-term or permanent birth control. Their mission is to "save our welfare system and the world from the exorbitant cost to the taxpayer for each drug-addicted birth" by offering "effective preventive measures to reduce the tragedy of numerous drug-affected pregnancies."

CARA believes that pregnant mothers who abuse substances during pregnancy need comprehensive drug treatment and consistent low-cost or free prenatal care. Positive Prevention's approach is dangerous because the use of payment as an incentive to receive birth control undermines the very notion of reproductive choice, drug treatment, and is reminiscent of the Eugenics movement, which had the greatest momentum in the United States (1907-1941).

Positive Prevention's strategy is also coercive because it targets people during a significantly vulnerable period due to their chemical addiction, lack of resources, and economic desperation.

Positive Prevention is the Seattle Chapter for Children Requiring a Caring Kommunity (CRACK) founded by Barbara Harris in 1994 at her home in Anaheim, California. CRACK is now based in Fresno.