Brief History of Eugenics and Sterilization • • • • • • • • 1890s--Francis Galton coined the term “eugenics” Reflected fears of many whites that genetically defective members of society (including "feeble-minded," criminals, sexually wanton, epileptics, the insane, and non-white races) were rapidly out-reproducing the "normal" members of society at an alarming rate Eugenics movement: – “Positive eugenics" -exhorting the genetically gifted to reproduce; – “Negative eugenics--sought to prevent the defective from breeding 1900+ state legislatures and Washington receptive to eugenics 1910s - 1920s Eugenical lobbying contributed to the powerful anti-immigration movement, using their scientific studies to support the claim that non-whites and immigrants were inferior to native-born white Americans in intelligence, physical condition, and moral stature. Meticulous studies of Franz Boas, H.S. Jennings, and others demonstrated the failure of eugenical methodology, but eugenical tide continues to swell • • • • • 1930s Most states had passed eugenical laws authorizing the sterilization of "defectives," U.S. Supreme Court agreed such laws were constitutional (Buck v Bell, 1927). America's eugenics movement inspired eugenics in France, Belgium, Sweden, England and elsewhere Cliques of eugenicists did their best to introduce eugenic principles into national life, pointing to recent precedents established in the United States German eugenicists formed academic and personal relationships with the American eugenics establishment – Number of other charitable American bodies generously funded German race biology with hundreds of thousands of dollars, even after the depression had taken hold. 1933 Hitler seizes power in Germany. State eugenic policy of identification, segregation, sterilization, euthanasia, eugenic courts, mass termination. 1934 – Germany sterilization rate: 5,000+ per month – (ten years after Virginia passes its 1924 Sterilization Act)—”The Germans are beating us at our own game.”—Joseph Dejarnette, superintendent of VA Western State Hospital. American Eugenic Society Display at State Fair Photo: Am. Phil Society. Photo: Am. Phil Society. 1 Winner of the “Fitter Family” Contest Large Family Category Texas State Fair, 1925 1916—American Book Extolling the Nordic Race •Described the “corruption” of the Nordic race by Jews, Negroes, Slavs and others who did not posses blond hair and blue eyes. Photo: Am. Phil Society. Eugenics Record Office (~1925) Library of Congress Images •One of Adolf Hitler’s favorite books Cold Spring Harbor Laboratory http://gradschool.cshl.edu/ 2 Buck v Bell Dr. Albert Priddy, 1912 First superintendent of the Virginia Colony for Epileptics and the Feebleminded (brought the case against Carrie Buck) Dr. James H. Bell-superintendent of the Virginia State Colony for Epileptics and Feebleminded. Photo: Cold Spring Harbor Carrie Buck Buck v. Bell • Buck v. Bell, 274 U.S. 200 (1927), was the United States Supreme Court ruling that upheld a statute instituting compulsory sterilization of the mentally retarded "for the protection and health of the state” • 1924--state of Virginia adopted a statute authorizing the compulsory sterilization of the mentally retarded • Dr. Albert Sidney Priddy, superintendent of the Virginia State Colony for Epileptics and Feebleminded, filed a petition to his Board of Directors to sterilize Carrie Buck, an 18-year-old patient at his institution whom he claimed had a mental age of 9. • • • • • • • • (per testimony of Dr. Priddy) Buck's 52-year-old mother possessed a mental age of 8 and had a record of prostitution and immorality. Emma Buck had three children without good knowledge of their parentage. Carrie, one of these children, had been adopted and attended school for five years, reaching the level of sixth grade. According to Priddy, Carrie had eventually proved to be "incorrigible" and eventually gave birth to an illegitimate child. Her adopted family had committed her to the State Colony as "feeble-minded" no longer feeling capable of caring for her. It was later discovered that Carrie's pregnancy was not caused by any act of "immorality" on her own part. In the summer of 1923, while her adoptive mother was away "on account of some illness," her nephew raped Carrie, and her later pregnancy and institutional commitment is now considered an attempt to save the family reputation During litigation, Priddy died and his successor, Dr. James Hendren Bell, was substituted to the case. Board of Directors issued an order for the sterilization of Buck 3 • • • • • Buck’s guardian appealed the case to the Circuit Court of Amherst County, which sustained the decision of the Board. The case then moved to the Supreme Court of Appeals of Virginia. Buck's lawyer, Irving Whitehead, poorly argued her case, failed to call important witnesses, and was remarked by commentators to often not know what side he was on. It is now thought that this was not because of incompetence, but deliberate. – Whitehead had close connections both to the counsel for the institution, and Priddy himself. – He was also a member of the board for the Virginia State Colony of which Priddy was director – Had personally authorized Priddy's sterilization requests and was a strong supporter of eugenic sterilization. The appellate court sustained the sterilization law as compliant with both the state and federal constitutions, and it then went to the United States Supreme Court. The plaintiff's lawyers argued that this procedure ran counter to the protections of the 14th Amendment. “If instead of waiting to execute degenerate offspring for crime, or to let them starve for their imbecility, society can prevent those who are manifestly unfit from continuing their kind. The principle that sustains compulsory vaccination is broad enough to cover cutting the Fallopian tubes.” [emphasis added]” • How is mandatory sterilization different from taxes or compulsory community service? • What ethical similarities and differences exist between compulsory vaccination and mandatory sterilization? • On May 2, 1927, in an 8-1 decision, the Court accepted that she, her mother and her daughter were "feebleminded" and "promiscuous," and that it was in the state's interest to have her sterilized. The ruling legitimized Virginia's sterilization procedures until they were repealed in 1974. • Justice Pierce Butler dissenting. No opinion was written (Butler of Catholic background). • Carrie Buck was operated upon, receiving a compulsory salpingectomy (form of tubal ligation). • She was later paroled from the institution as a domestic worker to a family in Bland, Virginia. • She was an avid reader until her death in 1983. • Her daughter Vivian, was also sterilized as a young girl • Vivian did very well in her two years of schooling, once being on the school's honor roll. • She died at the age of eight • • • • • • Sterilization law vs taxes/jail Physically invasive Benefit—Carrie, society Harm Permanent Carrie is innocent Eugenic law does not apply to everyone (undue burden?) Steriliz. vs Mandatory vaccination • Sterilization takes away, vaccination delivers a benefit • Vaccination – temporary harm (skin prick); sterilization – permanent limit on autonomy 4 What errors in Due Process were described in the Lombardo article? Errors in Due Process for Carrie Ulterior Motive Unfair representation for Carrie Legal protection for Priddy and Colony Being sent to Colony Dobbs family wants to cover their embarrassment Priddy et al. want to promote eugenic goals Science is wrong • Even at the time of Buck v Bell, eugenics was controversial and a significant number of scientists declared eugenics as false science. Why was good science (or at least the uncertainty of eugenics) ignored? • Who is more likely to see the value of eugenics and less likely to see its harms? Parallels between Tuskegee and Buck v Bell What do the huge “errors” in Due Process in Buck v Bell tell us about science, the law, and society? • Politics as usual. The strong and powerful manipulate politics for their own purposes. • Eugenics seems to easily tap into racial and class prejudice • If the law makes an error, permanent actions can’t be taken back. • Scientists and doctors with a scientific or societal agenda (“for the good of society”) • Scientists and doctors carrying out a policy that does not affect them. • Deception. Victims are not able to tell that they are being tricked (opacity of science/medicine). • Power and authority v. poorer population (science has power) 5 Scientists and Doctors Can Not Decide for All • Scientists/ doctors cannot know what it is to be – Poor – Bearing burden of disease/sterilization/risk – (How would science policies have been recommended were scientists to equally bear the burden?) • Scientists/doctors are human – Own interests and priorities – Cannot be assumed to have all parties’ best interests absolutely at heart (despite Hippocratic Oath) • Extra danger—a malicious doctor is worse than a malicious lay person – Authority and power – Opacity of biomedical information—lay people cannot recognize when the scientist/doctor is wrong Æ no built-in check. Spring 2007 6
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