The workers are illiterate or simply don't care what the rules say.
Dr. Wilbur Larch is a man of dualities. By day, he delivers babies for women who want them; by night, he performs "The Lord’s Work"—illegal abortions for women who don't. He views himself as a "saint of the unloved," providing a necessary mercy in a world governed by rigid, often cruel, laws. The Cider House Rules
Irving refuses to provide easy answers, forcing characters to break their own rules to do what is "right." Legacy and Adaptation The workers are illiterate or simply don't care