Your task is to predict the verdict of a claim based on the provided question-answer pair evidence. The possible labels are: 'Supported', 'Refuted', 'Not Enough Evidence', 'Conflicting Evidence/Cherrypicking'. Justify your answer using the provided evidence and select the correct label.

Claim: Women have to be 25 years old, married, have at least one son and one daughter, and have her husband's consent to get a tubal ligation.

Q1: What is the American College of Obstetricians and Gynecologists recommendations to physicians about tubal ligation?
A1: The Committee on Practice Bulletins-Gynecology of the American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin on sterilization. “ACOG Practice Bulletin No. 46: Benefits and Risks of Sterilization” appears in the September 2003 issue of Obstetrics and Gynecology.

According to ACOG, tubal sterilization may be recommended as a safe and effective method for women who desire permanent contraception. Women should be counseled that tubal ligation is not intended to be reversible; therefore, those who do not want permanent contraception should be counseled to consider other methods of contraception.

To reduce future regret, the patient and her partner, when appropriate, should be counseled.
user
justification: This claim is refuted. According to the QA pair, tubal ligation is a choice made by the woman deciding on getting the treatment. The only requirements to receive this treatment is counselling as it is an irreversible form of contraception. "When appropiate" the patients partner can be counselled too. You do not need to have 2 children, married and 25 to get tubal ligation. Therefore, this claim is refuted. 

verdict: 'Refuted'
assistant