This isn't about smugness or assistance, it's about immediate personal responsibility.
This woman continued to have children, much to her (and society's) detriment, and she never learned the lesson that "gee, maybe I should stop having sex because I'm not married and there's no father to support them."
This woman and others like her have bought into the lie that this is a lifestyle and she's entitled to the taxpayer's dollars. This isn't a case of an emergency, this is a pattern of behavior.
Medicaid covers sterilization. She should have taken advantage of it long ago