We, of course, are more civilzed. For retarded people who live on welfare, most females are required to take birth control pills in order to qualify for housing. I leave it to you to decide the morality of this. It is definitely utilitarian.
I know a slippery slope when I see one. I agree, this is a tricky area. Still, the genuine extremes aren't all that difficult. But they can't (or shouldn't) be used as stepping stones to the less extreme cases. Easy to say; tough to do. In the middle of the extremes are some of the most difficult topics in ethics. I don't pretend to have any universal answers.