Vasectomies, Family Planning, and Environmental Pressure with Dr. Douglas Stein (The Vasectomist)

Vasectomies, Family Planning, and Environmental Pressure with Dr. Douglas Stein (The Vasectomist)

March 1, 2026 · 50 min · Season 7 · Episode 185

About this episode

The episode discusses the impact of making vasectomies more accessible for men as a means of addressing climate and poverty issues.

Episode Summary: What if one of the highest-leverage climate and poverty interventions isn't a new technology, a policy mandate, or a venture-backed breakthrough, but simply making permanent contraception easier for men to choose? In this episode of Businesses For Good, host Paul Shapiro sits down with Dr. Douglas Stein , a Florida physician known as "The Vasectomist," who has performed 45,000+ vasectomies and taken his work internationally, including providing free procedures and (in some cases) small cash offsets for travel and missed wages. Their conversation moves beyond the clinic into systems: fertility rates, infrastructure strain, unintended pregnancies, cultural and religious resistance, and the practical barriers that keep men from sharing the family-planning burden. You'll also hear an honest debate about incentives, the limits of government policy, and the bigger question underneath it all: if we believe human ingenuity can solve hard problems, what would it look like to proactively reduce pressure on the planet through voluntary family planning? Things You Will Learn: Why vasectomy adoption is less about medicine and more about behavior, trust, and access. How Dr…

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