A: When noone knows about it?
A couple of Sundays ago, in the hall during Sunday School time, I was talking about vasectomies with a woman in my ward. (What?! What do *you* talk about in the hall during Sunday School?) She was telling me quite matter-of-factly how glad she was that her husband had been willing to have one when they were sure their last child had arrived. This woman is fairly conservative, and I’m sure she would never knowingly do something contrary to Church policy. In any case, she would not discuss it openly if she had. She just had NO IDEA that the Handbook of Instructions “strongly discourages surgical sterilization as an elective form of birth control.” Moreover, unless she or her husband had been prompted to consult with the bishop about the surgery, there’s no way they *could* have known about the policy.
So I’m wondering what the usefulness of such policies is. It’s true, of course, that not everyone would want to read the Handbook if it were available, but what are the effects of actually forbidding most members (and all women) from reading the rules by which the Church is run?