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The Contemporary Influence of Genetics and Eugenics in Family Planning

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The New Biology

Abstract

Substantial scientific evidence exists which indicates man’s genetic inheritance acts as a major influence not only upon his behavior but on his health.1 In the United States, for example, it is estimated that one out of every 20 babies is born with a discernible genetic deficiency;2 of all chronic diseases, between 20 and 25% are predominantly genetic in origin.3 At least half of the hospital beds in America are occupied by patients whose incapacities are known to be of a genetic origin.4 Since modern medicine can alleviate the symptoms of some genetic disease syndromes through sophisticated treatment, many who are afflicted with genetic disease and who in the past would not have survived, are now maintained for extended periods. Medicine is unable to do much by way of curing genetic defects,5 however, and those afflicted with genetic diseases who are kept alive by modern technologies can reproduce and thus may increase the number of defective genes in the genetic profile of the human population.6

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Notes

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  45. Rivers, Grave New World, Sat. Rev., April 8, 1972, at 23, 26 There are four areas in which genetic disease may be classified: single gene effects; chromosomal abnormalities; congenital malformation; and serious constitutional disorders. The incident of single gene effects—of which the most commonly known are phenlketonuria (P.K.U.), Tay-Sachs disease and X-linked mental retardation—is 11.2 affected births per 1000 births. Chromosomal abnormalities—which would include Down’s syndrome and Turner’s syndrome—account for 5.4 per 1000 births. The incidence of congenital malformation is 14.1 per 1000 births and the serious constitutional disorders—which include diabetes and epilepsy—occur in 14.8 per 1000 births. S. Hayes & R. Hayes, Mental Retardation: Law, Policy and Administration 28, 29 (1982). See also, G. Roderick, Man and Heredity 225 (1968); H. Papazian, Modern Genetics 77 (1967); S. Scheinfeld, Your Heredity and Environment 189 (1965).

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  51. National Cooley’s Anemia Control Act (Public Law 92-414 (1972)). There has also been special congressional concern over the study and regulation of Huntington’s chorea (89 Stat. 349 (1975)) and hemophilia (90 Stat. 350 (1975)).

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  52. See, e.g., Ill. Ann. Stat. ch. 122 § 27–28 (Smith-Hurd Supp. 1979) (exception for refusal of physical examination on constitutional grounds); Mass. Gen. Laws Ann. ch. 76 § 15A (Supp. 1979) (mandatory only if child susceptible); N.Y. EDUC. § 904 (McKinney Supp. 1978-79) (exception for refusal based on religious beliefs). See also Va. Code Ann. §§ 32-112.20 to 112.23 (Supp. 1979) (voluntary screening program). Dr. Linus Pauling has suggested that sickle-cell anemia carriers be identified by tattooing the forehead of every carrier. Other recessive genes, such as hemophilia and phynylketonuria, could be similarly identified.

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  54. Today, some 43 states have PKU screening laws; another 14 test neonatally for a variety of screening problems other than PKU. Reilly, State Supported Mass Genetic Screening Programs, in Genetics and the haw 159, 164 (A. Milunsky & G. Annas eds. 1976).

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  55. N.Y. Dom. Rel. Law § 13-aa (McKinney 1977). Other states provide for voluntary premarital testing for sickle cell anemia. See CAL. HEALTH & SAFETY CODE §§ 325-331 (West Supp. Pamp. 1978); Ga. Code Ann. § 53-216 (1974).

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  56. See Va. Code Ann. §32-122.22 (Supp. 1979).

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  59. Waltz & Thigpen, supra, at 702-702, nn. 30-31. Confusion as to the significance of possessing the defective gene not only renders screening programs less effective in discouraging reproduction, but the failure to differentiate between the disease and the trait also increase the sitmatization to which carriers are subjected. Id..

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  60. Supra note 11, at 30.

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  61. Id.

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  62. Id. While the United States Air Force ended its ban on maintaining cadets at the Academy who were carriers of sickle-cell anemia in 1981, it has been reported that some six or more major American corporations endeavor to screen prospective employees for genetic deficiencies (and particularly their sensitivity to toxic substances). In 1982, nearly five dozen other Fortune 500 firms reported that within five years they too expected to follow a similar policy. Kevles, Annals of Eugenics, The New Yorker 116, 117 (Oct. 29, 1984).

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  63. Supra note 48, at 712.

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  66. Id.

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  67. Cf. Schmerber v. California, 384 U.S. 757, 772 (1966) (compulsory blood test to determine intoxication of automobile driver not unreasonable search).

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  71. Id. at 216.

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  73. See, e.g., Eisenstadt v. Baird, 405 U.S. 438, 452-455 (1972) (forbidding—on morality grounds—sale or gift of contraceptives to unmarried persons conflicts with fundamental constitutional rights); Loving v. Virginia, 388 U.S. 12 (1967) (state may not infringe freedom to marry person of another race); Griswold v. Connecticut, 381 U.S. 479, 481-486 (1965) (statute forbidding use of contraceptives violates constitutionally protected right of marital privacy).

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  74. Skinner v. Oklahoma, 316 U.S. 535, 541 (1941). Concurring in Griswold v. Connecticut, Justice Goldberg commented that a compulsory birth control law unjustifiably would abridge the constitutional rights of marital privacy. 281 U.S. 479, 497 (1965) (with Warren, C.J. & Brennan, J. concurring).

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  77. Id. at 512. The authors conclude, however, that the unrestricted freedom to procreate should be abridged only for “good of momentous order.” Id..

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  78. 274 U.S. 200 (1927).

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  79. Id. at 207. Justice Holmes, speaking for the Court, stated: “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 on 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. It is better for all the world, if instead of waiting to execute degenerate offspring for crime, or to let them starve for their imbecility, society can prevent those who are manifestly unfit from continuing their kind.” Id. See also In re Sterilization of Moore, 289 N.C. 95, 221 S.E. 2d 307 (1976).

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  80. The present eugenic sterilization statutes are: Cal. Penal Code § 645 (West 1970); Del. Code Ann. tit. 16, § 5701 (1983); Idaho Code §§ 39-3901-3910 (1985); Me. Rev. Stat. Ann. tit. 34B §§ 7001-7017 (Supp. 1985); Minn. Stat. Ann. § 252A.13 (1982); Miss. Code Ann. §§ 41-45-1-41-45-19 (1981 & Supp. 1985); Mont. Code Ann. §§ 50-5-501-50-5-505 (1985); N.C. Gen. Stat. §§ 35-36-35-50 (1984); Or. Rev. Stat. § 436.205-436.335 (1983); S.C. Code Ann. §§ 44-47-10-44-47-100 (1985); Utah Code Ann. §§ 64-10-1-64-10-16 (1986); Vt. Stat. Ann. tit. 18, §§ 8701-8716 (1968 & Supp. 1985); Va. Code §§ 27-16-1-27-16-5 (1976). It has been estimated that over 70,000 people have been sterilized under such statutes. Statistics from Human Betterment Ass’n of America, Summary of U.S. Sterilization Laws 2 (1958). One should distinguish these eugenic sterilization statutes from those sterilization statutes which are wholly voluntary in nature. Among the voluntary statutes are: Or. Rev. Stat. § 435.305 (1983); N.M. Stat. Ann. §§ 24-1-14, 24-9-1 (1984); Ga. Code Ann. §§ 84-932 (1985); N.C. Gen. Stat. §§ 90-271-90-275 (1985). These statutes are essentially contraceptive and therapeutic and not eugenic in nature.

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  81. See, e.g., Oregon v. Cook, 9 Ore. App. 224, 230, 495 P.2d 768, 771-772 (1972) (equal protection challenge based on indigency rejected); In re Cavitt, 182 Neb. 712-721, 157 N.W. 2d 171, 178 (1968), appeal dismissed, 396 U.S. 996 (1970).

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  82. See also Dunn, “Eugenic Sterilization Statutes: A Constitutional Re-evaluation,” 14 J. Fam. L. 280 (1975).

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  84. See Oregon v. Cook, 9 Oreg. App. 224, 230, 495 P.2d 768, 771-727 (1972).

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  85. Buck v. Bell, 274 U.S. 200, 208 (1927). The Court’s rationale acquires additional significance because it became the basis for distinguishing Buck in the case of Skinner v. Oklahoma—where the High Court invalidated a statute providing for the sterilization of habitual criminals. The Skinner Court concluded that the questioned statute violated the fourteenth amendment’s equal protection clause. See 316 U.S. 535, 542 (1941).

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  86. The statute challenged in Buck required only that experience demonstrate heredity plays an important role in the transmission of the mental defect. See 274 U.S. at 206. The inmate involved, however, was the daughter of a feebleminded mother. Id. at 205.

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  87. See generally Murray, “Marriage Contracts for the Mentally Retarded,” 21 Cath. Law. 182 (1975).

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  88. Ferster, Eliminating the Unfit—Is Sterilization the Answer? 27 Ohio St. L. J. 591 (1966).

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  90. Supra note 57. See also Baron, Voluntary Sterilization of the Mentally Retarded, in Genetics and the Law 267 (A. Milunsky & G. Annas eds. 1976).

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  91. 274 U.S. at 207. Unrestricted genetic transmission forces a heavy burden upon society. The Juke and Kallikak family histories reveal clearly this point. Max Juke resided in Ulster County, New York. He had two sons who married two of six sisters of a local feebleminded family. One other sister left the area; the other three married mental defectives. From these five sisters, 2094 direct descendants and 726 consortium descendants were traced by 1915 into 14 states. All of them were feebleminded and the cost to society from their welfare payments, illicit enterprises, jail terms, and prostitution brothels was $2,516,685. Martin Kallikak, Sr., fostered a son, Martin Jr., by a feebleminded girl during the Revolutionary War. Martin Jr. married a feebleminded girl and they in turn had seven children, five of whom were similarly afflicted. From these progeny sprung 480 descendants, 143 feebleminded, 46 normals, and 291 of unknown mental stature. J. Wallin, Mental Deficiency 43-44 (1956). Various estimates have been made relative to the lifetime costs of various genetic diseases—often with rather astonishing results. For example, it has been calculated that the lifetime costs of maintaining a seriously defective individual is $250,000; this assumes, of course, institutionalization. Conservative estimates place the number of new cases of Down’s syndrome in the United States at 5000 each year, or one in every 700 live births. Using the $250,000 figure for the cost of maintenance, the lifetime committed expenditure for new cases of Down’s syndrome alone comes to at least $1.25 billion yearly, admittedly a staggering figure for but one disease entity. Another way of calculating the toll of genetic disease is to estimate the future life years’ cost. One widely cited estimate indicates that some 36 million future life years are lost in the United States by birth defects, putting the figure for recognized genetic disease (80% of birth defects being genetic in whole or in part) at 29 million future life years lost, or several times as much as from heart disease, cancer, and stroke. WHAT ARE THE FACTS ABOUT GENETIC DISEASE? at 27, 29, U.S. Dept. of H.E.W., Public Health Service, N.I.H., DHEW Pub. No. (NIH) 75-370 (1978). See also M. Frankel, Genetic Technology: Promises and Problems 46-77 (1973).

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  109. Smith, supra, at 145, 146. The Repository for Germinal Choice became operational in 1979 in Escondido, California, and is designed to make available the sperm of Nobel Prize winners and other “creative, intelligent people.” See Playboy Interview: William Schockley, 27 Playboy 69 (Aug. 1980).

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  147. Id. at 556 See Shapiro v. Thompson, 399 U.S. 618, 638, n. 20.

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Smith, G.P. (1989). The Contemporary Influence of Genetics and Eugenics in Family Planning. In: The New Biology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0803-2_4

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