It’s funny too, because Cape Cod is known for being a “gay” hangout. Provincetown is well known as a “gay” tourist destination. By the nature of their activity, a “gay” man would have no need of a vasectomy.
Maybe that’s why the docs are having to drum up business.
Speaking of inducements for business, some men (also doctors) who returned from military service in Asia, spoke of getting a...well...in Army slang...when they went to get a haircut they also got...well...fellatio. There was some alliterative phrase for it. When I protested that the haircut could come out...uh...quite askew considering the reactions to the bonus...uh... (This is kinda hard...uh...to explain...here.) They informed me, to some relief, that the two features were offered sequentially not simultaneous.
OTOH, it does reduce the amount of the exchange of possibly impure precious bodily fluids. (as Gen. JD Ripper would say)