Saturday, January 11, 2014

Eugenics USA-style

 20,000 people were sterilized against their will by the state of California from 1909 to 1963, in a eugenics program explicitly geared toward ridding the state of “enfeebled” and “defective” people. California’s eugenics program proved so efficient that in the 1930s, Nazi scientists asked California eugenicists for advice on how to run their own sterilization regime. “Germany used California’s program as its chief example that this was a working, successful policy,” says Christina Cogdell, author of Eugenic Design. ”They modeled their law on California’s law.”

 The state of Virginia forcibly sterilized 8,300 people. North Carolina sterilized 7,600 people against their will, the last in 1974. Indiana had 2,500 forced sterilizations, nearly equally divided between young women and men, with most occurring between 1938 and 1953. Oregon performed 2300 sterilizations, with 60 percent of them conducted on patients in the state mental hospital.

During the years when Americans were being involuntarily sterilized as part of a multi-state eugenics program dating back to 1907, what did the leading medical journals here have to say on the topic in their editorials? The American Journal of Medicine, the Annals of Internal Medicine and the American Journal of Psychiatry had nothing to say.  The American Journal of Public Health ran one anonymous editorial on mental health suggested that rising rates of hospitalization for the mentally infirm didn’t necessarily mean that Americans’ mental IQs were falling, a belief that was exploited by the advocates of eugenic sterilization. A special committee convened by the American Neurological Association endorsed the widely held view that mentally “defective” people were a drain on national resources. The committee took a positive view of “feeblemindedness,” on the grounds that it breeds “servile, useful people who do the dirty work of the race.” The committee reviewed the Germany sterilization law of 1933, and praised it for precision and scientific grounding.  New England Journal in the early 1930s lamented the supposed increase in the rate of American feeblemindedness as dangerous, and the economic burden of supporting the mentally feeble as “appalling.” In 1934, The Journal’s editor, Morris Fishbein, wrote that “Germany is perhaps the most progressive nation in restricting fecundity among the unfit,” and argued that the “individual must give way to the greater good.”

In 1974, U.S. District Court Judge Gerhard Gesell wrote that “over the last few years, an estimated 100,000 to 150,000 low-income persons have been sterilized annually in federally-funded programs.” Gesell pointed out that though Congress had decreed that family planning programs function on a voluntary basis, “an indefinite number of poor people have been improperly coerced into accepting a sterilization operation under the threat that various federally funded benefits would be withdrawn. … Patients receiving Medicaid assistance at childbirth are evidently the most frequent targets of this pressure.”

Starting in the early 1990s, poor women were allowed Medicaid funding to have Norplant inserted into their arms; then, when they complained of pain and other unwelcome side effects, they were told no funding was available to have the Norplant rods taken out. Here, therefore, was a new style of involuntary sterilization, implemented under Bill and Hillary Clinton.

From here

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