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The Relf Sisters, Minnie Lee and Mary Alice Relf (who were 12 and 14 years old in 1973, respectively), are two African-American sisters who were involuntarily sterilized by tubal ligation by a federally funded family planning clinic in
Montgomery, Alabama Montgomery is the capital city of the U.S. state of Alabama and the county seat of Montgomery County. Named for the Irish soldier Richard Montgomery, it stands beside the Alabama River, on the coastal Plain of the Gulf of Mexico. In the 202 ...
in 1973. News coverage of a class-action lawsuit filed by the
Southern Poverty Law Center The Southern Poverty Law Center (SPLC) is an American 501(c)(3) nonprofit legal advocacy organization specializing in civil rights and public interest litigation. Based in Montgomery, Alabama, it is known for its legal cases against white su ...
brought the fact of U.S. government-funded sterilization abuse to the national spotlight.


Relf family background and context

Mary Alice and Minnie Lee are the youngest of six children born to Lonnie and Minnie Relf. The Relf family experienced poverty while living in Montgomery, Alabama. Lonnie Relf, having been injured in a car accident, was unable to work and neither he nor his wife, Minnie, were able to read or write. The family received support from the Montgomery, Alabama Community Action Committee which, in 1971, relocated the family to live in public housing.


Background

At the time of the case, in 1973, women of color were a major target of coerced sterilization in the United States. In North Carolina, 65% of sterilization operations were performed on African American women, although only 25% of its female population was black. Mary Alice and Minnie were not the only African American minors who were forcibly sterilized during the 1970s. The same family planning clinic used by the Relfs sterilized a total of 11 female minors, 10 of whom were black. This investigation led to a further discovery of many more involuntary procedures on minors across the United States. From a total of 3,260 government-funded birth control clinics, another 80 minors were found to have been coercively sterilized. One case involved Deborah Blackmon, an African American woman from North Carolina who was involuntarily sterilized at 14 years old via a
total abdominal hysterectomy Hysterectomy is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries (oophorectomy), Fallopian tubes (salpingectomy), and other surrounding structures. Usually performed by a gynecologist, a hysterectomy may b ...
in January 1972 due to the court judging her to be "severely mentally retarded". Due to her undergoing the procedure under county authority, as opposed to state, Blackmon was never compensated for the procedure. A majority of these girls came from poor families. The Relf case helped expose thousands of sterilization procedures that did not involve consent, the majority of which involved African American women.


Involuntary sterilization of mentally disabled people

Eugenicist Eugenics ( ; ) is a fringe set of beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have attempted to alter human gene pools by excluding people and groups judged to be inferior or ...
s sought to improve society by discouraging reproduction in populations deemed "inferior". Those who were deemed inferior included people who were mentally disabled. A 1937 U.S. policy titled "Law 116" stated that, in the U.S. territory of
Puerto Rico Puerto Rico (; abbreviated PR; tnq, Boriken, ''Borinquen''), officially the Commonwealth of Puerto Rico ( es, link=yes, Estado Libre Asociado de Puerto Rico, lit=Free Associated State of Puerto Rico), is a Caribbean island and Unincorporated ...
, those who were "feeble-minded" and "diseased" could be permanently sterilized. Lawmakers believed that these individuals were inept in making decisions about their reproductive abilities. They also did not want the mentally ill to pass on their genetic traits to their offspring. The United States used this reasoning as justification for the sterilizations previously performed as well as for future sterilization procedures. Law 116 was repealed in 1960.


Relf sterilization case

The Relf sisters were involuntarily sterilized in 1973. In 1971, when Montgomery Community Action (MCA) moved the Relf family into public housing, the family planning service of MCA “began the unsolicited administration of experimental birth control injections”, containing
Depo-Provera Medroxyprogesterone acetate (MPA), also known as depot medroxyprogesterone acetate (DMPA) in injectable form and sold under the brand name Depo-Provera among others, is a hormonal medication of the progestin type. It is used as a method of bi ...
on Katie Relf, Minnie Lee and Mary Alice's older sister. In March 1973, Katie, a minor, had been taken to the family planning clinic, where she had an
intrauterine device An intrauterine device (IUD), also known as intrauterine contraceptive device (IUCD or ICD) or coil, is a small, often T-shaped birth control device that is inserted into the uterus to prevent pregnancy. IUDs are one form of long-acting rever ...
, or IUD, insertion procedure. Neither of Katie’s parents was asked to give permission for Katie to receive this form of birth control, and Katie “submitted to the directions of the clinic staff that she accept implantation of the device." In June 1973, two social workers from Montgomery Community visited the Relf residence with concerns that young boys were “hanging around” Minnie Lee and Mary Alice, who were both
mentally disabled Developmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, espe ...
. Lonnie was not home. The MCA workers told Minnie that her daughters were going to receive some "shots." The three were transported to a hospital, where Minnie, who could neither read nor write, signed a consent form with "X." She believed that Mary Alice and Minnie Lee were going to be given
hormonal contraception Hormonal contraception refers to birth control methods that act on the endocrine system. Almost all methods are composed of steroid hormones, although in India one selective estrogen receptor modulator is marketed as a contraceptive. The origin ...
injections, as they had received previously. Later that day, Katie Relf, 17 years old at the time, was visited at her family home by a "nurse" seeking to have her be sterilized. Being a minor and home alone, she refused, locking herself in her room. The following day, Lonnie went to visit his daughters at the hospital. When he arrived, he was advised that visiting hours were over and he could not see his daughters that day. Following three days in the hospital, the girls were sent home. Lonnie later noticed surgical scars on both of his youngest daughters' bodies. He asked his social worker what had actually happened. On realizing that their daughters had been sterilized without their consent, the Relfs filed a
class-action lawsuit A class action, also known as a class-action lawsuit, class suit, or representative action, is a type of lawsuit where one of the parties is a group of people who are represented collectively by a member or members of that group. The class action ...
in the
United States District Court for the District of Columbia The United States District Court for the District of Columbia (in case citations, D.D.C.) is a federal district court in the District of Columbia. It also occasionally handles (jointly with the United States District Court for the District of ...
with the help of the
Southern Poverty Law Center The Southern Poverty Law Center (SPLC) is an American 501(c)(3) nonprofit legal advocacy organization specializing in civil rights and public interest litigation. Based in Montgomery, Alabama, it is known for its legal cases against white su ...
. Katie Relf would also sue with her sisters in the court case of ''Relf v. Weinberger'', which resulted in a prohibition against the use of federal funds for involuntary sterilization. The defendants in the case,
Caspar Weinberger Caspar Willard Weinberger (August 18, 1917 – March 28, 2006) was an American statesman and businessman. As a prominent Republican, he served in a variety of state and federal positions for three decades, including chairman of the Californ ...
, secretary of the
Department of Health, Education and Welfare The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is " ...
(HEW) and then-director of the
Office of Economic Opportunity The Office of Economic Opportunity was the agency responsible for administering most of the War on Poverty programs created as part of United States President Lyndon B. Johnson's Great Society legislative agenda. It was established in 1964 as an i ...
(OEO) Alvin J. Arnett were accused in the complaint of having "used federal funds and the powers devolved upon them to bring about the use of birth control measures, including sterilization, on the plaintiffs (in the case of OEO) and the class they represent (in the case of OEO and HEW) ..he defendants Caspar Weinberger and Arnett as well as their predecessors in office were found to have acted to deny plaintiffs and their class status the right to procreate, which is a constitutionally protected right, by failing to establish any guidelines for birth control programs conducted with federal funds, under federal auspices or by failing to distribute such guidelines once formulated."


See also

*
Carrie Buck Carrie Elizabeth Buck (July 3, 1906 – January 28, 1983) was the plaintiff in the United States Supreme Court case ''Buck v. Bell'', after having been ordered to undergo compulsory sterilization for purportedly being "feeble-minded" by her fost ...
(July 3, 1906 – January 28, 1983) was one of the many women forcibly sterilized because her mother and doctor diagnosed her as 'feeble-minded', a diagnosis constructed from her sexual behavior. In ''
Buck v. Bell ''Buck v. Bell'', 274 U.S. 200 (1927), is a decision of the United States Supreme Court, written by Justice Oliver Wendell Holmes, Jr., in which the Court ruled that a state statute permitting compulsory sterilization of the unfit, including th ...
'', the court decided to uphold a prior resolution that permitted coerced sterilization on the basis of eugenics for people considered to be genetically inferior. * *
Compulsory sterilization Compulsory sterilization, also known as forced or coerced sterilization, is a government-mandated program to involuntarily sterilize a specific group of people. Sterilization removes a person's capacity to reproduce, and is usually done throug ...


References

{{DEFAULTSORT:Relf Sisters 1973 in Alabama African-American history in Montgomery, Alabama Eugenics in the United States People from Montgomery, Alabama