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Minnie Joycelyn Elders (born Minnie Lee Jones; August 13, 1933) is an American
pediatrician Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
and
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...
administrator who served as
Surgeon General of the United States The surgeon general of the United States is the operational head of the United States Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters of public health in the federal government of the United States. T ...
from 1993 to 1994. A vice admiral in the Public Health Service Commissioned Corps, she was the second woman, second
person of color The term "person of color" ( : people of color or persons of color; abbreviated POC) is primarily used to describe any person who is not considered "white". In its current meaning, the term originated in, and is primarily associated with, the U ...
, and first
African American African Americans (also referred to as Black Americans and Afro-Americans) are an ethnic group consisting of Americans with partial or total ancestry from sub-Saharan Africa. The term "African American" generally denotes descendants of ens ...
to serve as Surgeon General. Elders is best known for her frank discussion of her views on controversial issues such as drug legalization,
masturbation Masturbation is the sexual stimulation of one's own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve hands, fingers, everyday objects, sex toys such as vibrators, or combinat ...
, and distributing
contraception Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unwanted pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth contr ...
in schools. She was forced to resign in December 1994 amidst controversy as a result of her views. She is currently a professor emerita of pediatrics at the University of Arkansas for Medical Sciences.


Early life and education

Elders was born Minnie Lee Jones in Schaal, Arkansas, to a poor, farm
sharecropping Sharecropping is a legal arrangement with regard to agricultural land in which a landowner allows a tenant to use the land in return for a share of the crops produced on that land. Sharecropping has a long history and there are a wide range ...
family, and was the eldest of eight children, and
valedictorian Valedictorian is an academic title for the highest-performing student of a graduating class of an academic institution. The valedictorian is commonly determined by a numerical formula, generally an academic institution's grade point average (GPA) ...
of her school class. The family also spent two years near a wartime shipyard in
Richmond, California Richmond is a city in western Contra Costa County, California, United States. The city was incorporated on August 7, 1905, and has a city council.
before returning to Schaal. In college, she changed her name to Minnie Joycelyn Lee. In 1952, she received her B.S. degree in
Biology Biology is the scientific study of life. It is a natural science with a broad scope but has several unifying themes that tie it together as a single, coherent field. For instance, all organisms are made up of cells that process hereditary ...
from Philander Smith College in
Little Rock, Arkansas ( The "Little Rock") , government_type = Council-manager , leader_title = Mayor , leader_name = Frank Scott Jr. , leader_party = D , leader_title2 = Council , leader_name2 ...
, where she also pledged
Delta Sigma Theta Delta Sigma Theta Sorority, Inc. () is a List of African-American fraternities, historically African American Fraternities and sororities, sorority. The organization was founded by college-educated women dedicated to public service with an emph ...
. She married briefly to Cornelius Reynolds, a Federal employee, and later to Oliver Elders, a basketball coach. After working as a
nurse's aide Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—includi ...
in a
Veterans Administration The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers an ...
hospital in
Milwaukee Milwaukee ( ), officially the City of Milwaukee, is both the most populous and most densely populated city in the U.S. state of Wisconsin and the county seat of Milwaukee County. With a population of 577,222 at the 2020 census, Milwaukee i ...
for a period, she joined the
United States Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, ...
in May 1953 and became a 2nd Lieutenant. During her 3 years in the Army, she was trained as a
physical therapist Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patien ...
. She then attended the University of Arkansas Medical School, where she obtained her M.D. degree in 1960. After completing an internship at the
University of Minnesota The University of Minnesota, formally the University of Minnesota, Twin Cities, (UMN Twin Cities, the U of M, or Minnesota) is a public land-grant research university in the Twin Cities of Minneapolis and Saint Paul, Minnesota, United States. ...
Hospital and a residency in pediatrics at the University of Arkansas Medical Center, Elders earned an
M.S. A Master of Science ( la, Magisterii Scientiae; abbreviated MS, M.S., MSc, M.Sc., SM, S.M., ScM or Sc.M.) is a master's degree in the field of science awarded by universities in many countries or a person holding such a degree. In contrast to ...
in
Biochemistry Biochemistry or biological chemistry is the study of chemical processes within and relating to living organisms. A sub-discipline of both chemistry and biology, biochemistry may be divided into three fields: structural biology, enzymology and ...
in 1967.


Director of Arkansas Department of Health

In 1987, then-governor
Bill Clinton William Jefferson Clinton (né Blythe III; born August 19, 1946) is an American politician who served as the 42nd president of the United States from 1993 to 2001. He previously served as governor of Arkansas from 1979 to 1981 and again ...
appointed Elders as Director of the Arkansas Department of Health, making her the first African-American woman in the state to hold this position. Some of her major accomplishments while in office include reducing the teen pregnancy rate by increasing the availability of birth control, counseling, and sex education at school-based clinics; a tenfold increase in early childhood screenings from 1988 to 1992 and a 24 percent rise in the immunization rate for two-year-olds; and an expansion of the availability of HIV testing and counseling services, breast cancer screenings, and better hospice care for the elderly. She also worked hard to promote the importance of sex education, proper hygiene, and prevention of substance abuse in public schools. In 1992, she was elected President of the Association of State and Territorial Health Officers.


Experiences with racism

Elders believed that opposition to her Surgeon General nomination was driven by sexism and racism. "Some people in the American Medical Association, a certain group of them, didn't even know that I was a physician. They were passing a resolution to say that from now on every Surgeon General must be a physician—which was a knock at me. ... They don't expect a black female to have accomplished what I have and to have done the things that I have." During an interview, she was asked if she related to Shirley Chisholm's statement about feeling more oppressed as a woman than as an African American, and replied by saying, "I am who I am because I'm a black woman." Elders was able to be the voice for the African-American community and speak on poverty and its role in teenage pregnancy, which is a major issue within the community. Poor African-American teenage mothers are "captive to a slavery the 13th Amendment did not anticipate," which is a major reason why she stressed the importance of teaching sex education in public schools.


Views on sex education

As an endocrinologist, Elders was especially concerned with young diabetic women getting pregnant. If young teen women who have diabetes get pregnant, they have a high chance of their bodies rejecting the fetus or the fetus developing abnormalities ''in utero''. To prevent these pregnancies from happening, she thoroughly talked to her patients about the dangers of early pregnancy and the importance of using contraceptives, and taking control of their sexuality as soon as they began puberty. Of the approximately 260 young diabetic women she treated, only one of them became pregnant.


Sex education for young African-American women

Elders strongly advocated sex and reproductive education, especially in African-American communities. She criticized older textbooks that said only white females had naturally regular periods, because white females were on birth control to regulate their periods. Black females did not readily seek out birth control because their " lackministers were up on the pulpit saying the birth control pills were black genocide." She was very vocal about her disgust with black men exploiting black women and stripping them of their reproductive health choices, because "If you can't control your reproduction, you can't control your life."


Surgeon General of the United States

Elders has received a
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the lat ...
career development award, also serving as assistant professor in
pediatrics Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
at the University of Arkansas Medical Center from 1967. She was promoted to associate professor in 1971 and
professor Professor (commonly abbreviated as Prof.) is an academic rank at universities and other post-secondary education and research institutions in most countries. Literally, ''professor'' derives from Latin as a "person who professes". Professo ...
in 1976. Her research interests focused on
endocrinology Endocrinology (from '' endocrine'' + '' -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental event ...
, and she received board certification as a
pediatric endocrinologist Pediatric endocrinology (British: Paediatric) is a medical subspecialty dealing with disorders of the endocrine glands, such as variations of physical growth and sexual development in childhood, diabetes and many more. By age, pediatric endocrinol ...
in 1978, becoming the first person in the state of Arkansas to do so. Elders received a
D.Sc. Doctor of Science ( la, links=no, Scientiae Doctor), usually abbreviated Sc.D., D.Sc., S.D., or D.S., is an academic research degree awarded in a number of countries throughout the world. In some countries, "Doctor of Science" is the degree used f ...
degree from
Bates College Bates College () is a private liberal arts college in Lewiston, Maine. Anchored by the Historic Quad, the campus of Bates totals with a small urban campus which includes 33 Victorian Houses as some of the dormitories. It maintains of nature p ...
in 2002. In January 1993, Bill Clinton appointed her as the United States Surgeon General, making her the first
African American African Americans (also referred to as Black Americans and Afro-Americans) are an ethnic group consisting of Americans with partial or total ancestry from sub-Saharan Africa. The term "African American" generally denotes descendants of ens ...
and the second woman (following
Antonia Novello Antonia Coello Novello, M.D., (born August 23, 1944) is a Puerto Rican physician and public health administrator. She was a vice admiral in the Public Health Service Commissioned Corps and served as 14th Surgeon General of the United States from ...
) to hold the position. At her confirmation hearing, Elders responded to criticism over an incident in which she decided not to notify the public that condoms her department had been distributing in Arkansas had been found to be defective, with a failure rate ten times the allowed rate. Elders said that "I don't know" whether the decision had been correct, but she had believed at the time that public disclosure could lead to a public loss of faith in the efficacy of condoms, which would have been the greater danger. She was a controversial choice and a strong backer of the Clinton health care plan, so she was not confirmed until September 7, 1993. As Surgeon General, Elders quickly established a reputation for being controversial. Like many of the Surgeons General before her, she was an outspoken advocate of a variety of health-related causes. She argued for an exploration of the possibility of
drug A drug is any chemical substance that causes a change in an organism's physiology or psychology when consumed. Drugs are typically distinguished from food and substances that provide nutritional support. Consumption of drugs can be via inhala ...
legalization, and backed the distribution of
contraceptives Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unwanted pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth cont ...
in schools. President Clinton stood by Elders, saying that she was misunderstood.


Views on drug legalization

Elders drew fire, as well as censure from the Clinton administration, when she suggested that legalizing drugs might help reduce crime and that the idea should be studied. On December 15, 1993, around one week after making these comments, charges were filed against her son Kevin for selling cocaine in an incident involving undercover officers four months prior. Elders believes the incident was a frame-up and the timing of the charges was designed to embarrass her and the president. Kevin Elders was convicted, and he was sentenced to 10 years in prison, of which he served four months. He appealed his conviction to the
Arkansas Supreme Court The Supreme Court of Arkansas is the highest court in the state judiciary of Arkansas. It has ultimate and largely discretionary appellate jurisdiction over all state court cases that involve a point of state law, and original jurisdiction o ...
, and that court reaffirmed the conviction. The court held that Mr. Elders failed to show that he was entrapped into making the narcotics sale. There was no further appeal.


Comments on abortion and masturbation

In January 1994 in the context of
abortion Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pre ...
, Elders said, "We really need to get over this love affair with the
fetus A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal dev ...
and start worrying about children." Later that year, she was invited to speak at a
United Nations The United Nations (UN) is an intergovernmental organization whose stated purposes are to maintain international peace and security, develop friendly relations among nations, achieve international cooperation, and be a centre for harmoni ...
conference on
AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ma ...
. She was asked whether it would be appropriate to promote
masturbation Masturbation is the sexual stimulation of one's own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve hands, fingers, everyday objects, sex toys such as vibrators, or combinat ...
as a means of preventing young people from engaging in riskier forms of sexual activity, and she replied, "As per your specific question in regard to masturbation, I think that is something that is a part of human sexuality and it's a part of something that perhaps should be taught. But we've not even taught our children the very basics. And I feel that we have tried ignorance for a very long time and it's time we try education."


Resignation

Elders' comments on masturbation caused great controversy and resulted in Elders losing the support of the White House. Clinton's chief of staff, Leon Panetta, remarked, "There have been too many areas where the President does not agree with her views. This is just one too many." In December 1994, Elders was forced to resign by President Clinton. This led sex-positive retailer Good Vibrations in 1995 to proclaim May 28 as
National Masturbation Day National Masturbation Day, also known as International Masturbation Day, is an annual event held to protect and celebrate the "right to masturbate". The first National Masturbation Day was May 7, 1995, after sex-positive retailer Good Vibrations ...
in honor of Elders' advocacy.Clinton Fires Surgeon General Over New Flap
/ref> A collection of Elder's professional papers is held at the
National Library of Medicine The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library. Located in Bethesda, Maryland, the NLM is an institute within the National Institutes of Health. Its ...
in Bethesda, Maryland.


Post-governmental activities

Since leaving her post as Surgeon General, Elders has returned to the University of Arkansas for Medical Sciences as professor of
pediatrics Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
, and is currently professor emerita at UAMS. She is a regular on the lecture circuit, speaking against teen pregnancy. She has appeared on TV in '' Penn and Teller: Bullshit!'' during the episode on abstinence, where she says that she considers abstinence-only programs to be child abuse and discusses her opinions on teenage sex education, masturbation and contraceptives. In 2009 Elders teamed up with the University of Minnesota to establish the nation’s first Chair in Sexual Health Education, a fund to attract and retain outstanding tenured sexual health education faculty in the Program in Human Sexuality at the University of Minnesota Medical School. She is interviewed in the 2013 documentary ''How to Lose Your Virginity'' on her opinions regarding comprehensive sex education versus abstinence-only sex education. Elders was inducted into the Arkansas Women's Hall of Fame in 2016. In 2015, Philander Smith College, Elders' ''alma mater'', established The Dr. Joycelyn Elders School of Allied and Public Health. In an October 15, 2010, article, she clearly voiced support for legalization of marijuana: In 1997, Elders published a memoir.Joycelyn Elders, ''Joycelyn Elders, M.D.: From Sharecropper's Daughter to Surgeon General of the United States of America'', Harper Perennial (1997) She received a Candace Award from the
National Coalition of 100 Black Women The National Coalition of 100 Black Women, Inc. (NCBW) is a non-profit volunteer organization for African American women. Its members address common issues in their communities, families and personal lives, promoting gender and racial equity. Hi ...
in 1991. She was inducted into
Omicron Delta Kappa Omicron Delta Kappa (), also known as The Circle and ODK, is one of the most prestigious honor societies in the United States with chapters at more than 300 college campuses. It was founded December 3, 1914, at Washington and Lee University i ...
as an ''honoris causa'' initiate at SUNY Plattsburgh in 1996.


See also

* '' Sticky: A (Self) Love Story'', a documentary on masturbation including an interview with Elders about her experience being asked to resign from the Clinton administration


References

*''Joycelyn Elders, M.D.'' by Dr. Joycelyn Elders and David Chanoff. Another Surgeon General's autobiography.


External links

*
Joycelyn Elders's oral history video excerpts
at The National Visionary Leadership Project
Video of Joycelyn Elders
from the AETN documentary on her * {{DEFAULTSORT:Elders, Joycelyn 1933 births Living people African-American female military personnel African-American women scientists American scientists American abortion-rights activists American endocrinologists Women endocrinologists American pediatricians Women pediatricians Surgeons General of the United States State cabinet secretaries of Arkansas Women in Arkansas politics Arkansas Democrats Philander Smith College alumni United States Army officers University of Arkansas faculty University of Arkansas alumni Clinton administration personnel American women physicians United States Public Health Service Commissioned Corps admirals Women in the United States Army Delta Sigma Theta members American cannabis activists African-American women physicians African-American physicians 21st-century American women African-American United States Army personnel