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子宫收集者:为美国优生学项目中受害的非裔美国女性、美洲原住民女性和西班牙裔美国女性争取生殖正义。

Uterus collectors: The case for reproductive justice for African American, Native American, and Hispanic American female victims of eugenics programs in the United States.

机构信息

Rollins College, Winter Park, Florida, USA.

College of Medicine, Florida State University, Orlando, Florida, USA.

出版信息

Bioethics. 2022 Mar;36(3):318-327. doi: 10.1111/bioe.12977. Epub 2021 Dec 12.

Abstract

In this article, I offer historical, jurisprudential, and moral analyses of racial eugenics campaigns against African American, Native American, and Hispanic American women. I argue that African American, Native American, and Hispanic American women were sterilized at a time in US history when doctors working for/with the Department of Health, Education, and Welfare, the Indian Health Service, and Medicaid engaged in forced and coerced sterilizations with impunity. As a result, Black and Brown women did not have equal protection of the laws nor unimpeded access to the courts. Therefore, they had few options for protecting themselves from harm or redressing their grievances against the state. For these reasons, I conclude that African American, Native American, and Hispanic American women who were sterilized without their knowledge or consent by doctors working for public health agencies ought to be awarded reparations by the United States Congress. Additionally, I conclude that federal prosecutors and the American Medical Association ought to bring criminal charges and professional sanctions against the doctors and healthcare workers involved. Finally, I conclude that medical professionals ought to engage in a nationwide effort to reconcile people in Black and Brown communities with the healthcare community in the United States.

摘要

在这篇文章中,我对针对非裔美国女性、美洲原住民女性和西班牙裔美国女性的种族优生学运动进行了历史、法理学和道德分析。我认为,在美国历史上的某个时期,为卫生与公众服务部、印第安卫生服务部和医疗补助计划工作的医生或与之合作的医生实施了强制和胁迫性绝育,而对此他们却无需承担任何责任。因此,非裔和拉丁裔女性没有得到平等的法律保护,也无法畅通无阻地诉诸法庭。因此,她们几乎没有任何选择来保护自己免受伤害,或纠正她们对政府的不满。基于这些原因,我得出结论,那些未经知情同意就被为公共卫生机构工作的医生绝育的非裔美国女性、美洲原住民女性和西班牙裔美国女性,应当由美国国会给予赔偿。此外,我还得出结论,联邦检察官和美国医学协会应当对涉案医生和医护人员提起刑事指控和专业制裁。最后,我还认为,医疗专业人员应当在全国范围内努力让黑人和拉丁裔社区的民众与美国的医疗保健社区和解。

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