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Why did Jamie sterilize Beth?
What you want to ask is why Jamie neutered Beth? To protect the Dutton family.

They have no other place to have an abortion except the small clinic where the uterus will be removed. Any other choice will expose this matter and affect the reputation of the Dutton family. So even though Beth was sterilized, Jamie hesitated and chose to protect the reputation of the Dutton family. He thinks this is his only right choice.

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