Amicus Curiae Brief — Board of Trustees of Univ. of Ala. v. Garrett
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Supreme Court, U.S
6 a) FILED
No. 99-1240 | AUG 1 1 onnn
In THE CLERK
Supreme Court of the Unite States
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA
AND THE ALABAMA DEPARTMENT OF YOUTH SERVICES,
Petitioners,
v
PATRICIA GARRETT AND MILTON ASH,
Respondents.
On Writ of Certiorari to the United States Court of Appeals
for the Eleventh Circuit
BRIEF OF AMICI CURIAE SELF-ADVOCATES BECOMING
EMPOWERED, PEOPLE FIRST OF ALABAMA, PEOPLE FIRST
OF CONNECTICUT, PEOPLE FIRST OF GEORGIA, MASS.
ADVOCATES STANDING STRONG, PEOPLE FIRST OF OHIO,
SPEAKING FOR OURSELVES OF PA., PEOPLE FIRST OF
TENNESSEE, PEOPLE FIRST OF DANE COUNTY AND
WISCONSIN, THE AUTISM NATIONAL COMMITTEE, THE
CENTER FOR LAW AND EDUCATION AND TASH, IN SUPPORT
OF RESPONDENTS
Thomas K. Gilhool
Counsel of Record
Michael Churchill
Judith Gran
Barbara Ransom
Max
PUBLIC INTEREST LAW CENTER
OF PHILADELPHIA
125 South Ninth Street, Suite 700
Philadelphia, PA 19107
August 11, 2000. Tel.: (215) 627-7100
BEST AVA
TABLE OF CONTENTS
INTEREST OF AMICI ...........-- cece eee eceeee l
SUMMARY OF ARGUMENT .........-.-----+-++: 2
po: |; Serra ira ee eas ee iy ak ek 3
I. TITLE II OF THE AMERICANS
WITH DISABILITIES ACT IS A REMEDIAL
MEASURE THAT IS CONGRUENT AND
PROPORTIONAL TO THE LONG, TRAGIC,
AND ONGOING HISTORY OF
UNCONSTITUTIONAL, STATE-SPONSORED
DISCRIMINATION AGAINST PEOPLE
WITH DISABILITIES .........-------eeee: 3
A. For Over a Century, the States Have
Unconstitutionally Segregated
and Isolated People with Disabilities. ..... 3
B. The Regime of State-Mandated
Discrimination Continues to Deny
Equal Citizenship to People
Se 11
C. Through the Act, Congress Sought
to Remedy and Deter Equal Protection
Violations Against People
CS, oo kin ke sa eee ees 16
The Act is Proportional and
Congruent to the History of
Unconstitutional, State-Sponsored
Discrimination Against People
errr eee 20
THE COURT SHOULD AFFIRM
THAT DISABILITY-BASED
CLASSIFICATIONS ARE SUBJECT TO
HIRIGHIENED SCRUEINY. .5 5-2 eee ees 23
A.
A Holding that the Act is Unenforceable
Against States Would Render Invalid the
Cleburne’s Court’s Analysis and its
Protections for People with Disabilities. .. 23
The Court Has Not Set
“Minimal Scrutiny” as the Level of
Scrutiny for Disability-Based
CRN ote ie oe 26
The History of Invidious Discrimination
Against People with Disabilities Justifies
Peigmtenes Sevwty 2... eee 27
Oe re ey eee te 30
=e eee
TABLE OF AUTHORITIES
FEDERAL CASES
Alexander v. Choate, 469 U.S. 287 (1985) ............ 7
Allen v. Wright, 468 U.S. 737 (1984) ............... 11
Arc of New Jersey v. New Jersey, ;
Soe. eee. G7 Ceres. 1996) ..... 2.20. 15
Bangerter v. Orem City Corp.,
O67 .36 1491 (10th Ce. 1995) .................. 15
Bragdon v. Abbott, 524 U.S. 624 (1998) ............. 22
Brown v. Bd. of Educ., 347 U.S. 483 (1952) ......... 30
Be HP, 2D. BOP CTTET) we eens 9
Chinese Exclusion Cases, 130 U.S. 581 (1889) ....... 28
City of Boerne v. Flores, 521 U.S. 507 (1997) ..... 20, 22
City of Cleburne v. Cleburne Living Center,
Be RE Sg) es Seer ". , passim
Clark v. Cohen, 794 F.2d 79 (3rd Cir.),
cert. denied, 479 U.S. 962 (1986) ............... 13
Edwards v. California, 314 U.S. 160 (1941) .......... 28
Florida Prepaid Postsecondary Educ. Exp. Bd.
v. College Sav. Bank, 527 U.S. 627 (1999) ....... 20
Helier v. Doe, $09 U.S. 312 (1993) ...........56.-. 27
Hunter v. Underwood, 471 U.S. 222 (1985) .......... 13
Jackson v. Fort Stanton Hosp. & Training Sch.,
757 F. Supp. 1243 (D.N.M. 1990),
' rev'd in part on other grounds,
OGG Poe pee cree Ge. B9Pe) ww www eee 14
Kimel v. Florida Bd. of Regents,
_- US. __, 208. Ce G31 GOO) ................- 3
Korematsu v. United States, 323 U.S. 214 (1944) ...... 29
Lelsz v. Kavanagh,
673 F. Supp. 828 (N.D. Tex. 1987) ........... 14, 15
Loving v. Virginia, 388 U.S. 1 (1967) .............. 29
Marbrunak v. City of Stow, 974 F.3d 43 (6th Cir. 1992) . 15
McLaren v. Fleischer, 256 U.S. 477 (1921) .......... 27
Metropolitan Stevedore v. Rambo, 515 U.S. 291 (1995) . 27
Meyer v. Nebraska, 262 U.S. 390 (1923) ........... 4, 13
Mills v. Bd. of Educ., 348 F. Supp. 866 (D.D.C. 1972) .. 9
Mississippi Univ. for Women v. Hogan,
SS os a vo ees ke oe 24
New York State Ass'n for Retarded Children v. Carey,
351 ©. OU. PUGS GLEN. DT. PGS ww eens 14
New York State Ass'n for Retarded Children v. Carey,
eg B® fo ote Ce Al). ne 7
O’Connor v. Donaldson, 422 U.S. 563 (1975) ......... 4
Olmstead v. L.C., 527 U.S. 581 (1999) ......... 2, 42, 23
Pennsylvania Ass'n for Retarded Children v. Pennsylvania,
PR Bey 8 Oe, os re 8
Pennsylvania Ass'n for Retarded Children v. Pennsylvania,
43 ©. Game. 27e UGE. PO. PETE). ws oc ei ee os 9
Plessy v. Ferguson, 163 U.S. 537 (1896) ............ 29
Foter v. Doe, 437 U.B. Ha RS) nn cc ewes. 8, 28
S.H. v. Edwards, 886 F.2d 292 (11th Cir. 1989) ....... 13
San Antonio Indep. Sch. Dist. v. Rodriguez,
RN kb oo Gwe tee pine 27
Savidge v. Fincannon, 836 F.2d 898 (Sth Cir. 1988) .... 13
School Bd. of Nassau County v. Arline,
ok Be i ena t weer ere ae
School Comm. of Burlington v. Mass. Dep’t of Educ.,
ae Gy IE, hid cS oS ese ck> Cewduee xs 8
Schweiker v. Wilson, 450 U.S. 221 (1981) ........... 26
Southeastern Community College v. Davis,
ee ee OE: ko cee tkas eco OR ea es 21
Thomas S. v. Flaherty, 699 F. Supp. 1178 (W.D.N.C. 1988),
aff'd, 902 F.2d 250 (4th Cir.),
cert. denied, 498 U.S. 951 (1990) ............... 13
iV
me oR? acts
United States ex rel. Fink v. Todd,
1 F.2d 246 (2d Cir. 1924),
rev'd on other grounds, 267 U.S. 571 (1925) ....... 28
Wyatt v. Poundstone,
892 F. Supp. 1410 (M.D.Ala. 1995) ............ 5,13
Wyatt v. Rogers,
985 F. Supp. 1356 (M.D. Ala. 1997) ........... 6, 13
Wyatt v. Stickney, 334 F. Supp. 1341 (M.D. Ala. 1971) .. 5
Youngberg v. Romeo, 457 U.S. 307 (1982) ............ 3
STATE CASES
State ex rel. Beattie v. Bd. of Educ., 169 Wis. 231 (1919) 8
Watson v. City of Cambridge, 157 Mass. 561 (1893) .... 9
FEDERAL STATUTES
Education of All Handicapped Children Act,
USL. te. SM © bs asks Oe 9
STATE STATUTES
44 Ala. Code §§ 19-20(1940) .................... 10
oie, ©. ef oS 8 > Sere 5
OOD FR: BS Te ee oie ood vas cae weenie 9
Did. CO Se GO i vn doe ese awesk eure aceseen 10
SOT Cok Bek. Gi. SONG, FOGG vn oc os ks oes 8
i ogg ey tf) rrr sre rs 10
Cal. Ce, Cn Sa 6 bo eee 10
1963 Colo. Sess. Laws ch. 243, 864 ................. 8
1888 Coan. Pub. Acts tt. 139409 ......... 0c ccuee 8
Conn. Gem. Beet. GAG-BUISIE) 2 wo wo ccc ces sence 10
D.C. Code Ann. § 30-103(1)(2000) ................ 10
Fla. Comp. Gen. Laws § 8003 (1927) ...........-.-- 10
Ga. Code Ann. § 23-2005 (1935) ...............--. 10
DP ee Ge. UD RAE ESE ook incre sce sseureva 7
af Be a 10
Se. RAED BoB P CISD on ok heave ences bees 10
ee FF BS mene 10
Kan. Stats. Ann. § 39-339 (Corrick 1935) ............ 10
am. Stat. Amn. § Z5-EZOCIGTT) 2... we ees 10
Ky. Rev. Stat. Ann. § 402.020(1)(1971) ............. 10
33 Me. Rev. Stats. §43 ....... id ay Ee eS 10
Me. Rev. Stat. Ann. tit. 19, § 32 (1964) ............. 10
paeen: Diet. Ame. § 25.6099) 2... eines 10
Minn. Stats. §§ 3163, 3173 (Mason's 1927) ........... 10
Miss. Code Ann. § 93-1-S(f)(2000) ................ 10
fae. SO AR. SSTIDCIGe) sok ees 10
ao. Mav. Gemt.-6 S51 CIO CISES) ow we ees 10
Neb. Rev. Stat. § 42-103 (1974) ................... 10
ow me Oe ei. * : eran 8
Nev. Comp. Laws § 5147 (Hillyer 1927) ............ 10
fe ee Be Ll. ee errene ann trees 10
ST Oe: ec I ow sb ees oa eR 8
ge aR ee re ee er 8
muA. SEM: DOME, S SEIS CUSOSD jon ee viene ce> 10
Sr ee: I Oe os vos chaos Feed ee 8
N.D. Cent. Code § 14-03-17 (1971) ................ 10
Ohio Rev. Code Ann. § 3101.06 (1975) ............. 10
rrr rr rrr er 8
2 Pe. Sik. Amm. § 1SUGMIGGT) nw wk eee 10
mi. Gem. Lowe § IS-1-S (ISM) ww eee cs 10
ee, RD CUO oo co cab bwancceswaes 10
Tenn. Code Ann. § 36-3-109 (1999) ................ 10
15 Vt. Pub. Laws ch. 160, § 3949 (1933) ............ 10
ee Reels errr eee 10
V.I. Code Ann. tit. 16, § 2(1)(2000) ................ 10
Va. Code Ann. § 20-46(4)(1985) .................. 10
vi
wii baer ae
Ab RAS RIN BEI AD e pti WNBA ais lie nd aa ah,
Wash. Rev. Code Ann. § 26.04.030 (1976) ........... 10
Wyo. Stat. Ann. §§29-1206a, 29-1205b (Courtright 1931) 10
Wyo. Stat. Ann. § 20-32 (1959) ......--------++>- 11
LEGISLATIVE MATERIALS
Oversight Hearing on H.R. 4498, Americans with
Disabilities Act of 1988, Before the Subcomm. on Select
Educ., House Educ. and Labor Comm.,
100th Cong., 2d Sess. 10 (1988) .........-..---- 19
Hearings Before the Subcomm. on the Handicapped, Sen.
Labor and Human Resources Comm., and the
Subcomm. on Select Educ., House Educ. and Labor
Comm., 100th Cong., 2nd Sess. 15 (1988) .......-. 11
Hearings on H.R. 2273 Before the House Subcomm. on
Select Educ. of the Educ. and Labor Comm.,
101st Cong., Ist Sess. 10(1989) .........-.----- 19
Hearings on S. 933 Before the Comm. on Labor
and Human Resources and the Subcomm. on the
Handicapped, 101st Cong., Ist Sess. 215 (1989) .... 19
Hearings on H.R. 2273 Before the Subcomm.
on Civil and Constitutional Rights of the
Judiciary Comm.,
101st Cong., Ist Sess. 418 (1989) .........--.--- 19
H.R. Rep. No. 101-485(II1),
101st Cong., 2d Sess. (1990) ........-------+--- 22
S. Rep. No. 116, 101st Cong., Ist Sess. 8 (1989) ...... 16
135 Cong. Rec. $4986 (May 9, 1989) .........------ 16
136 Cong. Rec. H2449 (May 17, 1990) ........------ 16
MISCELLANEOUS
2 Recall 1949 Radiation Tests on Them,
N.Y. Times at Al4 (Jan. 14, 1994) ..........----. 6
Baller et al., Mid-Life Attainment of the Mentally Retarded:
A Longitudinal Study, 75 Genetic Psychol. Monographs
oo : : Re warren genre irae Brees har 15
D. Braddock et al., Zhe State of the States in Developmental
- Disabilities: 2000 Study Summary (2000) .......... 13
A. Chase, The Legacy of Malthus (1980) .......... 10, 29
J. Conroy et al.,
The Pennhurst Longitudinal Study (1985) ......... 15
C. Davenport, Heredity in Relation to Eugenics (1911) . . 29
C. Davenport, State Laws Limiting Marriage
Selection in Light of Eugenics (1913) ............ 29
H. Goddard, Mental Testing and the Immigrants,
2 J. Delinquency 243 (1917) .........- eee eees 28
S. Gould, The Mismeasure of Man (1995) ........... 29
S. Gould, Carrie Buck’s Daughter, in Flamingo’s Smile:
Reflections in Natural History (1985) ........... 10
Government Used 16,000 in Radiation Tests,
i eS ee ee eer ee ST ree 7
Gutshall et al., An Exploratory Study of the Interrelations
Among Driving Ability, Driving Exposure and Socio-
economic Status of Low, Average and High
Intelligence Males,
35 Exceptional Children 43 (1968) .............. 15
S. Harlan et al., Disability in Work Organizations:
Barriers to Employment Opportunity,
Univ. at Albany, State Univ. of New York (1995) .. 15
H. Hart, Social Problems in Alabama (1918) .......... 6
Karst, The Supreme Court, 1976 Term -- Forward: Equal
Citizenship under the Fourteenth Amendment,
ee ee ae ee a 2
J. Landau, Out of the Mainstream: Education
of Disabled Youth in Massachusetts (1987) ...... 14
J. E. Larson, Sex, Race and Science:
Eugenics in the Deep South (1995) ............--. 5
viii
ONS eo ta ts
ee ee Te eT
National Counsel on the Handicapped,
Toward Independence (1986) .....------++++++: 17
National Counsel on the Handicapped,
On the Threshold of Independence (1988) ...... 17, 18
S. Noll, Feeble-Minded in Our Midst 90 (er 29
Note, A Sterilization Law for Kentucky,
23 Ky. L.J. 168 (1934) ......-- eee eee eee 10
Notes: The Right of the Mentally Disabled to Marry:
A Statutory Evaluation, 15 J. Fam. L. 463 (1976-77) 10
S. Selden, Inheriting Shame: The Story of Racism
and Eugenics (1999) .....----02-+00e 00 7, 13, 29
K. Stampp, The Tragic Legend of Reconstruction,
in Era of Reconstruction (1965) ......---++-+++- 28
The Menace of the Feebleminded in Connecticut (1915) 29
The Negro: A Menace to American Civilization (1907) . 29
J. Trent, Inventing the Feeble Mind (1994) .......... 28
Trustees of the Mass. Sch. for the Fi eeble-Minded at
Waltham, Report of the Trustees of the
Mass. Sch. for the Feeble-Minded at
Waltham for the Year Ending Nov. 30, 1908 (1909) .. 6
U.S. Comm’n on Civil Rights,
Accommodating the Spectrum
of Abilities (1983) ........-----+++eeeee> 4,17, 18
U.S. Dept. of Educ.,
Twenty-First Annual Report to the Congress on the
Implementation of the Individuals with Disabilities
Education Act (IDEA) (1999) ......---++-+- <5 ae
US. Dept. of Energy,
Report of the Advisory Comm. on Human Radiation
Experiments (1995) ......-----++eseerrtteee: 6
N. Vogel, Retarded, Autistic Home Failed
to Prevent Death, L.A. Times (July 17, 2000) ......- 14
|
L. Weicker, Jr., Historical Backgrounds of the
Americans with Disabilities Act,
64 Temple L. Rev. 387(1991) .............4-. 18
2s PRR EOI EE EEL DLL ONS DIO EEE ESOS
INTEREST OF AMICI
Amici are grass-roots organizations of Americans with
developmental disabilities, their families, friends, and
professionals in the disability field.! Amici Self-Advocates
Becoming Empowered and its affiliate “People First”
organizations are directed by people with disabilities, many
of whom were once segregated in large state institutions.
Because of the Americans with Disabilities Act, many now
live in integrated community settings. People First claim
more than 900 chapters in 46 states, with 20,000 active
members. Amici the Autism National Committee, the
Center for Law and Education and TASH -- Disability
Advocacy Worldwide also share a commitment to the
principle that public services, supports and special
education must allow people with disabilities to be
independent and self-sufficient. For amici, the Americans
with Disabilities Act has been a doorway to freedom,
opportunity, and equal protection and citizenship under law.
Amici have participated in numerous Cases that have
raised substantive claims of constitutional violations, many
of which were subsequently decided on statutory grounds.
Amici are therefore aware of how important Congressional
enactments have been to vindicating their constitutional
rights. They respectfully submit this brief to share with the
Court the history of state-sponsored discrimination they
have experienced as well as the importance of national anti-
discrimination laws in protecting their constitutional rights.
| The parties have consented to the filing of this brief. No
counsel for a party has authored this-brief, in whole or in part, and no
other than amici and their counsel has made any monetary
contribution for its preparation.
SUMMARY OF ARGUMENT
Congress enacted the Americans with Disabilities Act
to remedy a century of state-sponsored, invidious, and
unconstitutional discrimination against people with
disabilities. For a century, every state acted to segregate,
isolate, and eliminate people with disabilities from the
community. State laws and policies segregated people with
disabilities in institutions, barred them from public schools,
prohibited them from marrying and mandated their
sterilization. This pervasive state action denied and
continues to deny people with disabilities equal protection
and citizenship by excluding them from “everyday life
activities, including family relations, social contacts, work
options, economic independence, educational advancement,
and cultural enrichment.” Olmstead v. L.C., 527 U.S.
581, 600 (1999).
The Americans with Disabilities Act is a measured and
proportionate national remedy for this historical regime of
state-mandated discrimination. The Act upholds and
enforces “the principle of equal citizenship ... [that]
presumptively forbids the organized society to treat an
individual either as a member of an inferior or dependent
caste or as a non-participant.” Karst, The Supreme Court,
1976 Term - Forward: Equal Citizenship under the
Fourteenth Amendment, 91 Harv. L. Rev. 1, 6 (1977).
Amici further submit that this Court should affirm that
disability-based classifications are subject to heightened
scrutiny review. Such review is justified by the purposeful
unequal treatment people with disabilities have faced at the
hands of the states, treatment that parallels race, gender and
ethnic-based discrimination, and would clarify and fulfill
the “searching review” the Court employed in City of
2
SS a Ss aa
ee Sees
Cleburne v. Cleburne Living Center, 473 U.S. 432, 457
(1985), to strike down a discriminatory zoning ordinance.
ARGUMENT
I. TITLE If OF THE AMERICANS WITH
DISABILITIES ACT IS A REMEDIAL MEASURE
THAT IS CONGRUENT AND PROPORTIONAL
TO THE LONG, TRAGIC, AND ONGOING
HISTORY OF UNCONSTITUTIONAL, STATE-
SPONSORED DISCRIMINATION AGAINST
PEOPLE WITH DISABILITIES.
A. For Over a Century, the States Have
Unconstitutionally Segregated and Isolated
People with Disabilities.
For over one hundred years, every State acted
purposefully and deliberately to segregate and isolate people
with disabilities from community and family, in violation of
the Fourteenth Amendment. This regime of state
mandated, unconstitutional discrimination arose from
irrational prejudice, fear and stereotype and has been
described by five members of the U.S. Supreme Court as
“grotesque.” Cleburne, 473 U.S. at 454, 461. By force of
law and official action, the States rendered the guarantee of
equal citizenship a dead letter for people with disabilities.
When set against this stark background, the Americans with
Disabilities Act is a measured and appropriate remedy for
these widespread, systematic constitutional transgressions.”
2 Unlike age-based classifications addressed in Kimel v. Florida
Bd. of Regents, _U.S.___, 120 S.Ct. 631, 646-47 (2000), which the
Court has never found unconstitutional, the Court has repeatedly found
that states have violated the constitutional rights of people with
disabilities. Cleburne, supra; Youngberg v. Romeo, 457 U.S. 307
3
Beginning in the 1870s, state legislatures eniacted
numerous laws to remove “imbeciles,” “idiots,” and “the
feeble-minded” from society. These efforts were not
benign. State officials branded people with disabilities as
“the underlying source of nearly all social problems,”
including “pauperism, degeneracy and crime,” and
constructed massive public institutions to segregate people
with disabilities from society. U.S. Comm’n on Civil
Rights, Accommodating the Spectrum of Abilities 19-20
(1983). Such discrimination was not limited to severe
disabilities. “To isolate handicapped people, some
professionals advocated institutionalization for even minor
disabling conditions.” Jd. The breadth of such state-
enforced exclusion is astonishing:
Whether young or old; whether borderline or
profoundly retarded; whether physically handicapped
or physically sound; whether deaf or blind; whether
rural or urban; whether from the local town or from
500 miles away; whether well-behaved or ill-
behaved[,][w]e took them all, by the thousands, 5,0»?
to 6,000 in some institutions.
Id. at 20-21 (quoting W. Wolfensberger, The Origins of
Our Institutional Models, in President’s Comm. on Mental
Retardation, Changing Patterns in Residential Servs. for the
Mentally Retarded 143 (1969)). ;
Every state enacted laws forcing the lifetime
institutionalization of people with disabilities.’ In 1919,
Alabama established “The Alabama Home” for “fall
persons of whatever age who are deficient or inferior, ...
(1982); O’Connor v. Donaldson, 422 U.S. 563 (1975); of. Meyer v.
Nebraska, 262 U.S. 390 (1923).
> A “Compendium of Purposeful State Action” is attached as
Appendix A to this brief and was submitted by Amici in Cleburne.
4
—————— eC
idiots, imbeciles, feeble-minded or morons, and ...
epileptics ...” 1919 Ala. Acts 738, No. 568, § 2, 7-8. A
brochure touting the institution warned of the “feeble-
minded” :
They do not work. They are immoral. They commit
crimes. They multiply like rabbits, and their children
are feeble-minded. This institutional care and training
of the feeble-minded (1) Purifies human stock, and (2)
reduces taxes.
An Institution for the Feeble-Minded of Alabama (1918), in
E. Larson, Sex, Race and Science: Eugenics in the Deep
South 81 (1995).
‘ In stating that “Alabama has a long history of providing
support, rehabilitation and protection for individuals with disabilities,”
Pet. Br. at 7, Petitioners ignore the conditions imposed on people with
disabilities in Alabama’s state institutions. In Wyatt v. Stickney, 334 F.
Supp. 1341 (M.D. Ala. 1971), the district court described such
conditions at Alabama’s Bryce Hospital:
[T]he dormitories are barn-like structures with no privacy for
the patients. For most patients there is mot even a space
provided where he can think of as his own. The toilets in
restrooms seldom have partitions between them. These are
dehumanizing factors which degenerate the patients’ self-
esteem. Also contributing to the poor psy
environment are the shoddy wearing apparel furnished the
patients, the non-therapeutic work assigned to patients (mostly
compulsory, uncompensated housekeeping chores), and the
degrading and humiliating admissions procedure which creates
in the patient an impression of the hospital as a prison or a
“crazy house” ... Only fifty cents per patient per day is spent
Id. at 1343. Alsbama’s institutions continue to impose unconstitutional
conditions on people with disabilities. In 1995, 2 federal court found
that Alsbama’s Eufaula Adolescent Center, an institution for children
with disabilities, was so substandard, dangerous, and lacking in
treatment that it “was essentially a penal institution.” Wyatt v.
Poundstone, 892 F. Supp. 1410, 1413 (M.D.Ala. 1995). Additionally,
“most of the children did not belong in the Center’s restrictive
5
Such actions were not confined to Alabama, or even
the South. The segregation, and outright elimination of
people with disabilities was a national phenomenon.” In
1887 California became the first state to provide for the
segregation “for life” of “imbecile or feeble-minded”
people. 1887 Cal. Stats. 69 ch. 57 (1887). Massachusetts
State Superintendent Dr. Walter Fernald reported in 1908
that “there is an urgent need for the commitment and
permanent detention of the higher grade cases of deficit
[that are the] most undesirable and troublesome members of
society.” Report of the Trustees of the Mass. Sch. for the
Feeble-Minded at Waltham for the Year Ending Nov. 30,
1908 22-23 (1909).°
environment.” Id; see also Wyatt v. Rogers, 985 F. Supp. 1356, 1404
(M.D. Ala. 1997)(finding “significant violations of individual liberties
remain” in other state institutions).
5 4 1918 Alabama survey called people with disabilities “her
most worthless and hopeless citizens,” and Governor Charles
Henderson declared to Alabama citizens that the institutions were “to
protect you from the evils of vice, crime, disease and pauperism.”
Social Problems in Alabama 8, 10 (1918).
6 As late as the 1970s, with the full authority and cooperation of
the states, America’s most prestigious universities and scientists used
institutionalized children and adults with disabilities as subjects in
harmful experiments. In one infamous example, conducted between
1946 and the early 1950s, Massachusetts’ Fernald State School fed
radioactive isotopes to children with retardation as part of
Massachusetts Institute of Technology studies on the effects of radiation
in humans. The institution mixed the isotopes with the children’s
breakfast oatmeal. In studies in the early 1960s, radioactive iodine was
fed to children at Fernald and the Wrentham State School, another
Massachusetts institution. U.S. Dep’t of Energy, Report of the Advisory
Comm. on Human Radiation Experiments ch. 7 (1995). The federal
researcher overseeing the experiments warned that they could be
compared to Nazi experiments on concentration camp prisomers. 2
Recall 1949 Radiation Tests on Them, N.Y. Times at Al4 (Jan. 14,
6
———————————————
Driving the states’ efforts to ensure that people with
disabilities lived “shunted aside, hidden, and ignored,”
Alexander v. Choate, 469 U.S. 287, 296 (1985), was the
rise of the eugenics movement in the late 19th and early
20th centuries. Eugenicists believed that heredity “was of
single importance in predicting human performance and it
must play a key role in policies and programs for human
betterment.” S. Selden, Inheriting Shame: The Story of
Racism and Eugenics in America xiv (1999).
There is no better description of the derivation of state
policy from eugenics than Justice Thurgood Marshall’s
concurring opinion in Cleburne. Describing the “lengthy
and tragic history that can only be called grotesque,”
Justice Marshall wrote:
Fueled by the rising tide of Social Darwinism, the
“science” of eugenics, and the extreme xenophobia of
those years, leading medical authorities and others
began to portray the “feeble-minded” as “a menace to
1994). In the early 1960s, the Arkansas Children’s Colony injected
children with retardation as young as 13 with iodine-131 as part of a
thyroid study. Government Used 16,000 in Radiation Tests, AP (Aug.
18, 1995). Another case involved the hepatitis studies of Dr. Saul
Krugman of New York University. From 1956 to 1972, the
Willowbrook State School in New York allowed Dr. Krugman’s staff to
“systematically infect{] newly arrived children with strains of the
[hepatitis B} virus.” Advisory Comm. Report ch. 7.
These experiments had discriminatory effects on their human
subjects with disabilities lasting well beyond the study period. In 1978
and 1979, the New York City public schools ordered the exclusion of
Willowbrook children from public school due to their exposure to
hepatitis. New York State Ass'n for Retarded Children v. Carey, 612
F.2d 644, 647 (2d Cir. 1979)(holding that no rational basis existed for
excluding such children from public school). The Department of
Energy concluded in 1995 that “there are still no federal regulations
protecting institutionalized children from unfair treatment in research
involving human subjects.” Advisory Comm. Report ch. 7.
7
society and civilization ... responsible in a large
degree for many, if not all, of our social problems. A
regime of state-mandated segregation and degradation
soon emerged that in its virulence and bigotry rivaled,
and indeed paralleled, the worst excesses of Jim
Crow. Massive custodial institutions were built to
warehouse the retarded for life; the aim was to halt
reproduction of the retarded and “nearly extinguish
their race.”
473 U.S. at 461-62 (footnotes omitted)(emphasis added).
Inexorably linked with institutionalization and
degraded citizenship is the state-mandated segregation and
exclusion of children with disabilities from public schools.
Cf. Plyler v. Doe, 457 U.S. 202, 222-23 (1982). The
“ wide-spread practice of relegating handicapped children to
_.. institutions or warehousing them in special classes,”
School Comm. of Burlington v. Mass. Dept. of Educ., 471
U.S. 359, 373 (1985), was by force of state law.’ School
superintendents urged that children with disabilities were
“ineducable” and would never “fit in” to American
society.* States relegated these children into isolated “state
” See e.g. 1976 Cal. Stat. ch. 1010, 3561 (excluding children
whose “physical or mental disability” is “inimical to the welfare of
other pupils”); 1963 Colo. Sess. Laws ch. 243, 864 (same); 1888
Conn. Pub. Acts tit. 13 § 489 (committing “indigent imbecile children”
to “School for Imbeciles at Lakeville”); Nev. Rev. Laws § 1702
(1912)authorizing education of “deaf and dumb and the blind” only in
California and Utah institutions); 1928 N.Y. Laws § 23-624 (
“feebleminded” who are “unable to benefit from instruction, shall not
be permitted to attend”); 1919 N.Y. Laws ch. 382 (establishing Rome
asylum for “unteachable idiots”); 1903 N.D. Laws § 84-759 (“any ...
feeble minded child” must attend “institution at Grafton”); 24 Pa. Stat.
Ann. § 13-375 (1971)(excluding “children who are found to be
uneducable and untrainable” ).
15 State ex rel. Beattie v. Board of Educ., 169 Wis. 231 (1919),
the Wisconsin Supreme Court upheld the exclusion of a child with
8
a ge ee ee
schools” that were euphemisms for institutions. Many
children would spend their entire lives in such facilities.
Children with retardation were excluded categorically, in
violation of the Fourteenth Amendment. See Pennsylvania
Ass’n for Retarded Children v. Pennsylvania, 334 F.
Supp. 1257 (E.D. Pa. 1971), 343 F. Supp. 279 (E.D. Pa.
1972); Mills v. Board of Educ., 348 F. Supp. 866 (D.D.C.
1972). By 1975, Congress estimated that “one million of
the handicapped children in the United States are excluded
entirely from the public school system”. Education for All
Handicapped Children Act, 20 U.S.C. fmr. § 1400(b)(4).
States acted by law to stop the procreation of people
with retardation and other disabilities, with an eye toward
their eventual elimination. The Court embraced, endorsed
) and propelled such invidious attitudes in Buck v. Bell, 274
U.S. 200 (1927), when it upheld the involuntary
sterilization of Carrie Buck, an institutionalized Virginia
woman with retardation:
We have seen more than once that the public welfare
may call upon the best citizens for their lives. It
would be strange if it could not call upon those who
already sap the strength of the State for these lesser
. Sacrifices, often not felt to be such by those
concerned, in order to prevent our being swamped
with incompetence ... Three generations of imbeciles
are enough.”
cerebral palsy from public school due to his “uncontrollable flow of
saliva,” his “physical condition and ailment [that] produces a
depressing and nauseating effect upon the teachers and school
children”. Id. In Watson v. City of Cambridge, 157 Mass. 561 (1893),
the Massachusetts Supreme Judicial Court upheld a child’s exclusion
because he made “uncouth noises” and was “unable to take the
ordinary decent physical care of himself.” Id.
® See also 1919 Ala. Acts 739 § 13 (authorizing sterilization of
Alabama Home “inmates”); S. Gould, Carrie Buck’s Daughter, in
9
Id. State laws also prohibited people with disabilities from
entering the state’ and criminalized marriage of “idiots”,
the “insane”, and the “feeble-minded.” Many such laws
were in effect until recently, and many remain in effect
today."
Flamingo’s Smile: Reflections in Natural History (1985). A 1934
Kentucky Law Review article proudly states that “[t}]he United States
was the pioneer in the movement for sterilization, and today is
considered the foremost champion and advocate of that cause in the
world.” Note, A Sterilization Statute for Kentucky, 23 Ky. L.J. 168,
169 (1934)). Nazi sterilization laws were “taken almost in toto from ...
[the] Model [State] Eugenical Sterilization Law.” A. Chase, The
Legacy of Malthus 133-35 (1980).
0 See e.g. 44 Ala. Code §§ 19-20 (1940); Fla. Comp. Gen. Laws
§ 8003 (1927); Ga. Code Ann. § 23-2005 (1935); Kan. Stats. Ann. §
39-339 (Corrick 1935)(“ person likely to become [public] charge”); 33
Me. Rev. Stats. § 43; Minn. Stats. §§ 3163, 3173 (Mason’s
1927)(“insane”, “idiotic”); Miss. Code Ann. § 5715 (1930); Nev.
Comp. Laws § 5147 (Hillyer 1927); S.D. Code § 50.0106
(1939\“ person likely to become public charge” ); 15 Vt. Pub. Laws ch.
160, § 3949 (1933)(same); Wyo. Stats. Ann. §§ 29-1206a, 29-1205b
(Courtright 1931)“ persons likely to become [a] charge for disability” ).
'! For example, it is currently a crime in Mississippi to issue a
marriage license to anyone who is “insane or an imbecile.” Miss.
Code Ann. § 93-1-5(f)(2000). See e.g. Cal. Civ. Code § 4201 (1994);
Conn. Gen. Stat. § 46-2 (1999); D.C. Code Ann. § 30-103(1)(2000);
Haw. Rev. Stat. § 580-21 (1976); 89 Ill. Comp. Stat. § 6 (1976); Ind.
Code § 31-1-1-2 (1973); Ia. Code Ann. § 595.3 (1976); Kan. Stat.
Ann. § 23-120 (1977); Ky. Rev. Stat. Ann. § 402.020(1)(1971); Me.
Rev. Stat. Ann. tit. 19, § 32 (1964); Mich. Stat. Ann. § 25.6 (1999);
Mo. Rev. Stat. § 451.020 (1983); Neb. Rev. Stat. § 42-103 (1974);
N.J. Stat. Ann. § 37:1-9 (1969); N.C. Gen. Stat. § 51-12
(1985)sterilization required for marriage); N.D. Cent. Code § 14-03-
17 (1971); N.Y. Dom. Rel. Law § 140(3)(2000); Ohio Rev. Code Ann.
§ 3101.06 (1975); 48 Pa. Stat. Ann. § 1-5(d)(1997); R.I. Gen. Laws §
15-1-5 (1970); Tenn. Code Ann. § 36-3-109 (1999); 15 Vt. Stat. Ann.
§ 512 (2000); V.I. Code Ann. tit. 16, § 2(12000); Va. Code Ann. §
20-46(4)(1985); Wash. Rev. Code Ann. § 26.04.030 (1976); W. Va.
10
B. The Regime of State-Mandated Discrimination
Continues to Deny Equal Citizenship to People
with Disabilities.
Petitioners assert that because of changed attitudes,
| people with disabilities no longer face significant
discrimination or barriers to their full involvement in
| society. The sheer weight of the historical record of
discrimination alone betrays the falsity of this argument.
1 While attitudes toward disability, like race and gender, have
improved in recent years, the effects of a century of
invidious discrimination, propelled by the power of every
/ State, still figure significantly in state policy and actions
toward people with disabilities. The state-mandated
segregation that caused the near-total lack of access of
people with disabilities in society cannot be dismissed as a
relic of the past.’
The discriminatory infrastructure of separate
institutions and schools the states created is still present in
America and spawns a vicious circle of exclusion from
other facets of life, including work, education, and
transportation. As sponsoring Representative Tony Coehlo
noted in a joint Congressional hearing on the Act:
When housing is inaccessible and unavailable, the
disabled have to stay at home, under the care of their
families, or live in nursing homes and other
Code Ann. § 48-2-2(a) (2000); Wyo. Stat. Ann. § 20-32 (1959). See
also Notes: The Right of the Mentally Disabled to Marry: A Statutory
Evaluation, 15 J. Fam. L. 463 (1976-77).
| 2 Of Allen v. Wright, 468 U.S. 737, 755 (1984)(“There can
/ be no doubt that [stigmatizing injury] is one of the most serious
_ consequences of discriminatory government action.” )
i]
institutions, rather than establishing and controlling
their own households next door to you and me. When
regular transportation is inaccessible, and transit
services for the disabled are segregated, you won’t see
them on your bus or commuter train. When prejudice
dictates that the handicapped can be productively
employed only in separate sheltered workshops, you
won’t see too many of them in your workplace. ... We
must stop the cycle of separateness which hides people
with disabilities, and creates prejudice, which creates
more separateness.
Hearings before the Subcomm. on the Handicapped, Sen.
Labor and Human Resources Comm., and the Subcomm. on
Select Educ., House Educ. and Labor Comm., 100th
Cong., 2nd Sess. 15 (1988).
Justice Marshall wrote in Cleburne that “[p]rejudice,
once let loose, is not easily cabined.” 473 U.S. at 464. He
continued, “[MJost important, lengthy and continuing
isolation of the retarded has’ perpetuated the ignorance,
irrational fears, and stereotyping that long have plagued
them.” Id. Last term, the Court heard arguments on
whether a state had the right to segregate two women with
retardation even when the women could live and were
living in the community. The Court held that the
unnecessary segregation of people with disabilities “ who
can handle and benefit from community settings perpetuates
unwarranted assumptions that persons so isolated are
incapable or unworthy of participating in community life.”
Olmstead v. L.C., 527 U.S. 581, 600 (1999)(emphasis
added)."*
\3-The statutes the seven state amici cite for Petitioners as proof
that state-sponsored discrimination never existed or has been eradicated
do not address, let alone rectify, the legacy of unnecessary segregation
and institutionalization that Title II seeks to remedy. Indeed, Alabama
continues to “perpetuate unwarranted assumptions” by having the
12
Yet many of the institutions created to segregate the
“feeble-minded” operate today."* See Hunter v.
Underwood, 471 U.S. 222, 232-33 (1985)(official policy,
originally motivated by discrimination, continues to have
discriminatory effect regardless of current official
attitudes). As of 1998, states housed nearly 125,000
Americans with developmental disabilities in such facilities.
D. Braddock et al., The State of the States in
Developmental Disabilities: 2000 Study Summary (2000).
These state institutions have been found to segregate
unnecessarily thousands of people with disabilities, in
violation of the Fourteenth Amendment. Thomas S. v.
Flaherty, 699 F. Supp. 1178, 1191 (W.D.N.C. 1988),
aff'd, 902 F.2d 250 (4th Cir.), cert. denied, 498 U.S. 951
(1990); Clark v. Cohen, 794 F.2d 79, 83 (3rd Cir.), cert.
denied, 479 U.S. 962 (1986); Savidge v. Fincannon, 836
F.2d 898, 906 (Sth Cir. 1988); of S.H. v. Edwards, 886
F.2d 292, 293 (11th Cir. 1989).'° These institutions have
second-highest rate of institutionalization in the nation. D. Braddock et
al., The State of the States in Developmental Disabilities 93 (1998).
'* The continuing vitality of negative stereotypes toward
disability, expressed inter alia in the continued operation of segregated
institutions, reflects that the “eugenics message of selective breeding
and racial betterment [became] an integral part of high school and
college biology texts in the 1920s, 1930s, and 1940s” and “were ideas
taught to young people in our schools and to the parents at state fairs
and in popular magazines.” S. Selden, Inheriting Shame: The Story of
Eugenics and Racism in Ameica xi (1999). “[T]he dead hand of the
past continue{s] to guide the practices of the present as well as of the
future.” Id. at vii.
'S See Meyer v. Nebraska, 262 U.S. 390, 401-02 (1923)(the
historical practice of “‘putting away ... the offspring of the inferior, or
of the better when they chance to be deformed’” would “do ... violence
to both the letter and spirit of the Constitution.” (quoting Plato’s Ideal
Commonwealzth).
13
also been found to lack treatment or habilitation and are
often squalid and dangerous, as Alabama’s example starkly
shows. See supra note 4.'°
States continue to exclude students with disabilities
from regular classes and schools. In 1996-97, over twenty
years after the passage of the Education for All
Handicapped Children Act, 89.5 percent of American
children with retardation are excluded from regular
classrooms for over 80 percent of the school day; in
Alabama, the figure is 96.31 percent. For children
classified as having solely orthopedic impairments — not
cognitive disabilities, but physical disabilities — 58.46
percent remain excluded from regular class nationwide; in
Alabama one in two were so excluded.’’ U.S. Dep’t of
Educ., Twenty-First Annual Report to Congress on the
Implementation of the Individuals with Disabilities
6 Ajabama is not the only state that continues to impose
unconstitutional conditions on institutionalized people with disabilities.
See Jackson v. Fort Stanton Hosp. & Training Sch., 757 F. Supp. 1243
(D.N.M. 1990), rev'd in part on other grounds, 964 F.2d 980 (10th
Cir. 1992); New York State Ass’n for Retarded Children v. Carey, 551
F. Supp. 1165, 1170-78 (E.D.N.Y. 1982)(describing filthy, unsanitary
and unhealthy conditions, inadequate treatment, and understaffing at
multiple New York state institutions); Lelsz v. Kavanagh, 673 F. Supp.
828, 860-61 (N.D. Tex. 1987)inadequate medical care, lack of safety,
misuse of restraints, and lack of habilitation services all violated
constitutional rights of residents of Texas state institution); see also
Nancy Vogel, Retarded, Autistic Home Failed to Prevent Death, L.A.
Times (Jul. 17, 2000)(reporting egregious conditions at California’s
Sonoma institution, the nation’s first and largest).
7 See also J. Landau, Out of the Mainstream: Education of
Disabled Youth in Massachusetts (1987)(from 1974 to 1985,
segregation of students with disabilities increased 243 percent).
14
Ea ee
Education Act (IDEA)(1999)."* State-sponsored
discrimination additionally remains in employment’ and
zoning.” § The historical regime of state-mandated
discrimination has not been dismantled and remains an
ever-present barrier to equal citizenship for Americans with
| disabilities."
'8 Such segregation is emphatically not because children with
retardation cannot be included in regular classes. In 1996-97, Vermont
included 72.71 percent of its students with retardation and 87.1 percent
of students with orthopedic disabilities in regular classes. Id.
19 4 1995 study of New York State employees in four agencies,
including the Office of Mental Retardation and Developmental
Disabilities, found that people with disabilities were systemically
excluded from state employment. S. Harlan et al., Disability in Work
Organizations: Barriers to Employment Opportunity, Univ. at Albany,
State Univ. of New York (1995). Significantly, the study found little
difference between the public and private sector. “The State is first and
foremost a large employer that has much in common with other large
businesses in its bureaucratic organization of the work force.” Jd. at
- Us.
20 State laws and official conduct that the Cleburne Court found
unconstitutional persist today and require judicial remedies. Bangerter
v. Orem City Corp., 46 F.3d 1491, 1500 (10th Cir. 1995)(reviewing
Utah state law which “facially single{s] out the handicapped and
appi[ies] different rules to them”); Marbrunak v. City of Stow, 974
F.3d 43, 47-8 (6th Cir. 1992)(striking differential safety requirements
for home for retarded); Arc of New Jersey v. New Jersey, 950 F. Supp.
637, 645 (D.N.J. 1996)(striking down state law setting “permanent
quotas on the number of developmentally disabled or mentally ill
individuals who may live” in a community).
21 The irrationality of these state actions is exemplified by the
extensive empirical literature showing the competency of people with
disabilities. See e.g. J. Conroy et al., The Pennhurst Longitudinal
Study (1985)(success of formerly institutionalized people with
disabilities in community); Baller et al., Mid-Life Attainment of the
Mentally Retarded: A Longitudinal Study, 75 Genetic Psychol.
Monographs 235, 255-65, 310 (1967\marriage, voting); Gutshall et
15
C. Through the Act, Congress Sought to
Remedy and Deter Equal Protection
- Violations and Enforce the Guarantee of
Equal Citizenship.
When Congress enacted the Americans with
Disabilities Act, it clearly and unambiguously sought to
reverse the century of irrational, unconstitutional
discrimination established and enforced by authority of
every _ State. A bipartisan Congressional majority
recognized the legacy of irrational prejudice and fear that
has forced Americans with disabilities to live under
discriminatory conditions,” and set forth to make the
guarantees of the Equal Protection and Equal Citizenship
Clauses a reality for people with disabilities.
al., An Exploratory Study of the Interrelations Among Driving Ability,
Driving Exposure and Socio-economic Status of Low, Average, and
High Intelligence Males, 35 Exceptional Children 43-7 (1968)(driving).
22 See S. Rep. No. 116, 101st Cong., Ist Sess. 8 (1989)(“Our
society is still infected by the ancient, now almost subconscious
assumption that people with disabilities are less than fully human and
therefore are not fully eligible for the opportunities, services, and
support systems which are available to other people as a matter of
right.”); see e.g. 136 Cong. Rec. H2449 (May 17, 1990)(statement of
Rep. AuCoin)(persons with disabilities subjected to “myths, stereotypes
and irrational fears”); 135 Cong. Rec. $4986 (May 9, 1989)(statement
of Sen. Harkin)(people with disabilities subjected to “ false
presumptions, generalizations, misperceptions, patronizing attitudes,
ignorance, irrational fears, and pernicious mythologies”); Hearings on
H.R.. 2273 and S. 933 Before the Subcomm. on Transportation and
Hazardous Materials of the Comm. on Energy and Commerce, \0\st
Cong., Ist Sess. 1 (1989)(statement of Rep. Luken)(“ Discrimination,
whether produced by overt actions or thoughtless attitudes, produces
segregation, exclusion, impoverishment, and denial of equal and
meaningful opportunities.” ).
16
———~-
The movement to enact a civil rights statute for people
with disabilities began in 1982 with President Reagan’s call
to free people with disabilities from official discrimination
and exclusion:
Our Nation’s commitment to equal protection of the
laws will have little meaning if we deny such
protection to those who have not been blessed with the
same physical or mental gifts we too often take for
granted. I support Federal laws prohibiting
discrimination against the handicapped, and remain
determined that such laws be vigorously enforced.
National Council on the Handicapped, On the Threshold of
Independence 19 (1988)(emphasis added). Responding to
the President’s declaration, the United States Civil Rights
Commission in 1983 issued Accommodating the Spectrum of
Individual Abilities. The report, which Congress adopted
into the record of the Disabilities Act, documented the
equal protection violations people with disabilities suffered,
including the state-sponsored discrimination arising from
the “eugenics” movement.”> Following the Commission’s
3 The Civil Rights Commission found:
The harshest side of institutionalization is the systematic
placement of handicapped people in substandard residential
facilities, where incidents of abuse by staff and other residents,
dangerous physical conditions, gross understaffing, overuse 6°
medication to control residents, medical experimentation,
inadequate and unsanitary food, sexual abuses, use of solitary
confinement and physical restraints, and other serious deficiencies
and questionable practices have been reported. But even the
better institutions suffer the ill effects of segregation:
Institutions serve two central purposes. First, they
segregate disabled people from the community; and
second, they provide convenience for administrators and
instructional personnel because children with a given
disability are concentrated together and readily accessible.
As instruments of segregation, institutions are undeniably
effective . ... As settings for individual growth and
17
——
report, the National Council on the Handicapped in 1986
issued Toward Independence, which found that “ [bJillions
of public dollars are currently spent on maintaining millions
of disabled Americans in situations of unproductive
dependency, which impose artificial limits on disabled
individuals’ potential to become contributing members of
society.” Toward Independence at G-1 (emphasis added).
The report recommended a comprehensive civil rights
statute for people with disabilities.
Toward Independence and its 1988 successor, On the
Threshold of Independence, also became a part of the
Congressional record and served as the forerunner to the
Act itself. Lowell P. Weicker, Jr., Historical Background
of the Americans with Disabilities Act, 64 Temple L. Rev.
387, 391 (1991).”* Building on these three comprehensive
reports, Congress developed over two years hearings and
testimony documenting the history of equal protection
violations against people with disabilities. Former sponsor
Senator Weicker described the — state-mandated
discrimination that the Act was designed to remedy:
For years, this country has maintained a public policy
of protectionism toward people with disabilities. We
have created monoliths of isolated care in institutions
and in segregated educational settings. It is that
development, however, institutions may be the worst
possible arrangement.
Accommodating the Spectrum of Abilities 33 (quoting F. Bowe,
Handicapping America: Barriers to Disabled People 143-44 (1978)).
24 President Reagan responded, “I agree with the goals in Toward
Independence -- equal opportunity and full social participation for all
Americans”. He added, “The road toward full independence will not
be easy.” Letter from President Ronald Reagan to the Hon. Sandra S.
Perrino, Chairperson, National Council on the Handicapped (Jan. 29,
1986), in On the Threshold of Independence 5 (emphasis added).
EE
OT ee ae
—————————— CO
isolation and segregation that has become the basis of
the discrimination faced by many disabled people
today. Separate is not equal. It was not for black; it
is not for disabled.
Hearings on S. 933 Before the Comm. on Labor and
Human Resources and the Subcomm. on the Handicapped,
101st Cong., Ist Sess. 215 (1989)(empiiasis added). James
Ellis, the President of the American Association on Mental
Retardation, testified similarly:
People with disabilities have been subjected to
invidious discrimination throughout history. In the
case of individuals who have mental retardation, the
history of discrimination has been described by five
members of the Supreme Court of the United States as
“grotesque.” City of Cleburne v. Cleburne Living
Center, 473 U.S. 432, 454, 461 (1985). This
discrimination has been pervasive and has reached
almost every aspect of the lives of people with
disabilities and has denied them the most basic and
fundamental rights of American citizenship.
Hearings on H.R. 2273 Before the Subcomm. on Civil and
Constitutional Rights of the Judiciary Comm., 10\st Cong.,
Ist Sess. 418 (1989).”° Congress intended Title II as a
5 See e.g. Oversight Hearing on H.R. 4498, Americans with
Disabilities Act of 1988, Hearings Before the Subcomm. on Select
Educ., House Educ. and Labor Comm., 100th Cong., 2nd Sess. (1988)
at 10 (testimony of Justin Dart)(“America cannot afford either the
moral or economic costs of maintaining ever increasing millions of its
potentially productive citizens in unjust and unwanted dependency.” ),
31 (testimony of Eric Griffen)(“[FJorced segregation and dependency
of millions of individuals with disabilities in this country constitutes a
violation of their constitutional and basic human rights”), 62 (statement
of Bill Knight)(“[A] segregated society is created due to
institutionalization.”); Hearing on H.R. 2273 Before the House
Subcomm. on Select Educ. of the Educ. and Labor Comm., 10\st
Cong., Ist Sess. (1989) at 10 (testimony of Joseph Reum)(“We have
19
remedial measure that would guarantee equal access to
public services and that such services not act as the catalyst
for unconstitutional segregation.
D. The Act is Proportional and Congruent to
the History of Unconstitutional, State-
Sponsored Discrimination Against People
with Disabilities.
To determine whether a statute is a valid enforcement
measure, courts must “first identify the Fourteenth
Amendment ‘evil’ or ‘wrong’ that Congress intended to
remedy, guided by the principle that the propriety of any §5
legislation ‘must be judged with reference to the historical
experience ... it reflects.” Florida Prepaid Postsecondary
Educ. Expense Bd. v. College Sav. Bank, 527 U.S. 627,
639-40 (1999)(quoting City of Boerne v. Flores, 521 U.S.
507, 525 (1997)).
In Cleburne, the Court scrutinized the six proffered
grounds for the zoning ordinance and rejected all because
they furthered no governmental interest. Three of the six
grounds were based on “vague, undifferentiated fears”
(neighbors’ negative attitudes; the fears of elderly residents;
the possibility of harassment); two on irrational assumptions
about the risks the home’s location posed to the residents or
others; the last on an irrational assumption that the home’s
size would constitute a burden. While recognizing that the
retarded “suffer a disability not shared by others”, the
constitutional question was “why this difference warrants a
. regulation that others need not observe”. 473 U.S. at
experienced a segregation which shuts away the humanity ... We have
been institutionalized, we have been sheltered, we have had our choices
limited ... This legislation sets many people free who challenge the best
of our society to respect the dignity and integrity of the individual.” ).
20
a
449-50. The Court concluded “that requiring the permit in
this case appears to us to rest on an irrational prejudice
against the mentally retarded,” and accordingly struck
down the ordinance. Id. at 450.
This Court has similarly concluded that this conduct
is exactly what the Act and its antecedent statute, Section
504 of the Rehabilitation Act, 29 U.S.C. § 794, address. In
the first case reviewing Section 504, the Court held the
statute prohibits an employer from “exclud{ing] from
participation in a federally funded program ‘solely by reason
of his handicap,’ indicating only that mere possession of a
handicap is not a permissible ground for assuming an
inability to function in a particular context.” Southeastern
Community College v. Davis, 442 U.S. 397, 406 (1979).
Subsequently, this Court held the statute is “carefully
structured to replace such reflexive reactions to actual and
perceived handicaps with actions based upon reasoned and . .
‘sound judgments.” School Bd. of Nassau County v. Arline,
480 US. 273, 284 (1985\emphasis added).
“[D]iscrimination on the basis of mythology [is] precisely
the type of injury Congress sought to prevent.” /d. at 285.
In Olmstead, this Court held the Act prohibits state
conduct such as unnecessary institutionalization, that is
based on or “perpetuates unwarranted assumptions that
persons [with disabilities]. . .are incapable or unworthy of
participating in community life” or that “severely diminish
the everyday life activities of individuals, including family
relations, social contacts, work options, economic
independence, educational advancement, and cultural
enrichment.” Olmstead, 527 U.S. at 600-01. Thus, if
including a person with a disability in the community is
reasonable and does not fundamentally alter the state’s
disability services program, the state’s exclusion of the
person from the community is irrational and would withstand
21
neither the Act nor the Fourteenth Amendment. See
Olmstead, 527 U.S. at 602.76
The Act is proportional because it imposes no duty
except with regard to qualified persons with disability.
Under Title 1, undue burden and fundamental alternation
modify the duty; under the public services provisions of
Title II, only fundamental alteration obtains. H.R. Rep.
101-4851), 101st Cong., 2nd Sess. 50 (1990). Just as
Justice White did in Cleburne, the only way to be sure
whether state action is prohibited under the Act is
thoughtfully to consider whether the reasons given are
factually correct and not based on myth, stereotype or
ignorance. In short, the question required by the Act is
whether upon analysis, the reasons dissolve to prejudice.
See Bragdon v. Abbott, 524 U.S. 624, 650 (1998)(decisions
covered by the Act must be based on “objective
evidence” ); see also Olmstead, 527 U.S. at 602.
Considering the Act’s coverage and defenses, the
constitutional violations that Title II prohibits are
proportional if not identical to those forbidden unanimously
by the Court in Cleburne. Petitioners dismiss Cleburne on
“level of scrutiny” grounds while deliberately avoiding the
content of the Court’s opinion. Under Cleburne, it is not
true that “any excuse” will suffice; rather, conduct “whose
relationship to an asserted goal is so attenuated ... render[s]
the distinction arbitrary or irrational.” 473 U.S. at 446
(citations omitted). The Act is no different: it prohibits
conduct that differentiates on the basis of, or discriminates
against, disability when, after careful consideration of the
© The Court has recognized that “[IJegislation which deters or
remedies constitutional violations can fall within the sweep of Congress’
enforcement power even if in the process it prohibits conduct which is
not itself unconstitutional and intrudes into ‘legislative spheres of
automony previously reserved to the States.’” City of Boerne, 521
U.S. at 518 (quoting Fitzpatrick v. Bitzer, 427 U.S. 445, 455 (1976)).
22
Act’s defenses, no rational justification for the conduct
exists.
ll. THE COURT SHOULD AFFIRM _ THAT
DISABILITY-BASED CLASSIFICATIONS ARE
SUBJECT TO HEIGHTENED SCRUTINY.
Amici submit that the Court should acknowledge and
affirm the heightened scrutiny review for disability-based
classifications that the Court actually applied in Cleburne,
with five Justices saying so and all nine doing so. Certainly,
this Court has never applied the “minimal scrutiny”
Petitioners seek here. Moreover, if Petitioners’ arguments
are accepted, the Court’s analysis in Cleburne would be
invalid and stood on its head.
A. A Holding that the Act is Unenforceable
Against States Would Render Invalid the
Cleburne Court’s Analysis and its Protections
for People with Disabilities.
In unanimously striking down the Texas ordinance, the
Cleburne Court acknowledged the long and invidious state-
sponsored discrimination against people with disabilities,
calling it “grotesque.” 473 U.S. at 454, 461. As stated
above, the Court conducted a “searching review” of each
of the six reasons offered to justify the exclusionary statute
and rejected each as bearing no relation to a legitimate
governmental concern. /d. at 457. In so doing, the Court
applied a test which Justice White called “rational basis”
but which is in fact identical to heightened scrutiny review.
Indeed, five Justices so found. Justice Marshall, joined by
Justices Brennan and Blackmun, explicitly found the Court
used “precisely that sort of probing inquiry associated with
heightened scrutiny.” Id. at 458.
23
Justice Stevens rejected Justice White’s categorization
of the Cleburne test as “minimal” and explicitly eschewed
categories of scrutiny. Instead of the talismanic application
of rigid levels of review, Justice Stevens recognized that
“classifications based on ... mental retardation{] do not fit
well into sharply defined classifications,” id. at 451, and
applied a simple syllogism. When the “class ... harmed by
the legislation” has been “subjected to a ‘tradition of
disfavor’ by our laws”, Id. at 453, the Court must carefully
scrutinize the proffered justification for the state action.
Justice Stevens found that his standards apply to disability
because persons with retarded “‘have been subject to a
history of unfair and often grotesque mistreatment.’” Jd. at
454 (citation omitted). Thus, although not using the words
“heightened scrutiny,” Justice Stevens and Chief Justice
Burger, as well as three other Justices, rejected “minimal
scrutiny” and required a review identical to heightened
scrutiny for the Cleburne zoning ordinance.
Cleburne held that disability-based classifications fall
when based on “mere negative attitudes or fear” or “[p]ri-
vate biases,” 473 U.S. at 448, exactly like gender-based
classifications, which the Court has long held “must be
applied free of fixed notions concerning the roles and
abilities of males and females.” Mississippi Univ. for
Women v. Hogan, 458 U.S. 718, 724 (1982). Under
heightened scrutiny, a statutory classification fails if it
“reflects archaic and stereotypic notions.” Jd. Yet if, as
Petitioners urge, the congruence of these tests is ignored,
“rational basis” threatens to do what the Cleburne Court
warned should not happen: it would leave people with
disabilities “unprotected from invidious discrimination.”
473 U.S. at 446.”” Amici submit that the semantic game of
"Tn finding that Justice White refused to name a higher level
of scrutiny but applied one in practice, Justice Marshall warned that the
24
seems Ersgesesh=raimilic'= “Sint TIS OIE ECB PRESS eR SERENE SA (I iC
words should be ended: The Court must affirm that people
with disabilities are a quasi-suspect class and that disability-
based classifications must be reviewed with heightened
scrutiny.
In recommending what he called “rational basis”
review, Justice White relied significantly on existing anti-
discrimination laws. He reasoned that such laws meant that
persons with disabilities are not “politically powerless in
the sense that they have no ability to attract the attention of
the lawmakers” and exemplified a lack of “continuing
antipathy or prejudice and a corresponding need for more
intrusive oversight by the judiciary.” Jd. at 445-46. The
Disabilities Act would presumably rank among the laws
evincing a changed attitude toward disability as well as the
influence of disability organizations. Thus the inherent
paradox presented here: a lower level of scrutiny threatens
to render unenforceable the very laws that justified
lowering the level of scrutiny.
Ignoring the analysis of all three opinions, and
ignoring that nine justices were unanimous in what the
Court actually did, Petitioners wield “rational basis” as a
sword with which they urge this Court to cut down the laws
and protections whose existence Justice White used as the
very grounds for finding only a limited review necessary.
People with disabilities therefore would be deprived of the
heightened constitutional protection of their rights because
they were able to obtain the statutory protection which this
“searching inquiry” of the Cleburne majority would be ignored by
future litigants and courts. “[TJhe Court provides no principled
foundation for determining when more searching inquiry is to be
invoked.” 473 U.S. at 460. Fifteen years later, Justice Marshall's
fears have been realized as Petitioners use Cleburne to argue for near-
total deference to states in setting classifications affecting people with
disabilities.
25
Court is now being asked to find unenforceable.”
Conversely, people with disabilities would be deprived of
the statutory protections Congress found necessary to
prevent state-sponsored constitutional deprivations because
they had the power to obtain that protection from Congress.
This is a classic Catch-22. The authors of Cleburne could
neither have intended nor foreseen such perverse irony.
Had Justice Stevens known that his refusal to apply the
rigid three-tier construct would be used to cut down one of
the most important civil rights laws for people with
disabilities, Amici submit that he would have agreed to label
his review as “heightened scrutiny,” given his rejection of
irrational, prejudicial state conduct.
B. The Court Has Not Set “Minimal
Scrutiny” as the Level of Scrutiny for
Disability-Based Classifications.
Petitioners also misstate the Supreme Court’s previous
constitutional holdings on disability-based classifications.
The cases Petitioners cite did not reach the question of,
much less decide, the level of scrutiny to apply.
In Schweiker v. Wilson, 450 U.S. 221 (1981), the
Court did not reach the question of what level of scrutiny to
apply because, it explicitly held, the challenged statute was
not a disability-based classification. The Court ruled it had
“no occasion to reach this issue [level of scrutiny] because
* Also ironic is Justice White’s finding that “rational basis”
review would facilitate remedial legislation for people with disabilities.
473 U.S. at 444 (“[MJerely requiring the legislature to justify its efforts
... May lead it to refrain from acting at all.”) Yet Petitioners here use
this analysis to argue for the unenforceability of perhaps the most
prominent remedial measure any legislature has enacted for people with
disabilities.
26
we conclude that this statute does not classify directly on
the basis of mental health.” Jd. at 231.
As to Heller v. Doe, 509 U.S. 312 (1993), the Court
again explicitly declined to determine the level of scrutiny
applicable to disability-based classifications. In Heller, the
Court held that the respondents were estopped from arguing
for heightened scrutiny because they had failed to do so
below. Id. at 318-19; see also id. at 334 (O’Connor,
J.)(finding state’s classification irrational and agreeing that
“I would not reach the question whether heightened equal
protection scrutiny should be applied” ).
And in Cleburne, Justice White’s statement is in any
event classic dicta because the question of level of scrutiny
is unnecessary to the Court’s ultimate holding. The Court
held unanimously that the Texas ordinance could not
withstand any constitutional standard of review, including
rational basis. 473 U.S. at 448-49. Justice White’s
statement is also on behalf of only four Justices. Thus,
Justice White’s articulated choice of level of scrutiny is not
binding as precedent. Metropolitan Stevedore v. Rambo,
515 U.S. 291, 300 (1995)(Kennedy, J.)(“Breath spent
repeating dicta does not infuse it with life”); McLaren v.
Fleischer, 256 U.S. 477, 482 (1921).
C. The History of Invidious Discrimination
Against People with Disabilities Justifies
Heightened Scrutiny.
Moreover, the states’ history of purposeful unequal
treatment, see San Antonio Indep. Sch. Dist. v. Rodriguez,
411 U.S. 1, 28 (1973), against people with disabilities
justifies the Court’s “searching analysis” of disability-based
classifications. | State-sponsored discrimination against
people with disabilities strongly parallels discrimination on
the basis of race, national origin, and gender. In Cleburne,
27
Justice Marshall recognized that state-sponsored
discrimination against the disabled “in its virulence and
bigotry rivaled, and indeed paralleled, the worst excesses of
Jim Crow.” Id. at 461. Indeed, states often excluded
people with disabilities from public services and programs
to the same extent as racial and ethnic minorities and
women, sometimes more so. Cf. Plyler v. Doe, 457 U.S.
202 (1982)(school exclusion). Just as the United States
restricted certain ethnic minorities from immigrating, see
Chinese Exclusion Cases, 130 U.S. 581 (1889), similar
restrictions applied to people with disabilities. United
States ex rel. Fink v. Todd, 1 F.2d 246, 249 (2d Cir.
1924)(barring Polish immigrant who was deaf and
“feebleminded”), rev’d on other grounds, 267 U.S. 571
(1925). | Likewise, states barred or criminalized the
migration of people who were “lunatics,” “infirm,”
“maimed, “deaf,” or “dumb.” See supra note 11 (listing
state statutes); cf: Edwards v. California, 314 U.S. 160
(1941).
During the: early twentieth century, “a time when
xenophobia had become almost a national disease,” states
repeatedly linked disability to any ethnic group considered
“inferior.” K. Stampp, The Tragic Legend of
Reconstruction, in Era of Reconstruction 19 (1965). Henry
H. Goddard, a leading proponent of state policies to
segregate or eliminate the disabled, tested the I.Q. of
immigrants at Ellis Island in 1917 and found that 79 percent
of Italians, 80 percent of Hungarians, 83 percent of Jews,
and 87 percent of Russians were “feeble-minded.” H.
Goddard, Mental Testing and the Immigrants, 2 J.
Delinquency 243, 249, 252 (1917). Superintendents of state
institutions urged the U.S. Congress to bar certain
nationalities from entry due to their “propensity for
defectiveness.” J. Trent, Inventing the Feeble Mind 168-69
(1994).
28
Policies asserting the “inferiority” of people with
disabilities also mimicked discriminatory laws, policies and
attitudes against African-Americans. Publications such as
The. Menace of the Feebleminded in Connecticut (1915)
differed little from such Jim Crow texts as The Negro: A
Menace to American Civilization (1907). “Southern
treatment of feeble-minded individuals closely mirrored
white attitudes toward blacks in the early years of the
twentieth century.” S. Noll, Feeble-Minded in Our Midst
90 (1995). Many leading eugenicists were avowed white
supremacists. Charles Davenport, who authored Heredity in
Relation to Eugenics (1911) and State Laws Limiting
Marriage Selection in Light of Eugenics (1913), argued for
marriage restrictions on and sterilization for both the
“mentally deficient” and African-Americans. As with
people with disabilities, Davenport prescribed that African-
Americans “shall not be given a license to marry a white
person without a certificate from the State Eugenics
Board.” Inheriting Shame at 49-53; cf. Loving v. Virginia,
388 U.S. 1, 12 (1967).
The state-mandated segregation and exclusion of
people with disabilities followed the Court’s ruling in
Plessy v. Ferguson, 163 U.S. 537, 544-52 (1896).”” Plessy
held that the Fourteenth Amendment was no barrier to
segregation, and its example legitimized the states’
segregation of people with disabilities in institutions and
schools. See S. Gould, The Mismeasure of Man 231
(1995)(1922 U.S. Army finding that 89 percent of African-
2 The call to segregate disabled Americans also parallels the
internment of Japanese-Americans during World War Il. Cf.
Korematsu v. United States, 323 U.S. 214 (1944).
29
Americans tested as “morons” used to justify racial
segregation in schools).”°
CONCLUSION
For the foregoing reasons, Amici respectfully urge the
Court to affirm the decision below and that disability-based
classifications are subject to heightened scrutiny review.
Respectfully submitted,
Thomas K. Gilhool
Counsel of Record
Michael Churchill
Judith A. Gran
Barbara E. Ransom
Max Lapertosa
PUBLIC INTEREST LAW CENTER
OF PHILADELPHIA
125 South Ninth Street, Suite 700
Philadelphia, PA 19107
August 11, 2000. Counsel for amici curiae
© The parallel between racial segregation and exclusion of
children with disabilities was explicit in the final defense of racially-
segregated schools. In his oral argument to the Court in Brown v.
Board of Educ. , 347 U.S. 483 (1952), John W. Davis, who argued the
case for South Carolina, opened his argument with the following
warming:
May it please the Court, I think if the appellants’ construction of
the Fourteenth Amendment should prevail here ... I am unable to
see why a state would have any further right to segregate ... on
the ground of mental capacity.
L. Freedman et. al, Argument 51 (1989)(quoting Oral Arg. in Brown v.
Bd. of Educ.).
30
—
APPENDICES
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ex
~
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s ; ~ :
: en ats ieee Cpl a Loans
APPENDIX A
—_-
fk
EDITOR'S NOTE
THE FOLLOWING PAGES WERE POOR HARD COPY
AT THE TIME OF FILMING. = If AND WHEN A
BETTER COPY CAN BE OBTAINED, A NEW FICHE
WILL BE ISSUED.
APPENDIX A
COMPENDIUM OF PURPOSEFUL STATE ACTION
FOR THE SEGREGATION AND EXCLUSION OF
RETARDED PERSONS IN THE FIFTY STATES
AND THE DISTRICT OF COLUMBIA
This Appendix presents the official actions of the
states promoting and requiring by statute the segrega-
tion of retarded people.* Amici have included a sampling
of state reports of agencies, officials, committees and
boards that constitute the legislative history and the post-
enactment history of the laws that were adopted. ** All
italics have been added by amici.
CONTENTS
Page
Northeastern States.........------ eee ee eres A-1l
Cees os ins os ha ee toe ee A-1
I Te he 5 wie ee eR eS A-4
ee ea aus heed ee eee aewek See A-5
Maryland ..... Cuveliels cesar eon ees A-5
EE) i en en na say so A-6
New Hampshire ..........-------:+2s+eeee> A-9
SP, rer rr rrr rt rere rk A-10
ide a ook cbc che ee rae ees A-12
Pennsylvania.........---++-+++-+++s+eeett: A-18
*In addition to the 50 states. the federal law enacted by the
United States Congress to segregate retarded people found in the
District of Columbia is set out at A-76-81
**For a sampling of state actions affecting retarded people in
other areas. ¢.g.. restrictions on marriage. voung,. and education. see
Appendix B to the Amici Brief of the American Association of Mental
Deficiency. et al.
A-i
CONTENTS—( Continued )
Page
Rhode Island.............-:seceeceeeeeees A-20
Vermont... 1... ec ccc ener eee ee eeees A-21
Midwestern States ............-.. 05s serene A-22
BUMANGAR. gcc cc cece ese eens ere eenenente A-22
ee ee ere ee A-22
NG cack neh tka Koen eee a ds eeeeeet ere Ews A-25
ee re ee er rie A-26
Kentucky ...... 0.65 cee cc cece ence cree ens A-29
Michigan ............0-eecee cece n eee neee A-29
Minnesota ...........--00 00 eee eee eects A-32
rr are ore A-32
ey ee i a A-33
North Dakota .. 0... cc ccc erence nsans A-35
CR ica v eager nts sth esd Seer OWEET EDM A-36
Sonsths Dakota .. oo ccc cence cen sennewee A-37
So ee Pr rt oe A-42
Southern States............2- ccc cece e een eee A-44
ee EE ee eT eee ree A-44
NE ek ced eke RR Re A-45
PEPE Treo eerie ee re A-45
es rene barre. ei ee a A-45
y ee er EE Ere in sy eee oe a Le A-46
i eg ad bene edun wes A-48
? I ni tink xn cr cees Coan Pere eaees A-47
CONTENTS— Continued )
Page
0 ae Are eee kn ee. A-49
: eats COS ng ccs ee ee eee sn anenew ss A-50
ee os Vaca 08 os Cee ek ee nen A-51
koe aula ds Kee ee Re A-52
eS ESSERE Pere erie Terres Poa. ca, A-57
West Virgie .. . «6c eect tere cre nrees A-60
Western States..........----- ccc e cere eee A-61
SEO OLE PELE SUE EE EE ee A-61
NU ia ue w on wk ewe emer A-61
So ey ba wey an ote wee Kee A-62
Ly ce toaeened ee eeeerere ees A-67
re ve cane beers sean rere A-68
Se ee pay Ck egw hn ee Ram eae a .. A-68
EF EE ENE AE EET ee 4-69
Nn os oa eelob he ke ae 6 kee A-70
re So as cos cme emia ster end A-70
I ais ae ne tes tekst nde e esins 4-70
i gas ap eee eee eee rowke A-72
Washington...........------- essere eee 4-73
ee ee A-75
District of Columbia.............. 4-76
Northeastern States
Connecticut. The first recorded provision of a spe-
cialized facility for retarded people in this country oc-
curred in Connecticut when the American Asylum for
the Deaf and Dumb, located in Hartford, in 1818 counted
among its students a few “idiot children.” REPORT OF
THE COMMISSIONERS ON IDIOCY TO THE GENERAL AS-
SEMBLY OF CONNECTICUT 62 (1856). Later, the Con-
necticut legislature provided some funding for a private
school in Lakeville. After the turn of the century, though.
that facility began receiving a sharply increased number
of residents. and it soon became a custodial institution.
In 1906 the Director was already reporting that “remov-
als are almost unknown.” REPORT OF THE DIRECTORS
AND SUPERINTENDENT OF THE CONNECTICUT SCHOOL
FOR IMBECILES 6 (1906).
By 1908 the operators of the facility claimed they had
“a wide knowledge of the imperative need of providing
permanent custodial care for the safeguarding of girls
and women of feeble mind, and a growing appreciation
of the preventive value of equal custodial care for the
male of evil tendencies. Backed by effective legislation
the care of the defective has resolved itself into a com-
paratively simply matter... .” REPORT OF THE DIREC-
TORS AND SUPERINTENDENT OF THE CONNECTICUT
SCHOOL FOR IMBECILES 12 (1908). “(T]he surest, most
humane and most economical solution of the problem of
prevention lies in providing custodial care for the feeble
minded of every condition and for a lifetime.” Id. at 13.
In 1911, the General Assembly enacted a statute pro-
viding that “imbecile(s]” could be admitted to the
Lakeville facility by application of the “selectmen” of any
town. 1911 Conn. Pub. Acts 1493. ch. 211. In 1913 the
state formally took control of the institution by enact-
ment of a statute specifying that its “object” would hence-
forth be the “custody” of any “imbeciles resident of this
state.” 1913 Conn. Pub. Acts 1765, ch. 160, §1.
A-1
A-2/Connecticut
The following year, state officials reported that they
were “of the opinion that the problem of the feeble-
minded in the State of Connecticut urgently demands a
much more adequate provision for these unfortunate in-
dividuals than is now supplied. It has been estimated that
there must be at least three thousand feeble-minded in
_the State, and at the present time, provision is made for
only three hundred. It is anow recognized fact that feeble-
mindedness is to a much greater extent than insanity an
inheritable condition and it is known that this class is
particularly prolific. The criminal, the alcoholic, and the
prostitute are all recruited from the ranks of the feeble-
minded. The only practicable way to restrict the growth
of the feeble-mindedness in the state is to segregate the
feeble minded and particularly feeble-minded women
during the child bearing-period. The question to be de-
cided is really this: Shall we of this generation accept the
burden of this care, or shall we hand on to the next gen-
eration a much larger share? Undoubtedly failure to now
segregate the feeble-minded will result in an increasing
prevalence of the condition as time goes on.” STATE OF
CONNECTICUT, BIENNIAL REPORT OF CONNECTICUT
SCHOOL FOR IMBECILES. LAKEVILLE. CONN... FOR Two
YEARS ENDED SEPTEMBER 30, 1913-14, at 8 (Pub. Doc.
No. 15, 1915). The report also recommended that the
“institution should not be situated in the midst of a pop-
ulous village. While it should be convenient to railroad
communication, it should be somewhat remote from the
centers of population for reasons that are obvious.” Id. at
2 7
In order to gain public support for the new facility.
Superintendent Charles T. LaMoure and the Board of
Trustees of the School for Imbeciles published and dis-
tributed widely a pamphlet in which they claimed an ur-
gent need to “[s]top the supply of the vicious, the weak.
the no-willed people who cannot support themselves in
the community — of the criminals and prostitutes and
paupers, by cutting off the supply at its source. namely
The Northeast/A-3
— by providing adequate custodial care for the feeble-
minded of the State.” THE CONN. SCHOOL FOR IMBE-
CILES, THE MENACE OF THE FEEBLE-MINDED IN CON-
NECTICUT 9 (1915). These “feeble-minded” people,
“though really children, are allowed to go about through
the community as though they were adults. They have
an impaired sense of right and wrong, weak will power
and no power of realizing the future... .
“Moreover, the feeble-minded are unusually prolific.
Therefore the longer the State of Connecticut delays in
making adequate provision for the feeble-minded, the
greater the burden of feeble-mindedness she will have to
bear in future /sic].” Id. at 3. But they proposed a solu-
tion: “The State has the opportunity of buying for this
institution a large tract of forest and arable land — be-
tween six and seven hundred acres. . . . This property is
in the central part of the State, remote from centres of
population ... and there is room for the institution to
grow indefinitely.” Id. at 13. For this purpose, “({t|he trus-
tees of the Connecticut School for Imbeciles are asking
the General Assembly for authority to sell the present
plant, and to use the proceeds and $200,000 to be ap-
propriated by the State in the purchase of this property,
and in equipping it for the needs of the institution. This
would provide, aside from the necessary alterations to
buildings, etc., sufficient cattle and farming implements.
so that the institution could produce its own milk and
vegetables, using for the most part the labor of its high
grade patients.” Id. at 14.
On February 25, 1915, a hearing was held before the
state legislature’s Committee on Humane Institutions.
One witness testified that “hardly a week goes by but
what we have a case of a feeble-minded girl or boy called
to our attention. We have no way of getting rid of these
kinds of cases.” Connecticut School for Imbeciles: Hear-
ings on H. B. No. 644 Before the Joint Standing Com-
mittee on Humane Institutions 20 (typed transcript. Feb.
25, 1915) (statement of Mr. Kerner of Waterburv). An-
A-4/Con necticut
other thought it necessary for “every teeble-minded child
in the school |to be] eliminated or placed in a special
class.” Id. (statement of Miss Wright of Stanford). Su-
perintendent Alexander Johnson of New Jersey's insu-
tution at Vineland brought to the Committee's attention
“this book called. ‘The Menace of the Feeble-Minded in
Connecticut,’ which was gotten up by the Board of Trus-
tees for the School of Imbeciles, and | would recommend
anyone who has any doubt as to the proper care of that
class to read this book verv carefully.” Ja. at 2 (statement
of Dr. Johnson).
On May 20, 1915. the Connecticut legislature fol-
lowed the recommendations of the state officials and the
witnesses at the hearing 2nd appropriated the $200,000
requested for an ambitious construcuon project on state-
owned land at Mansfield Depot, an isolated railway stop
sixty miles northeast of Hartford.
By the time he wrote his 1916 Biennial Report. Su-
perintendent LaMoure thought that “|t]he dangers as-
sociated with allowing the feeble-minded to remain at
large among the general population have been so tre-
quently discussed that it is not necessary to do more than
refer to them.” STATE OF CONNECTICUT. BIENNIAL RE-
PORT OF THE CONNECTICUT TRAINING SCHOOL FOR
FEEBLE-MINDED. LAKEVILLE. CONN.. FOR THE TWO
YEARS ENDED SEPTEMBER 30, 1915-16. at 7 (Pub. Doc.
No. 15, 1917). He looked forward to the compleuon ot
the new institution, where, he noted, “|m|anv of the male
inmates ... are capable of doing a considerable amount
of satisfactory farm work under supervision. and. with a
proper farm we should be in a position to improve the
quality of our tood and save the State a considerable
amount of money by raising vegetables, producing our
own milk and eggs. and using rather than wasting our
garbage by the keeping of pigs.” Id.
Delaware. On March 21, 1917. the Delaware Gen-
eral Assembly established the state's tirst home tor “the
teeble-minded.” 1917 Del. Laws 597. ch. 172. The in-
ree Te ee a Pe ee
The Northeast/A-5
stitutionalization of such persons could be sought by “anv
reputable citizen of the State,” which was to be ordered
by the county judge “when by reason of such mental
condition, or of existing social conditions, it would be
detrimental toany community of this State toallow such
person to remain at large.” Id. §9.
The legislature also adopted “AN ACT to provide for
the sterilization of certain mental detectives,” 1923 Del.
Laws, ch. 62, authorizing the surgery for those at the
state home for whom a “physician, alienist and superin-
tendent unanimously determine that procreation is
unadvisable.” Id.
Maine. |n 1907, the Legislature of Maine established
the “Maine School for Feeble Minded.” 1907 Me. Acts
42, ch. 44. A special committee chaired bv Governor Wil-
liam T. Cobb “[a|fter careful consideration,” located the
institution “on an area of farmland... . The plan called
for a large tract of land, which should be removed from
any large town....” Hood, Pinelund Observer, in
PINELANDS, 60 YEARS: 1908-19687L. Moore, ed. 1968).
In 1921, the lawmakers extended those eligible tor
commitment to “idiotic and feeble-minded males. be-
tween the ages of six years and forty vears. and females,
between the ages of six years and forty-five vears.” 1921
Me. Acts 65, ch. 60. Four vears later, the legislature au-
thorized sterilization for all those for whom that surgerv
“may be indicated for the prevention of the reproduction
of further teeble-mindedness.” 1925 Me. Acts 198. ch.
208.
Maryland. On March 31, 1888. the General Assem-
bly of Maryland passed “AN ACT to establish an asvlum.
and training school for the feeble minded of the State of
Maryland.” 1888 Md. Laws 268, ch. 183. In 1906, the
lawmakers mandated that the institution “receive. care
for and educate, free of charge, all idiotic, imbecile and
feeble-minded persons in this state” approved by the
board of visitors of the facilitv. 1906 Md. Laws 653. ch.
362. The law. required that “all such persons shall re-
A-6/Maryland
main in the care, custody and control of the visitors of
said institution, and the visitors of said institution are
hereby authorized to retain all such persons in their care,
custody and control at said institution, until such time as
in the judgment of said visitors, or a majority of them, the
welfare of such persons and the public interest shall jus-
tify or call for their release. .. .” Id. at 653-54.
The Board of Visitors campaigned vigorously for in-
creased admissions. These reports revealed the
institution’s segregating purposes: “One of the sad fea-
tures which hangs as a black cloud over the work, is the
fact that some hundreds of children, many of whom are
a burden to the family and a menace to the community
in which they live, are continuously knocking at our doors
for admission, but only a small number of these can be
received solely for want of funds to maintain them, though
we have empty beds awaiting their reception.” TWENTY-
FOURTH REPORT OF THE BOARD OF VISITORS OF THE
ROSEWOOD STATE TRAINING SCHOOL, OWINGS MILLS,
BALTIMORE COUNTY 5 (1936).
Massachusetts. As a result of a legislatively com-
missioned report authored by Dr. Samuel Gridley Howe
of the Harvard Medical School, S. G. HOWE, FIRST COM-
PLETE REPORT MADE TO THE LEGISLATURE OF MASS-
ACHUSETTS UPON IDIOCY 16, 30-55 (Mass. Sen. Doc. No.
51, 1848), the Massachusetts legislature. on May 8, 1848
appropriated $2,500 for an experimental school for idi-
otic children to be located in a wing of the Perkins In-
stitute for the Blind in Boston. Howe was named direc-
tor, and ten indigent “idiots” were selected as pupils.
THIRD AND FINAL REPORT ON THE EXPERIMENTAL
SCHOOL FOR TEACHING AND TRAINING IDIOTIC CHIL-
DREN 305 (1852).
With perhaps a premonition of the evils that lurked
in his creation, Howe stated in his final report: “Now the
danger of misdirection in this pious and benevolent work
is, that two false principles may be incorporated with the
projected institutions which will be as rotten piles in the
The Northeast/A-7
foundations and make the future establishments deplor-
ably defective and mischievous. These are, first, close
congregation; and, second, the life-long association of a
large number of idiots; whereas, the true, sound princi-
ples are: separation of idiots from each other; and then
diffusion among the normal population. . . . For these and
other reasons it is unwise to organize establishments for
teaching and training idiotic children, upon such prin-
ciples as will tend to make them become asylums for life.
... Even idiots have rights which should be carefully
considered! At any rate let us try for something which
shall not imply segregating the wards in classes, remov-
ing them from our sight and knowledge, ridding our-
selves of our responsibility as neighbors, and leaving the
wards closely packed in establishments where the spirit
of pauperism is surely engendered, and the morbid pe-
culiarities of each are intensified by constant and ciose
association of others of his class.” S. G. HOWE, REPORT
OF THE SUPERINTENDENT TO THE TRUSTEES OF THE
MASSACHUSETTS SCHOOL FOR IDIOTIC CHILDREN
(1874).
Howe's advice was forgotten and, by 1886, the Mas-
sachusetts legislature had established “a custodial de-
partment” for “custody of feeble-minded persons bevond
the school age or not capable of being benefited bv school
instruction.” 1886 Mass. Acts & Resolves. ch. 298, §1.
After the turn of the century, commitment procedures
were modified to permit any person. not just relatives. to
seek the commitment of “feeble-minded” persons to the
institution. See 1904 Mass. Acts & Resolves, ch. 459. §5;
1906 Mass. Acts & Resolves, ch. 508, §12.
The superintendent of Massachusetts’ institution,
Dr. Walter E. Fernald, reported in 1908 that “[t]he ex-
istence of this large institution is largely due to the de-
mands of parents, physicians, clergymen. court officers.
social workers, and thoughtful people generally, that
feeble-minded women should be permanently removed
from the community. In this State there is an urgent de-
A-8/Massachusetts
mand for the commitment and permanent detention ot
the higher grade cases of defect. where the social inca-
pacity and the moral weakness are more obvious than
the mental backwardness. These cases cannot support
themselves, and are most undesirable and troublesome
members of society.” SIXTY-FIRST ANNUAL REPORT OF
THE TRUSTEES OF THE MASSACHUSETTS SCHOOL FOR
THE FEEBLE-MINDED AT WALTHAM. FOR THE YEAR END-
ING NOVEMBER 30, 1908, at 22-23 (1909).
On June 12, 1912, Superintendent Fernald deliv-
ered an influential speech as the Annual Discourse be-
fore the Massachusetts Medical Society. printed and
widely distributed in pamphlet form bv the Massachu-
setts Society for Mental Hygiene: “The past few vears
have witnessed a striking awakening of professional and
popular consciousness of the widespread prevalence of
feeble-mindedness and its influence as a source of
wretchedness to the patient himself and to his family.
and as a Causative factor in the production of crime. pros-
titution, pauperism. illegitimacy, intemperance and other
complex social diseases. .. . The social and economic
burdens of uncomplicated feeble-mindedness are only too
well known. The feeble-minded are a parasitic, preda-
tory class, never capable of self-support or of managing
their own affairs. The great majority ultimately become
public charges in some form. They cause unutterable sor-
row at home and are a menace and danger to the com-
munity. Feeble-minded women are almost invariably im-
moral, and if at large usually become carriers of venereal
disease or give birth to children who are as defective as
themselves. The feeble-minded woman who marries is
twice as prolific as the normal woman. .. . [S/egregation
carried out thoroughly for a generation would largely re-
duce the amount of feeble-mindedness. The high-grade
female imbecile group is the most dangerous class. Thev
are not capable of becoming desirable or sate members of
the community. They are never able to support them-
selves. They are certain to become sexual offenders and
ee a ee ee a ae ee, *
The Northeast/A-9
to spread venereal disease or to give birth to degenerate
children. Their numerous progeny usually become pub-
lic charges as diseased or neglected children, imbeciles.
epileptics, juvenile delinquents or later on as adult pau-
pers or criminals. The segregation of this class should be
rapidly extended until all not adequately guarded at home
are placed under strict sexual quarantine. Hundreds of
known cases of this sort are now at large becausé the
institutions are overcrowded. Only 2000 feeble-minded
persons are now cared for in institutions in this State.
and over 1000 applicants are awaiting admission to the
institutions. There is an urgent demand for greatly in-
creased institutional provision for this class... .” W.
FERNALD, THE BURDEN OF FEEBLE-MINDEDNESS 3. 7,
10 (1912).
New Hampshire. On March 22. 1901, the New
Hampshire General Court enacted legislative to “estab-
lish and maintain” the “New Hampshire School for the
Feeble-minded Children.” 1901 N.H. Laws 597, ch. 102,
§1. Although that law limited admissions to “the idiotic
and feeble-minded, between three and twentv-one vears
of age,” id., amendments added four years later made
provision for others “after they reach the age of twentv-
one, if in the judgment of the board of trustees their seg-
regation seems to be for the best interests of the commu-
nity...." 1905 N.H. Laws 413, ch. 23, §1. first for women,
id., and later for men as well, 1917 N.H. Laws 645. ch.
141, §1. Later, in 1917, the General Court adopted “AN
ACT PERMITTING STERILIZING OPERATIONS” for
those for whom that surgery “may be indicated for the
prevention of the reproduction of further feeble-
mindedness.” 1917 N.H. Laws 704, ch. 181, §2. In 1929.
the law was extended to permit the superintendent of the
institution, if “of opinion that it is for the best interests of
the inmate and of society” to authorize the surgery with-
out the consent of the “feeble-minded” resident. if after
a hearing the governing board of the institution finds that
the resident “is the probable potential parent of socially
——eeeeeeeree
A-10/New Hampshire
inadequate offspring likewise afflicted.” 1929 N.H. Laws
162, 164, ch. 138, §§1, 6.
New Jersey. The New Jersey General Assembly in
1888 established the first New Jersey “home” for the
“feeble-minded” at Vineland. 1888 N.J. Laws. 267, ch.
208.
By 1906, state officials were calling for permanent
segregation: “It is a fact that the Institutions in New Jer-
sey for the care and training of the feeble-minded do not
begin in any way to cover the number of those who should
be in the Institutions, and it seems that the Governor. the
_ Legislature and the Commissioner of Charities in their
wisdom might hold a conference with the Boards of the
Feeble-Minded Institutions, looking towards the segre-
gation of all the feeble-minded who are now at large. The
feeble-minded belong to that class of defectives of either
hereditary degenerates or whose condition is of such a
character as should be treated like them. and for whom
the time has come for complete and permanent control.”
ANNUAL REPORT OF THE STATE HOME FOR THE CARE
AND TRAINING OF FEEBLE-MINDED WOMEN AT
VINELAND, 1906, at 6 (1907). The report indicated that
“(t]he most celebrated authorities on the care and seg-
regation of the feeble-minded and other defectives are
very much in favor of the colonization of all defectives
where the development of its members could be properly
classified.” Id. at 7.
The legislature began its response in 1911, by pass-
ing “An Act to authorize and provide for the sterilization
of feeble-minded (including idiots, imbeciles and mo-
rons).” 1911 N.J. Laws 353, ch. 190. That law created a
“Board of Examiners of Feeble-minded,” which, upon a
“find|ing] that procreation is inadvisable and that there is
no probability that the condition of such inmate so ex-
amined will improve to such an extent as to render pro-
creation by such inmate advisable,” was authorized “to
The Northeast/A-11
perform such operation for the prevention of procreation
as shall be decided by said board of examiners to be most
effective... .” Id. §§ 1, 3.
Two years after its enactment, the New Jersey Su-
preme Court ruled that New Jersey's law violated the right
to equal protection of the laws. Smith v. Board of Exam-
iners of Feeble-Minded, 85 N.J.L. 46, 88 A. 963 (1913).
The court noted that “the feeble-minded and epileptics
are not the only persons in the community whose elim-
ination as undesirable citizens would, or might in the
judgment of the legislature, be a distinct benefit to so-
ciety. . . . Racial differences, for instance, [also] might af-
ford a basis for such an opinion in communities where
that question is unfortunately a permanent and para-
mount issue.” 88 A. at 965. The court concluded that “it
is clear that the order with which we have to deal threat-
ens possibly the life, and certainly the liberty, of the
prosecutrix in a manner forbidden by both the state and
federal Constitutions, unless such order is a valid exer-
cise of the police power. . . . The general limitation of such
power to which the prosecutrix must appeal is that under
our system of government the artificial enhancement of
the public welfare by the forceable suppression of the
constitutional rights of the individual is inadmissible.”
Id. at 965.
In 1915, the legislature provided for more pervasive
segregation of retarded people through the admission to
Vineland of “mentally defective men, women and chil-
dren, of all ages and grades... .” 1915 N.J. Laws 278,
ch. 151, § 2. By 1918, the lawmakers had authorized “the
location of additional colonies upon forest reserve or other
lands owned by the State.” 1918 N.J. Laws 410, ch. 147,
art. 6 § 636. It was in these institutions that the “in-
mates” were to be “kept.” Id. at 409, 410, §§ 631, 635. In.
1919, the legislature required relatives “to waive all right
to remove either permanently or for a limited time” their
kin from any institution. 1919 N.J. Laws 508, ch. 217, §
3.
8 ON EER EAT
A-12/New York
New York. On July 10, 1851. the Legislature of New
York adopted “AN ACT to establish an asylum for idiots.”
1851 N.Y. Laws 941, ch. 502.
It was not until 1894 that the New York legislature
established an institution in Oneida County purely for
the “custody of unteachable idiots,” designated as “the
Rome State Custodial Asylum.” 1894 N.Y. Laws 806, ch.
382.
The movement to segregate began most earnestly at
the same time as the citizenry began to express concern
about the “rising tide” of immigration. In 1905. for ex-
ample, an article in the New York Times tvpical of those
appearing during this period discussed the urgent need
for “remedying the evils which have too long been tol-
erated in the ‘dumping’ of undesirable immigrants into
this country.” Undesirable Immigration, N.Y. Times,
Feb. 10, 1905, at 6, col. 3.
In 1911, the first of many studies purporting to link
“feeblemindedness” with the new immigration was pub-
lished under the auspices of the State Charities Aid As-
sociation. The survey found that all but 40 of 317 “men-
tally defective” children selected “at random” from thirty-
two ungraded classes in the New York public schools
were either foreign-born or the children of foreign par-
ents. A. MOORE, THE FEEBLE-MINDED IN NEW YORK: A
REPORT PREPARED FOR THE PUBLIC EDUCATION ASSO-
CIATION OF NEW YORK, N.Y. (1911).
By 1912, the New York Times was reporting a defi-
nite link between immigration and “feeble-mindedness. ”
An article appearing on February 18, 1912 quoted “{a|n
important report of the special committee appointed by
the New York Society for the Prevention of Cruelty to
Children to investigate the subject of abnormal and
feeble-minded children. ...” Feeble-Minded Scholars
Make Up 1 Per Cent of the School Population, Investi-
gators Report, N.Y. Times. Feb. 18. 1912. at 8. col. 4.
The report stated that there were in New York City
“10,000 mental or moral defectives who now roam at large
The Northeast/A-13
in the community without any proper parental supervi-
sion or medical care. Recent census statistics show that
80 per cent of the feeble-minded children in the general
population of the United States are the progeny of aliens
or naturalized citizens. We may safely assume, there-
fore, that at least 8,000 of the 10,000 feeble-minded chil-
dren in the city today were brought here by or are the
offspring of the 9,000,000 aliens who have passed
through Ellis Island during the past ten years.” Quoted
in id. at cols. 4-5.
Three weeks later, the New York Times featured an
article on Henry H. Goddard. who was a state adminis-
trator for New Jersey’s retardation institution at Vineland.
The report began: “From the army of 300.000 feeble-
minded persons in the United States come the recruits
that swell the ranks of the drunkards, criminals, pau-
pers, and other social outcasts. Twenty-five per cent of
the girls and boys in our reformatories are lacking in men-
tal fibre and are unable to discern the difference between
right and wrong or are too weak in character to do right
whenever there is any inducement to do wrong. Sixty-
five per cent of the feeble-minded children have a mother
or a father, or both, who are feeble-minded. This countrv
has so far taken no steps to segregate these irresponsible
parents, so the number of them is constantly increasing.
These facts, and many more equally startling, are set forth
in an article written for The Survey by Dr. Henrv H.
Stoddard. [sic] director of the department of research of
the training school at Vineland. N.J. ‘Our Government
spends hundreds of thousands of dollars examining im-
migrants to see that none who are feeble-minded are ad-
mitted,’ writes Dr. Stoddard [sic]; ‘but here is a group
already in our country who are breeding a race of feeble-
minded people more dangerous than many barred bv the
Immigration Inspectors.’ Weak-Minded Fill Ranks of
Criminals: Dr. Henry Stoddard [sic] Says Social Prob-
lems Can Be Solved By Segregating Them, N.Y. Times.
Mar. 10, 1912. at 6. col. 3. Goddard urged. in language
A-14/New York
later quoted in some state statutes, “permanent care
where they will be happy and harmless,” for all those
“unable to compete with their fellows on equal terms... .
This army furnishes the recruits for the ranks of the crim-
inals, paupers, drunkards, the ne-er-do-wells, and others
who are social misfits.” Quoted in id. “{W]hat then is to
be done?” he asked. Dr. Goddard answered his own ques-
tion by proposing that “[a]fter these cases have been dis-
covered they must be removed from the environment in
which it has been proved they are incapable of living
normal lives in accordance with the conventions of so-
ciety. They must be colonized in groups where thev may
be perfectly happy and somewhat useful. Only one lim-
itation needs be placed upon them in these places, and
that is they must never become parents.” Quoted in id.
Goddard concluded by emphasizing that “[wle are dis-
cussing a possible State policy .. . many parents are ei-
ther normal or of such a high grade of defectiveness that
they never get into court and yet have feeble-minded chil-
dren. We cannot touch these adults. We must somehow
get hold of their children. ... We may reasonably hope
that a policy of segregation. carefully followed, will in a
generation or two largely reduce our feeble-minded pop-
ulation and thereby solve our problems of criminals, dis-
ease, drunkenness, and crime.” Quoted in id. at cols. 3-4.
On April 16, 1912, the legislature created a new state
board and empowered it to authorize the sterilization “by
such operation for the prevention of procreation as shall
be decided by said board to be most effective,” “any” in-
stitutionalized person who, in the judgment of the board.
“would produce children with an inherited tendency” to
“feeble-mindedness, idiocy or imbecility.” 1912 N.Y.
Laws 924, 925, ch. 445, §351.
New York’s special treatment of its “alien defectives”
during this period is evidenced by the response state of-
ficials gave to a survey form sent to each state on June
20, 1912 by a Pennsylvania commission gathering infor-
mation to assist the latter state in expanding its own in-
The Northeast/A-15
stitutions. New York's response indicated that the state
already had nearly 6,000 citizens segregated, noting spe-
cially that it “contributes towards the support of the alien
poor patients in these institutions.” REPORT OF THE COM-
MISSION ON THE SEGREGATION, CARE AND TREATMENT
OF FEEBLE-MINDED AND EPILEPTIC PERSONS IN THE
COMMONWEALTH OF PENNSYLVANIA 28, 31 (1913). No
other group was singled out by New York officials for
special support.
It was also about this time that the newly reknowned
Henry Goddard was invited by the United States Public
Health Service to administer Binet’s I.Q. test to the south-
ern and eastern European immigrants arriving in steer-
age at Ellis Island. “(G]ivjing] the immigrant the benefit
of every doubt,” he found that 79% of the Italians, 80%
of the Hungarians, 83% of the Jews, and 87% of the Rus-
sians he tested were “feeble-minded.” Goddard, Mental
Testing and the Immigrants, 2 J. DELINQUENCY 243,
249, 252 (1917).
The New York Times reported in an article entitled
Alien Defectives appearing on January 13, 1913 that since
“three-tenths of feeble-minded children are of alien or
naturalized parents, the problem of detecting defective
immigrants is very grave.” N.Y. Times, Jan. 13, 1913. at
10. The account cited a recommendation by Assistant
Surgeon C. P. Knight of the United States Public Health
Service at Ellis Island, writing in the January 11 issue of
the American Medical Association Journal, for “control-
ling the procreation of the mentally defective by segre-
gating them.” Alien Defectives, supra. As Dr. Knight had
stated, “[t]here is scarcely a ship coming into the Port of
New York which does not carry among its passengers a
mental defective of some degree.” Id., quoting Knight.
The Detection of the Mentally Defective Among Immi-
grants, 60 A.M.A.J. 106 (1913).
In the A.M.A. Journal article. Dr. Knight explained
that he had “becom[e] familiar with different races” so
he could “tell at a glance the abnormal from the normal.”
A-16/New York
Id. at 107. “In studving the phvsical characteristics of
menta! defectives, the various ethnologic types are easilv
discerned: the dark skin, the curly hair and thick lips of
the Ethiopian, the prominent and high cheekbones and
deep orbits of the American Indian and the straight coarse
hair and peculiar cast of countenance of the Mongolian.”
Id. Even “more important in the determination of the
mental status of the alien,” according to Dr. Knight, was
“close application to the study of the race.” Thus, exam-
iners “should interpret the mental reaction of the alien
only after having full knowledge of the different racial
characteristics, for that which is a detect in an individual
of a race of high mental attainment may be a normal
condition in the existence of other people who have not
attained the same grade of development. It is pertectly
normal for the southern Italian to show emotion on the
slightest provocation but should he show the stolidity and
indifference of the Pole or Russian. we would look on
him with suspicion and perhaps hold him for a detailed
examination.” Id. By the use of such techniques, Knight
hoped to “reduc/e] to a minimum the entrance into this
countrv of the mentally and morally low type of alien.
Immigration largely contributes to the high percentage
of this class in the United States.” Jd. at 106.
By 1914, the “defectives” were being expelled from
the public schools. As the New York Times editorialized:
“If the policy recommended by the Board of Education's
committee on ungraded classes had been sensibly
adopted in the beginning a good deal of money might
have been saved for teaching sound-minded children that
has been wasted on mental defectives who could not be
helped. The report says: ‘Most imbeciles and all idiots
can in no way derive any lasting benefits from atten-
dance at the public schools. Their mental condition can-
not be improved either by the course of study or disci-
pline. The only practical and humane solution is insti-
tutional care.'” The Feeble-Minded in Schools, N.Y.
Times, Mar. 13, 1914, at 8, col. 4.
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pene Lon Pa aS nar
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The Northeast/A-17
That same year, as a result of the public demand tor
action, the legislature created a special State Commis-
sion to study the problem, as urged by the New York
Times. 1914 N.Y. Laws 772, ch. 272.
The Commission believed that “we are now in a po-
sition where it is both a duty and a privilege to adopt a
complete system of public provision that will ina very
large measure eliminate the burden of feeble-mindedness
from the community.” Id. at 18.
Sterilization, according to the Commission, was no
panacea, since surgery prevented only parenthood, and
did not eliminate the other social menaces stemming trom
permitting “defectives” to be at large. Moreover. such a
law might lead to “withdraw(I| from the influence of our
institutions large numbers of feeble-minded who other-
wise might be amenable to whatever advantages and
_ whatever custodial provision was made.” [d. at 19. STATE
OF NEW YORK, REPORT OF THE STATE COMMISSION TO
INVESTIGATE PROVISION FOR THE MENTALLY DEFI-
CIENT 19 (1915).
The major problem, according to state officials. was
that thousands of “mental defectives are at libertv in the
community today ... without restraint or public con-
trol.” Id. at 34. “To attempt reformation is a gross waste
of time and of money. The average cost per inmate in a
specially organized institution for detectives is half of the
average cost in our reformatory institutions.” Id. at 35.
The solution was to expand the institutions and to bring
more of the “detectives” under control.
Accordingly. the legislature enacted on Mav 14. 1919
“AN ACT in relation to mental defectives. .. .” 1919 N.Y.
Laws 1683, ch. 633. The law detined “mental detective”
to mean “any person afflicted with mental defectiveness
from birth or from an early age to such an extent that he
is incapable of managing himself and his affairs. who tor
his own welfare or the welfare of others or of the com-
munity requires supervision, control or care. and who is
not insane or of unsound mind.” /d. at 1684. art. 1. § 2(5).
A-18/New York
The legislation established a procedure for certifying that
one’s mental defect was “of such a nature as to require
his supervision, control and care for his own welfare and
for the welfare of others or for the welfare of the com-
munity.” Id. at 1697, art. 4, § 26. This determination was
to be made by “qualified examiners.” Id. § 25.
As a result of this law, state officials were soon over-
whelmed with retarded people to segregate. The State
Commission for Mental Defectives indicated in 1926 that
although it was “gratifying to report progress during the
year in additional housing for mental defectives(. t]he
need of more beds is so great that it outweighs other con-
siderations.” STATE OF NEW YORK. EIGHTH ANNUAL RE-
PORT OF THE STATE COMMISSION FOR MENTAL DEFEC-
TIVES, JULY 1, 1925 TO JUNE 30, 1926, at 7 (Leg. Doc.
No. 92, 1927). The scope of the physical expansion ne-
cessitated by the 1919 law was noted in the agency’s An-
nual Report: “Defectives who are detrimental to society
cannot be segregated until institution bed capacity is in-
creased. Those of too low grade intelligence to be cared
for in the public schools are often neglected at home and
a source of economic disaster to the family. The segre-
gation of these in institutions awaits erection of new
buildings.” Id. Thousands of beds were planned and pro-
vided throughout the state. Id.
Pennsylvania. In 1893 the Pennsylvania General As-
sembly authorized the construction of a large institution
in western Pennsylvania witha capacity for at least “eight
hundred inmates,” to include a “custodial or asvlum de-
partment.” 1893 Pa. Laws 289, 290, No. 256, § 7. The
facility was to be for the “reception” and “detention” of
“idiotic and feeble-minded children,” id. at 291, § 10, the
sole restriction being that they be “under the age of twentv
years,” id. § 11. By 1903, a second institution similarly
organized was authorized to be built in the eastern part
of the state. 1903 Pa. Laws 446, No. 424.
In 1911, the Pennsylvania Conterence of Charities
and Corrections argued to the legislature that it had a
=
The Northeast/A-19
large problem on its hands. The legislature decided that
a comprehensive study was necessary, and so adopted a
joint resolution to establish a special commission, “the
duty of which Commission shall be to take into consid-
eration the number and status of feeble-minded and ep-
ileptic persons in the Commonwealth and the increase of
such persons, and to report to the General Assembly at its
next session a plan or plans for the segregation, care, and
treatment of such defectives... .” 1911 Pa. Laws 927,
§ 1. The resolution was enacted because the legislature
felt that “{a] proper regard for the public welfare requires
that some action be taken looking to the segregation of
such feeble-minded and epileptic persons.” Id. (pream-
ble).
On April 21, 1913, the Commission reported to the
legislature that “[w]here the mental disability is of a de-
gree which renders the afflicted individuals unfit for cit-
izenship, or a menace to the peace, they are regarded and
treated as anti-social beings, and may be permanently
segregated in institutions especially constructed for their
reception and care. The condition of mind in amentia is
irremediable[;] the segregation as the rule should there-
fore be permanent.” REPORT OF THE COMMISSION ON
THE SEGREGATION, CARE AND TREATMENT OF FEEBLE-
MINDED AND EPILEPTIC PERSONS IN THE-COMMON-
WEALTH OF PENNSYLVANIA 43 (1913).
The Commission considered retarded people “such
an unpleasant burden, that parents usuallv are more than
willing to part with them,” id. at 38. but “{ljegislation”
was “needed to compel the segregation of teeble-minded
and epileptic persons.” id. at 40. Who was to be incar-
cerated? “[A] type of mind must be established as a nor-
mal standard for the age. race and social status of each
individual, and he who falls below this to a recognizable
degree is ipso facto feeble-minded.” Id. at 42.
Six weeks later, the legislature enacted comprehen-
sive legislation, creating a new official purpose for the
state’s institution: “segregation” of all “idiotic. imbecile
A-20/Pennsylvania
or feeble-minded persons,” 1913 Pa. Laws 494, No. 328.
§ 1, and the removal of all age restrictions on admissions,
id. at 496, § 3. The lawmakers also established a new
“Village for Feeble-Minded Women” to be “entirely and
specially devoted to the reception, segregation [and] de-
tention” of “feeble-minded women of child-bearing
age....” 1913 Pa. Laws 1319, No. 817. By 1922, the
Superintendent of the Eastern Pennsylvania State Insti-
tution for the Feeble- Minded was reporting that “the gen-
eral public [is] now convinced more than ever that it is a
good thing to segregate the idiot and the imbecile.” R.
SMILOVITZ, A BRIEF HISTORY OF PENNHURST
1908-1926, COMPILED FROM SUPERINTENDENT'S Doc-
UMENTS (1974).
Rhode Island. The General Assembly of Rhode Is-
land enacted in 1907 “AN ACT FOR THE ESTABLISH-
MENT, MAINTENANCE, MANAGEMENT. AND
CONTROL OF THE RHODE ISLAND SCHOOL FOR
THE FEEBLE-MINDED.” 1907 R.I. Pub. Laws 89, ch.
1470. Within the institution there was created a special
“custodial department for the care and custodv of feeble-
minded persons bevond school age, or who are not ca-
pable of being benefited by school instruction.” Id. at 90.
§ 3. Institutionalization could be soughr by filing a “com-
plaint in writing” alleging that “any person within the
district wherein such court is established is
feeble-minded., so as to require restraint for his own wel-
fare or for the welfare of the public.” Id. at 91, § 6.
The purpose of the institution. according to the first
annual report to the legislature. was to “not only protect
the [feeble-minded] children themselves. but at the same
time to guard society against the children.” REPORT OF
THE RHODE ISLAND SCHOOL FOR THE FEEBLE-MINDED
IN EXETER 20 (1910). State officials strongly encouraged
parents to commit their children voluntarily to the facil-
‘ity: “Society is made up of families and when the family
suffers societv suffers. Talk with anv one who has had
the opportunity to know intimately the history of families
The Northeast/A-21
in which there have been feeble-minded children, and
let him tell of the cases of fathers driven to drink. whole
families plunged into poverty and pauperism, and of
mothers made insane or even done to death by the pres-
ence of the unfortunate child in the home.” Id. at 21.
Vermont. In 1913, the General Assembly of Ver-
mont created the “Vermont State School for
Feeble-minded Children.” 1913 Vt. Acts 96, No. 81, § 1.
Proceedings to place a retarded person in the institution
could be initiated by, in addition to a parent or guardian,
any “selectman of the town... in which such child re-
sides.” Id. at 98, § 13.
In 1916, state officials “report{ed]| that the people in
Vermont are beginning to take a marked interest in the
study of feeble-mindedness, and its baneful and increas-
ing effects on the population of the State, and that with
a better understanding of the conditions which exist.
there will be a tendency to view the handling of the ques-
tion in a more practical and common sense manner. The
burden of feeble-mindedness is felt by the entire public.
and every intelligent person who has carefully consid-
ered the subject realizes that this blight on mankind is
increasing at a rapid rate. and that unless radical meas-
ures are adopted to curb the influences which tend to
promote its growth it will only be a matter of time betore
the resulting pauperism and criminality will be a burden
too heavy tor any country or people to bear. The feeble-
minded are a parasitic, predatory class, never capable of
self-support or of managing their own affairs. and the
majority of them ultimately become public charges.” RE-
PORT OF THE VERMONT STATE SCHOOL FOR THE FEEBLE-
MINDED CHILDREN FOR THE PERIOD ENDING SEPTEM-
BER 30, 1916, at 17-18 (1916).
As a result of the actions of the state, “[t|he public is
now fully aware of the danger the defective is at large and
realizes the importance of instituting means for their con-
trol. There is nothing that can be done more effectively
toward the prevention of feeble-mindedness. crime and
A-22/Vermont
poverty and toward the promotion of our best citizen-
ship, than to segregate the feeble-minded and properly
care for them.” Id. at 18.
Midwestern States
Illinois. On June 24, 1915, the Illinois General As-
sembly passed a bill establishing a facility as an institu-
tion for the “detention of feeble-minded persons.” 1915
Ill. Laws 245. Such “detention” was mandated not only
for the retarded person's “own welfare,” but also “for the
welfare of others, or for the welfare of the community,”
so long as the person was “not classifiable as an ‘insane
person.’ ” Id. at 245-46, §1. “/AjJny reputable citizen of
the county in which such supposed feeble-minded per-
son resides or is found could seek the institutionalization
of such a person by filing a petition stating that it was
detrimental “to the welfare of the community, for him to
be at large.” Id. at 246, §3. The “guiding and controlling
thought of the court” at these proceedings was to be not
only “the welfare of the feeble-minded person” but also
“the welfare of the community.” Id. at 249, § 9.
Indiana. {n 1914, Indiana officials reported to the
Governor that there were still “at the most conservative
estimate that can be made, at least four thousand feeble-
minded in Indiana” requiring institutionalization. and
that “[these] people are at large, a nuisance to the com-
munity in which they live; nearly all of them paupers;
many of them petty criminals; the women filling the
houses of prostitution; all of them poor, improvident. lazv
— in short, incompetents. These people are increasing
rapidly, and unless cared for will, in the next hundred
years, bring an unbearable burden on our grandchildren
and great-grandchildren. Shall we leave them such an
inheritance, or shall we do something now to stop it?
Were we to put all these four thousand defectives now at
large into institutional care today, this institution could
provide for practically all needing the care of an institu-
The Midwest/A-23
tion at the end of the next fiftv years. No provision is
made for adult male feeble-minded in this State, and these
men should be segregated from the world in some place
where they could be made in a measure self-supporting.”
THIRTY-SIXTH ANNUAL REPORT OF THE INDIANA
SCHOOL FOR FEEBLE-MINDED YOUTH FOR THE FISCAL
YEAR ENDING SEPTEMBER 30, 1914, at 14 (1914).
In 1915, the Board of State Charities of Indiana
adopted a resolution that read: “Whereas, The problem
of the mental defective is one of our greatest social as
well as financial burdens and is increasing in importance
and weight every year, and Whereas, Mental defective-
ness is believed to be one of the most important if not the
most important cause of pauperism, degeneracy and
crime,” resolved that a committee be established to make
recommendations concerning this problem. Governor
Ralston acted favorably on this resolution and appointed
a Committee on Mental Defectives.
The work of the Committee and its first report, on
November 10, 1916, was used to convince the governor
and the legislature that it was “imperative that the State
must very soon take cognizance of the large number of
dependent defectives at large in the State. a menace to
society, increasing at a rapid rate, and take steps to seg-
regate them from the public, and thus check their repro-
duction not alone as a matter of philanthropy. but as an
economic measure.” THIRTY-EIGHTH ANNUAL REPORT
OF THE INDIANA SCHOOL FOR FEEBLE-MINDED YOUTH.
FORT WAYNE, INDIANA, FOR THE FISCAL YEAR ENDING
SEPTEMBER 30, 1916, at 14 (1917). The Indiana officials
were also “pleased to note that ‘The Committee on Men-
tal Defectives’ appointed by you to study the problem of
Mental Defectiveness in Indiana. recently urgently rec-
ommended the enactment of such a law, and we wish to
strongly endorse their recommendation and urge that this
remedial legislation be had at the coming session of the
Legislature. We have deeply felt the need of this law in
several cases in recent years. where we found ourselves
_— ——
ee
A-24/Indiana
utterly helpless to prevent the withdrawal of girls by par-
ents or relatives while we knew that were unfit to be out
in the world... .” Id. at 15. They also recommended “the
establishment of a new and separate institution to house
them from the danger of contact with the public.” Id.
The Committee on Mental Defectives was reap-
pointed by newly elected Governor James P. Goodrich.
The Committee's second report was published March 6,
1919.
One week later. the General Assembly passed as
“emergency” legislation “AN ACT to provide for the es-
tablishment and government of an Indiana tarm colony
for feeble-minded” which incorporated practically all of
the recommendations of the Committee on Mental Defec-
tives. 1919 Ind. Acts 480, ch. 94. The lawmakers created
a commission and ordered it to “select a suitable site tor
the farm colony” and to “purchase not less than 1,00C
acres of land in a body” for it. Id. § 2. The law specitied
that “the buildings to be constructed for its use shall be
plain and inexpensive in character.” id. at 482. § 6. and
required that “the labor in constructing such buildings.
improvements and facilities shall be supplied as tar as
applicable by the persons committed to the institution,”
id.
The Committee on Mental Defectives. while express-
ing gratitude for this legislation, “recommend{edj in-
creased provision at the Farm Colony for Feeble-Minded”™
in order for the state “to provide adequately tor such cases
as Cannot, without menace to the community, be pro-
vided for in the home or the public school.” MENTAL
DEFECTIVES IN INDIANA: THIRD REPORT OF THE INDI-
ANA COMMITTEE ON MENTAL DEFECTIVES 8 (1922).
The exact nature of the menace was described bv
the Governor’s Committee as follows: “The uncared-for
insane, epileptic and feebleminded constitute a social
menace, but the part played by the feebleminded in dis-
counting social progress is by far the most potent influ-
ence for evil under which society is struggling today... .
The Midwest/A-25
Modern theory grants that the rights of the individual
must not interfere with the welfare of the community.
From the latter standpoint, the mental defective must be
considered as a possible financial burden to the commu-
nity, a potential menace through the commission of
crime, and an increasing detriment to the race through
the propagation of his kind. ... What subject is more
vital than this to the people of our state? The menace of
the mental defective is a real and pressing one. All indi-
viduals and organizations interested in human welfare
are urged to cooperate in a state-wide program for in-
forming the citizens of our state concerning the dangers
that threaten, and awakening them to the disastrous con-
sequences if this important matter is neglected. This
should result in such united action as will lessen the bur-
den of pauperism, degeneracy, disease and crime, and
decrease the cost to the taxpayers.” Id. at 6.
In addition to appropriating the increased funds re-
quested for segregation, the legislature, on March 3.
1931, passed “AN ACT providing for the sexual sterili-
zation of feeble minded persons.” 1931 Ind. Acts 116. ch.
50. Indiana has been the first state in the country to en-
act a sterilization law. 1907 Ind. Acts 877. ch. 215. The
new law provided that. at the point at which commit-
ment of any mentally retarded person was sought, “it
shall be the duty of each of the examining phvsicians
appointed by the court” to “certify to the court whether.
in his opinion, such person is the probable potential par-
ent of mentally incompetent or socially inadequate off-
spring likewise afflicted.” Id. § 1. Upon a finding by the
court that “the welfare of society and of such feeble-
minded person will be promoted by his or her steriliza-
tion,” the superintendent “may have performed upon
such feeble-minded person” sterilization surgery “at such
time as he may deem expedient.” Id. § 3.
Iowa. On March 17. 1876. the General Assembly of
lowa enacted legislation “FOR THE ESTABLISHMENT
OF AN ASYLUM FOR FEEBLE MINDED ‘HIL-
A-26/Iowa
DREN.” 1876 Iowa Acts 145, ch. 152. Admission was
originally limited to “children between the ages of seven
and eighteen.” Id. at 148, § 15. After the turn of the cen-
tury, the state authorized the segregation of increased
numbers of retarded people. The first to be confined, by
enactment of April 7, 1902, were “all feeble-minded
women under forty-six years of age.” 1902 Iowa Acts 73,
ch. 118. The next were “all feeble minded men under 46
years of age.” 1909 Iowa Acts 171, ch. 173. In 1921, all
age restrictions were repealed. 1921 Iowa Acts 126, ch.
129. State officials continually campaigned for the ex-
pansion of facilities for segregation, see, e.g., TWENTY-
FOURTH BIENNIAL REPORT OF THE SUPERINTENDENT
OF THE IOWA INSTITUTION FOR THE FEEBLEMINDED 7-8
(1922).
On April 13, 1929, the General Assembly enacted
legislation “to create a state board of eugenics, to define
the powers and duties of said board, [and] to fix the pro-
cedure in the sexual sterilization of persons.” 1929 lowa
Acts 106, ch. 66. The members of the Board of Eugenics,
which consisted of not only the superintendents of state
institutions, but also the commissioner of public health,
were ordered to “report to the state board of eugenics the
names of all persons, male or female, living in this state,
of whom he or she may have knowledge, who are feeble-
minded. . . and who are a menace to society.” Id. § 2.
Kansas. In 1881, the Legislature of Kansas estab-
lished “the Kansas state asylum for idiotic and imbecile
youth.” 1881 Kan. Sess. Laws 74, ch. 35. Admission was
limited to those “not over fifteen vears of age.” Id. at 75,
§ 6.
The superintendent of the institution, I.W. Clark, in
1906 urged the adoption of a law to enlarge the institu-
tion and to accomplish the segregation of feeble-minded
persons of all ages. THIRTEENTH BIENNIAL REPORT OF
THE KANSAS SCHOOL FOR FEEBLE-MINDED YOUTH.
WINFIELD, KANSAS, FOR THE TWO YEARS ENDING JUNE
30, 1906, at 6 (1906). According to Superintendent Clark:
The Midwest/A-27
“Legislative attention to a more extended provision for
the idiotic and feeble-minded is an imperative demand
upon the state. For a score of years the opinions of phi-
lanthropists and of those interested in sociologic work
have been steadily advancing in a certain direction, until
now they are unanimously convinced that as a matter of
public policy all the feeble-minded class should be segre-
gated and provided for by the state. Various are the rea-
sons which have led up to this conviction, and to most
persons they are easily obvious. In this state to-day there
are in the county-houses, and in the communities at large,
a large number of this class who are a menace, a blight
and a misfortune both to themselves and to the public.”
Id. at 12. Therefore, the superintendent recommended
that “[t]he age limit of fifteen years should be removed.
and the capacity of the home be enlarged so as to receive
all persons who are feeble-minded, regardless of age.” Id.
at 6.
On March 12, 1909, the legislature acted. The name
of the institution was “hereby changed to the State Home
for Feeble-minded,” and “{ajll inmates admitted to said
institution” were placed “under the custody and control
of the superintendent of said institution, and the super-
intendent may restrain any such inmate when he deems
it necessary for the welfare of such inmate and the proper
conduct of the institution.” 1909 Kan. Sess. Laws 560-61,
ch. 233, §§ 1, 2.
In 1917, the legislature enacted a law providing that,
if the Superintendent of the State Home for Feeble-
minded “shall certify in writing” to the institution's gov-
erning board “that he or she believes that the mental or
physical condition of any inmate would be improved
thereby or that procreation by such inmate would be likely
to result in defective or feeble-minded children with crim-
inal tendencies, and that the condition of such inmate is
not likely to improve so as to make procreation by such
person desirable or beneficial to the state, [then] it shall
be lawful to perform a surgical operation for the sterili-
A-28/Kansas
zation of such inmate.” 1917 Kan. Sess. Laws 443, ch.
299, § 1.
State officials applauded this legislation. and pre-
dicted a marked decrease in the number of feeble-minded
persons. However, they reported that “the decrease will
be nothing like so great as it should be unless our im-
migration laws are so changed as to greatly reduce the
number of undesirables from Europe entering this coun-
try. .. . We shall be disappointed further that the de-
crease is no greater on account of the ease with which
feeble-minded persons may obtain a marriage certificate,
enter the marriage state and rear a family like unto them-
selves... . Asexualization will be condemned by some as
being too harsh a measure, but it becomes incumbent on
those who would discourage it to offer something better,
for the future will compel us to act. If society by her phil-
anthropic efforts annuls the law of the survival of the
fittest, then self-interest will compel her to adopt meas-
ures which will prevent the multiplication of those who
at best can only add degeneracy to the race.” TWENTI-
ETH BIENNIAL REPORT OF THE STATE TRAINING SCHOOL
FOR THE TWO YEARS ENDING JUNE 30. 1920. at 7-8
(1920).
Two years later, the superintendent reported “that
the population of the institution has grown steadily.” and
noted “the increased activity of welfare and Red Cross
associations over the state that are constantly on the look-
out for unfortunate people. both young and old” to be
institutionalized. TWENTY-FIRST BIENNIAL REPORT OF
THE STATE TRAINING SCHOOL FOR THE TWO YEARS
ENDING JUNE 30, 1922, at 3 (1922). As a result of the
State’s policies, people were persuaded to place their re-
tarded relatives in the institution. The Superintendent
noted that “as a consequence our ward buildings are be-
coming crowded, some wards housing twenty per cent
more than the estimated capacity. Additional ward room
is a necessity.” Id. at 11.
The Midwest/A-29
Kentucky. The General Assembly of the Common-
wealth of Kentucky first chartered the “Kentucky Insti-
tution for Feeble-minded Children” as a corporate entity
in 1894, although the facility apparently had been in ex-
istence previous to that date. See 1894 Ky. Acts 96, ch.
48, art. 1, § 1. Admission to the institution at that time
was limited to persons aged six through eighteen “whose
mental condition is such that, in the judgment of the
superintendent, they may be taught to read and write, or
can be educated or trained to do work.” Id. at 115, art. III.
§ 5.
In 1918, the General Assemblv enacted more ma-
levolent legislation, entitled “AN ACT to provide for the
commitment, care, treatment, training, segregation and
custody” of “feeble-minded” persons. 1918 Ky. Acts 156,
ch. 54. The law defined “feeble-minded person” as one
who “requires supervision, care, training, control or cus-
tody for his own welfare or for the welfare of others or the
community.” Id. § 1. It also established and authorized
“The Farm Colony for the Feeble-Minded.” including an
ambitious plan for new construction on a 500-acre site.
Id. at 156-57, 159-60, §§ 1, 9, 10. Proceedings to confine
a person in the institution could be instituted against any
person in the county who appears to be . .
feeble- minded.” Id. at 161. § 16. The same law made it
“one of the special duties of every health officer and of
every public health nurse to institute proceedings to se-
cure the proper segregation and custody of feeble-minded
persons, likely to become fathers or mothers of other
feeble-minded persons.” id., at 171. § 30. and made it a
crime “to aid or abet the marriage of anv teeble-minded
person, and any person found guilty of aiding or abetting
such marriage shall be fined not less than fifty dollars.
nor more than five hundred dollars.”id. § 32.
Michigan. In 1893. the Michigan Legislature estab-
lished the “Home for the Feeble-Minded and Epileptic.”
1893 Mich. Pub. Acts 412. No. 209. The institution was
available to “{a|ll feeble-minded and epileptic persons be-
A-30/Michigan
tween the ages of six and twenty-one.” Id. at 416, §§ 20,
21.
In 1905, to insure long-term segregation, the legis-
lature required that parents and guardians admitting their
children to the home “waive all right to remove such
inmate thereafter either permanently or for a limited
time.” 1905 Mich. Pub. Acts 169-70, No. 121.
A more comprehensive revision of the law took place
four years later, 1909 Mich. Pub. Acts 189, No. 101, elim-
inating age restrictions, id. at 192, § 13, providing for
roving physicians “empowered to go where such feeble-
minded and epileptic person may be and make such per-
sonal examination of him as to enable them to offer an
opinion as to his mental condition” in order to certify them
as “feeble-minded,” id. § 14.
If, following a hearing, “such person shall be found
and adjudged to be feeble-minded or epileptic the court
shall immediately issue an order for his admission to the
home for the feeble-minded.” Id. at 194.
State officials described the value of the new law in
maintaining life-long segregation and control in their re-
port to Governor Woodbridge Ferris: “Prior to the enact-
ment of the law of 1909, patients were admitted to this
institution by direct application either by parents, guard-
ians, or certain public officials. The matter of the status
of these patients was constantly before the Board of Con-
trol. The Board found it impossible to hold certain cases
where, in their opinion, the welfare of the State would
dictate their being held. We therefore went to the Leg-
islature, requesting the passage of an act bringing all
these cases, where the patient had not had his day in
court, before the Probate Courts of the several counties
for review and legal commitment. We now have no pa-
tients not committed by the Probate Court.” TENTH BI-
ENNIAL REPORT OF THE BOARD OF CONTROL OF THE
MICHIGAN HOME AND TRAINING SCHOOL AT LAPEER FOR
THE BIENNIAL PERIOD ENDING JUNE 30, 1914 (1914).
The Midwest/A-31
As John N. McCormick, Chairman of the State Board
of Corrections and Charities later stated in official, pub-
lished instructions to Dr. H. A. Haynes, Superintendent
of the Michigan home: “The members of this Board con-
sider it imperative that ample provision be made for the
segregation and proper care of feeble-minded persons. A
recent survey of Michigan removes any doubt as to the
plain duty of the State regarding feeble-mindedness, not
only from a sociological but an economical standpoint as
well. From our discussion of the situation with you at the
meeting of this Board held at your institution, we are of
the opinion that the items stated in your estimate of ap-
propriations for the next two years are needed. and the
same are hereby approved.” ELEVENTH BIENNIAL RE-
PORT OF THE BOARD OF CONTROL OF THE MICHIGAN
HOME AND TRAINING SCHOOL AT LAPEER FOR THE BI-
ENNIAL PERIOD ENDING JUNE 30, 1916, at 7 (1916).
On May 25, 1923, the Michigan legislature adopted
“AN ACT to authorize the sterilization of mentally de-
fective persons,” which class was “deemed to include id-
iots, imbeciles and the feeble-minded, but not insane per-
sons.” 1923 Mich. Pub. Acts 453, No. 285, § 1. “When-
ever a person is adjudged defective.” the court was au-
thorized to “order such treatment by x-rays or operation
of vasectomy or salpingectomy. .. .” Id. at 454, § 2.
In a 1929 amendment, the legislature “hereby de-
clared [it] to be the policy of the state to prevent the pro-
creation and increase in number of feeble-minded. in-
sane and epileptic persons, idiots, imbeciles. moral de-
generates, and sexual perverts, likely to become a men-
ace to society or wards of the state. The provisions of this
act are to be liberally construed to accomplish this pur-
pose.” 1929 Mich. Pub. Acts 689-90, No. 281. § 1. The
law made it “the duty” of state officials operating the
Home for Feeble-minded “to bring to the attention of the
governing board or body of such institution and to the
state welfare commission” any “mentally defective per-
son who would be likely to procreate children unless
~A-32/Michiggn
closely contined or rendered incapable ot procreation’ for
whom they were “of the opinion” that it would bé “for the
best interest of such person and of society that such men-
tally defective person should be sexually sterilized.” Id.
at 690, § 4. The law made it “the duty,” in turn. of “the
governing board or body of such institution and the state
welfare commission to cause an investigation, and ex-
amination to be made to determine whether such men-
tally defective person would be likely. if allowed to min-
gle in society, to procreate children having an inherited
tendency to feeble-mindedness, insanity, idiocy, imbe-
cility, epilepsy. or sexual degeneracy. and who would be
likely to become a social menace or a ward ot the state,
and whether there is no probability that the condition of
such person would improve to such an extent as to avoid
such consequences.” Id. at 690-91.
Minnesota. In 1909, the legislature of Minnesota en-
acted a law “providing a department for incurables” tor
“all idiotic and epileptic persons resident of the state. . . ”
1909 Minn. Laws 72. ch. 80. A decade later, because the
institution, located at Faribault, had filled bevond capac-
itv, the legislature authorized the state board of control
“to select from the public lands of this state. the ttle to
which is vested in the state, not to exceed two (2) sec-
tions of land to be used as a location for a colony for teeble-
minded persons. ...” 1919 Minn. Laws 475, ch. 407.
§ 1. In 1925, the legislature authorized residents of its
institutions “to be sterilized by the operation of vasec-
tomy or tubectomy.” 1925 Minn. Laws 140. ch. 154.
Missouri. In 1899. the “Missouri Colony for the
Feeble-minded” was established. 1899 Mo. Laws 1821.
ch. 118. art. 10. As the institution's population grew, the
“board of managers of said colony” was “empowered to
establish other colonies in temporary or permanent
camps.” 1919 Mo. Laws 183-84, § 2.
State officials continually requested increased ap-
propriations for expansion. In one annual report to the
legislature, for example. Dr. E. E. Brunner, superintend-
The Midwest/A-33
ent of the institution. stated: “We need another building
to care for the custodial type of idiot patients as that build-
ing is entirely overcrowded.” SIXTH BIENNIAL REPORT
_ OF THE BOARD OF MANAGERS OF THE STATE ELEEMOS-
YNARY INSTITUTIONS TO THE FIFTY-SEVENTH GENERAL
ASSEMBLY OF THE STATE OF MISSOURI FOR THE TWO
FISCAL YEARS BEGINNING JANUARY 1, 1931, AND END-
ING DECEMBER 31, 1932, at’291 (1933). According to
Superintendent Brunner, “(t]he number of applications
is not an indication that the number of teeble-minded is
on the increase in the State, but to the education of the
people of the State as to the significance of
feeble-mindedness and the need of permanent custodial
care....” Id. at 288.
Nebraska. On March 5, 1885, the Legislature of Ne-
braska passed “AN ACT to establish and endow an Asv-
lum Home for feeble-minded children and adults at or
near the city of Beatrice, Nebraska, and making appro-
priation and levy therefor.” 1885 Neb. Laws 255. ch. 52.
By 1914, Silas A. Holcomb, chairman of the newly
established state Board of Commissioners. was writing in
his first report to the governor and legislature that “|(t|he
population of the institution has increased to the point
where its capacity is taxed to the limit. The demand for
additional admissions is steady and will continue.” The
Board recommended an ambitious expansion program.
“Iwlith a view of relieving the congested condition and
making suitable provisions tor future admissions. FIRST
BIENNIAL REPORT OF THE BOARD OF COMMISSIONERS
OF STATE INSTITUTIONS TO THE GOVERNOR AND LEG-
ISLATURE OF THE STATE OF NEBRASKA FOR THE BIEN-
NIUM ENDING NOVEMBER 30, 1914. at 9 (1915).
Expanded institutions would be necessary partially
as a result of projected population increases for the state.
See id. They would also be the necessary result. however.
of a comprehensive program “submit|ted] for the serious
consideration of the Governor and the legislature” of test-
ing and registration which “would unquestionably re-
A-34/Nebraska
veal others who are feeble-minded and who ought not to
be returned to society.” Id. at 10.
Observing that “[t]he only effective measures to meet
these conditions are segregation and sterilization,” the
Board criticized the then current law: “but in our state
neither of these may be applied except as a voluntary
proceeding on the part of the legal guardian of the feeble-
minded person. . . _Itisnota proceeding by which afeeble-
minded person may be committed to nor detained in the
institution against the desire of the parent or guardian.”
Id. at 11. By amending the law, “the community is en-
abled to seclude those who cannot safety be allowed to
mingle freely with their fellows. We, therefore, recom-
mend that a statute, similar to those above mentioned, be
enacted by this state to provide that admission to the in-
stitution for feeble-minded be by order of commitment
entered by the county court of the proper county, after
due hearing and finding upon a petition filed by the hus-
band, wife, parent, guardian or other person standing in
loco parentis to the alleged feeble-minded person, or by
the superintendents, managers or trustees of any insti-
tution having such person in charge, or by the countv
commissioners, county attorney, superintendent or prin-
cipal of schools, or a probation officer of the county in
which such alleged feeble-minded person shall reside.”
Id. at 11-12.
The legislature responded, enacting an amendment
on April 14, 1915, extending the list of people eligible to
initiate commitment proceedings to include “the county
commissioners, county attorney, any poor law official. any
superintendent or principal of schools, or any probation
or parole officer of the county of which such idiotic. im-
becile or feeble-minded person is a bona fide resident.
_ and the superintendent or managing officer of anv
public or charitable institution having in charge anv id-
iotic, imbecile or feeble-minded person.” 1915 Neb. Laws
294. ch. 131. “{Djetention” was mandated if “it shall ap-
pear that the person named in the application is an idiot.
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an imbecile or a feeble-minded person and that the best
interests of such person or the welfare of society require
that he be committed to said institution for the feeble-
minded.” Id. at 295.“It shall be the duty of said institu-
tion to receive all such idiotic, imbecile and feeble-
minded persons duly committed thereto and to detain
them therein, and to arrest and return any who may es-
cape therefrom.” Id.
Shortly thereafter, the lawmakers passed “AN ACT
to authorize the sterilization of feeble-minded,” whose
“children would probably become a social menace” and
“would be harmful to society.” 1915 Neb. Laws 554-535.
ch. 237. The act was not approved by the governor, but
became operative without his signature.
In 1921, the legislature changed the name of the in-
stitution from the “Nebraska _ Institution for
Feeble-minded Youth” to simply the “Nebraska Institu-
tion for the Feeble-minded,” in recognition of the aban-
donment of all age restrictions. 1921 Neb. Laws 843. ch.
241, § 1. “The objects of the institution shall be to pro-
vide custodial care and humane treatment for those who
are feeble-minded, to segregate them from society. to
study to improve their condition, [and] to classify them.”
Id.
North Dakota. The Legislative Assembly of North
Dakota in 1903 adopted “AN ACT to Establish an Insti-
tution for the Feeble Minded,” to be “permanently main-
tained at or near the city of Grafton” for “all idiotic and
epileptic persons residents of this state.” 1903 N.D. Sess.
Laws 142, 143, ch. 108, §§ 1, 6. State Superintendent L.
B. Baldwin reported that it was “advisable that thev be
placed in institutions of this character for life. A rela-
tionship exists between the forms of degeneracy. namely.
the criminal, the inebriate, the prostitute and the feeble
minded.” The view of state officials was that “to protect
posterity,” it was necessary to undertake “the gathering
of this great number of defectives into institutions and
colonies.” FIRST BIENNIAL REPORT OF THE NORTH Da-
A-36/North Dakota
KOTA INSTITUTIONS FOR FEEBLE MINDED AT GRAFTON
FOR THE PERIOD ENDING JUNE 30. 1904 TO THE GOV-
ERNOR OF NORTH DAKOTA 9-10 (1904).
In 1909, the Legislative Assembly promoted the per-
manent segregation of those committed by providing that
“any inmate of such institution shall not be removed
therefrom,” except by written application, and “said re-
quest must receive the approval of the superintendent
before such inmate can be removed.” 1909 N.D. Sess.
Laws 317-18, ch. 213, § 1.
In 1913. the legislature provided that “any feeble
minded person who is offensive to the public peace or to
good morals, and who is a proper subject for classifica-
tion and discipline in the institution, may be commit-
ted” without consent. 1913 N.D. Sess. Laws 222. ch. 166,
§ 1. This provision was enacted as an emergency meas-
ure in view of “the fact that there is now no law tor com-
pulsory commitment of feeble-minded persons obnox-
ious to the peace and good morals of the public.” Id. § 3.
The Legislative Assembly authorized the superin-
tendent to “admit to the institution temporarily. without
commitment, under such rules and regulations as the
Board of Administration mav prescribe. for purposes of
observation, such children or adults as are suspected of
being feeble minded or idiotic. to ascertain whether or
not such person is actually mentally detective and a proper
case for care, treatment and training in an institution for
the feeble-minded.” 1921 N.D. Sess. Laws 123. ch. 64.
It was also made “the dutv of the superintendent” to
“report quarterly to the Board of Examiners herein pro-
vided for, all teeble-minded” who were considered as hav-
ing “potential to producing off-spring. who. because of
inheritance of inferior or antisocial traits. would probubly
become a social menuce. .. .” 1927 N.D. Sess. Laws 433.
ch. 263, § 1. The Board would. following a hearing. “make
an order requiring such person to be sterilized.” Id. at
434. § 3. The purpose of the law was to “protect society
from the menace of procreation by said inmate.” Id. § 5.
The Midwest/A-37
Ohio. As early as 1857. the General Assembly of Ohio
established the “Ohio State Asylum for Idiots.” 1857 Ohio
Laws 190, 191.
In 1898, Ohio lawmakers established “a custodial de-
partment” for the “detention” of “idiotic and
feeble-minded children and adults,” 1898 Ohio Laws
209, § 1, and established an involuntary commitment pro-
cedure, id. at 211, § 6.
In 1912, Superintendent E. J. Emerick called for in-
creased facilities. “If we could segregate these detectives
when they are young and keep them confined during their
natural lives, it would obviate the expense of having them
committed repeatedly to our penitentiaries when thev
grow older. Under our present plan they are sent to our
penal institutions for a short term after committing some
crime, allowed to go out again, scatter their progeny, and
commit other crimes and depredations, only to be recom-
mitted time after time. . . . If we take these children into
our institution, brighten them up as best we can. and
turn them loose on the public, it has not onlv been a
waste of time, money, and energy. but we have done the
world an irreparable injury.” Emerick. The Segregation
of the Defective in PROCEEDINGS OF THE NATIONAL
EDUCATION ASSOCIATION. 1912, at 1291-92 (1912).
Emerick and others continued the same theme for the
next several years. See E. J. EMERICK, THE PROBLEM OF
THE FEEBLEMINDED( 1913); JUVENILE PROTECTIVE AS-
SOCIATION OF CINCINNATI, THE FEEBLEMINDED. OR.
THE HUB TOOUR WHEEL OF VICE( 1915); M. SESSIONS.
THE FEEBLEMINDED IN OHIO (1918).
In 1919. the legislature established “an additional in-
stitution in the state for the custody, supervision. con-
trol, care, maintenance, and training of feeble-minded
persons,” to receive “feeble-minded persons committed
to its custody and care from any county in the state.”
1919 Ohio Laws 430. § 1.
South Dakota. South Dakota's first tacilitv for the
segregation of retarded people was a department of the
A-38/South Dakota
Northern Hospital for the Insane established as early as
1893. 1893 S.D. Sess. Laws 169, ch. 101. In 1917, the
legislature enacted the state’s first sterilization law, mak-
ing it “the duty” of the State Board of Charities and Cor-
rections to order the sterilization of “any of said inmates
(who] would produce children with a tendency to dis-
ease, feeble-mindedness, idiocy or imbecility. .. .” 1917
S.D. Sess. Laws 378-379, ch. 236, § 2.
In 1921, the legislature passed an act “RELATING
TO THE SEGREGATION OF FEEBLE MINDED.”
1921 S.D. Sess. Laws 344, ch. 235. The law created the
State Commission for the Control of the Feeble Minded
and empowered it “to make all necessary rules and reg-
ulations pertaining to the segregation, care and control
of feeble minded persons. .. .” Id. §§ 1, 3. It was “the
purpose of this act to provide that all feeble minded per-
sons resident within this state shall become the wards of
the state and shall be kept segregated.” Id. § 2. In order
to enforce this mandate, the “state commission shall make
a survey of all state institutions and of the state generally
to ascertain the persons whom they believe to be feeble-
minded in order that said state commission may make
necessary complaints to the county commission.” Id. at
344-45, § 5. Additionally, “[a]ll teachers” were required
to “report all feeble-minded children coming to their at-
tention to the state board.” Id. at 345. This system of
outreach efforts to systematically segregate retarded peo-
ple became known nationwide as the “South Dakota
Plan,” and became a model for similar efforts in other
states. The legislation was deemed by the Commission to
“constitute a substantially laid foundation upon which to
erect the super-structure of a wise social and economic
administration of the feeble-minded problem.” STATE OF
SOUTH DAKOTA, SECOND BIENNIAL REPORT OF THE
COMMISSION FOR SEGREGATION AND CONTROL OF THE
FEEBLE-MINDED FOR THE PERIOD ENDING JUNE 30.
1928 TO THE GOVERNOR 2 (1928).
The Midwest/A-39
The Commission proposed legislation to require the
“identification of all feeble-minded in the state and their
registration as a matter of record [,] ... a continuative
census [,] ... supervision and control by properiy con-
stituted authorities [,] . . . [and] the operation of the ster-
ilization law and the anti-marriage law. In fact the law is
designed to give the defective the protection of the state,
and at the same time to protect the state against his so-
cial inadequacy.” STATE OF SOUTH DAKOTA, THIRD BI-
ENNIAL REPORT OF THE COMMISSION FOR SEGREGATION
AND CONTROL OF THE FEEBLE-MINDED FOR THE PE-
RIOD ENDING JUNE 30, 1930 TO THE GOVERNOR 3
(1930). The Commission warned that the proposed leg-
islation was necessary due to the large numbers of “feeble-
minded” who were “at large and uncontrolled by the
state.” Id. at 4.
On February 19, 1931, the comprehensive law re-
quested by the Commission was enacted. The term “fee-
ble minded” was broadly and vaguely defined to include
“all individuals, except the insane, who by reason of men-
tal deficiency are incapable of doing the work of the grades
in the public schools in a reasonable ratio to their years
of life; or who by reason of mental deficiency and other
associated defects are incapable of making the proper ad-
justments to life for one of their chronological age.” 1931
S.D. Sess. Laws 200, ch. 153. § 1. The Commission
drafted into the law its paramount “authority in all mat-
ters pertaining to the care, supervision. and control of all
feeble-minded persons in the State of South Dakota not
confined within the state school and home for the feeble
minded. Said commission shall determine the conditions
under which such feeble minded persons shall be per-
mitted to remain outside of said institution; and when.
and under what conditions, commitment to such insti-
tution shall be required.” Id. § 2. The Commission was
given “the duty” to “maintain a continuative census of
the feeble minded in the state. and all boards of educa-
tion, school principals. county superintendents of
A-40/South Dakota
schools, city school superintendents. and teachers, are
hereby specifically required to give said commission, or
its agents, such access as the commission, or its agents.
deem necessary to all school records, and to all children
within their control for purposes of examination. . . .” Id.
§ 3(a). Moreover, it was to “be the duty of all teachers,
city school superintendents and county superintendents
of schools” as well as “the duty of all doctors, nurses,
hospitals, penal and charitable institutions. county wel-
fare boards, public health officers. and public officers.
boards, or commissions within the State of South Da-
kota, to report to the state commission for the control of
the feeble minded the name, age. and residence ‘of all
children believed by them to be feeble minded, and also to
furnish whenever requested by the state commission for
control of the feeble minded any and all information
which they may have relative to the name, age, residence
and antecedents of any person believed to be teeble
minded.” Id. § 3(b), (c). “Sub-Commissions,” were es-
tablished in each county of the state “under the direct
authority of the state commission” with the “specific au-
thority” to “apprehend, examine, commit, establish
guardianships, transport, and maintain the custody of
any feeble minded person within their respective coun-
ties.” Id. at 200-01, § 4. “It shall also be the dutv ot each
sub-commission to declare to be feeble minded all of those
persons whom the sub-commission, or whom a majority
of the members of such sub-commission., tind upon in-
vestigation and examination to be feeble minded: and
forthwith to commit such feeble minded to the supervi-
sion and control of the state commission. . . .” Id. at 201.
§ 6. :
This legislation, according to the Commission.
“would serve the purpose of securing control and super-
vision of all the feeble-minded outside of institutions in
the State.” STATE OF SOUTH DAKOTA. FOURTH BIEN-
NIAL REPORT OF THE COMMISSION FOR SEGREGATION
AND CONTROL OF THE FEEBLE-MINDED FOR THE PE-
The Midwest/A-4]1
RIOD ENDING JUNE 30, 1932 TO THE GOVERNOR 3
(1932). “{T]he Commission was thoroughly convinced
that the great problem of feeble-mindedness lay in that
large group of feeble-minded outside of institutions.”
who were “scattered throughout the population” and “in
possession of all the rights and liberties of normal peo-
ple.” Id. The Commission found that most of “the feeble-
minded were at large and uncontrolled by the State,” id.,
but that would change: “To have control there must be:
Ist, Identification; 2nd, Examination; 3rd, Registration;
4th, Supervision; 5th, Prevention (of marriage): 6th. Ster-
ilization. The new law is designed to fulfill these require-
ments.” Id.
Commission personnel “were sent into the various
counties and through contact with the schools, welfare
boards, health officers, social agencies, physicians,
nurses, and public agencies of every kind. sought to lo-
cate every possible feeble-minded individual.” Id. at 9.
Two years later, the Commission reported “the
number who have been committed to the State Commis-
sion, those who are segregated in the institution and those
who have been sterilized, are now all under State Con-
trol.” STATE OF SOUTH DAKOTA. FIFTH BIENNIAL RE-
PORT OF THE STATE COMMISSION FOR THE CONTROL OF
THE FEEBLE-MINDED FOR THE PERIOD ENDING JUNE
30, 1934 TO THE GOVERNOR 5 (1934). The Commission
complained. though, that the state’s sterilization law was
“much too complicated and cumbersome to achieve the
best results.” Id.
The legislature agreed, enacting legislation the fol-
lowing February giving each Sub-Commission, follow-
ing a hearing, “the power to make an order for the ster-
ilization of any feeble-minded person found within its re-
spective county... .” 1935 S.D. Sess. Laws 163, ch. 113,
§ 1. A petition for sterilization could be “filed with the
Chairman of the Sub-Commission of the County in which
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the person believed to be feeble-minded is found,” by
“any resident of the County in which such person may
be found.” Id.
The “South Dakota Plan” was in effect in similar form
at least through 1968. See STATE OF SOUTH DAKOTA.
TWENTY-SECOND BIENNIAL REPORT OF THE STATE
COMMISSION FOR THE MENTALLY RETARDED
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