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Great Wall Institute: The Process of the Great Wall of Los Angeles

60s Forced Sterilizations

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They came to have their babies. They went home sterilized. The story of immigrant mothers who sued county doctors, the state, and the U.S. government after they were pushed into sterilizations while giving birth at the Los Angeles County-USC Medical Center during the 1960s and 70s. Led by an intrepid, 26-year-old Chicana lawyer and armed with hospital records secretly gathered by a whistle-blowing young doctor, the mothers faced public exposure and stood up to powerful institutions in the name of justice.
By 1934, there were 67 birth control clinics operating under federal funding through Franklin D. Roosevelt’s Puerto Rican Relief Administration; in 1936, the Maternal and Childcare Health Association, a private entity, opened 23 more. A law passed the following year—Law 116—made sterilization legal and free for Puerto Rican women. Family planning clinics offering free sterilization were installed in the new factories of the industrial wave; women were encouraged to work in needlework and textile industries there, and were shown favoritism for sterilization compliance. Health officials campaigned door-to-door for sterilization throughout rural communities, too. In a dire economic situation and with few affordable alternative contraceptive methods available, the operation—or la operacion, as it was referred to locally—became commonplace. By the 1960s, about one-third of the female population had been sterilized—and many of those women hadn’t been educated about the permanency of tubal ligation.
Maria Figueroa returns to the maternity ward at Los Angeles county hospital. Her story is part of the PBS documentary “No Más Bebés.”Kevin Castro/In this case, the lack of similar efforts to conduct sterilizations in other hospitals underlines the racist sentiments in these forced surgeries. Specifically, in the Los Angeles region, only east LA and LA Community Hospital performed these operations and received such pushback. In other words, the only community that suffered due to uninformed and nonconsensual sterilization was east LA, a predominantly Mexican community. Furthermore, the tactic of asking non-English speakers to sign a form in English in most cases applied to the Mexican community in Los Angeles. A common argument given by doctors is that nothing they did shows they specifically targeted the Mexican community. Nevertheless, the standard operating procedures implemented at the hospital included asking patients to sign forms while under labor, not translating forms into Spanish for Spanish speakers, and overall not ensuring the informed consent at the time of signage. Combined, the doctors’ lack of concern for their patients and systematic targeting of patients while under labor and with English forms is understood to be forced sterilization. Regardless of original intention, be it money due to extra surgeries or increased prestige due to more successful surgeries completed, these doctors ultimately forcibly sterilized hundreds of women from a minority group, terminating their chances for reproduction and raising a family; they were able to do so primarily due to the race of their victims.
Widespread sterilization operation led by the United States during the 1950s and 60s in Puerto Rico. La Operación is a documentary from 1982 that shows the widespread sterilization operation led by the United States during the 1950s and 60s in Puerto Rico. Ana María García directed the film which highlights how the United States pushed for increased female sterilization in Puerto Rico. She mixes in the documentary a blend of interviews with women from different socioeconomic and racial backgrounds but the interviews are not the only focus of her work; she also incorporates scenes showing a sterilization procedure in addition to other historical and contextual parts. account from the documentary displays the same message as the propaganda above, that there are prosperity and good living associated with sterilization, based on the belief that too many kids lead to a perpetual state of destitution. These false beliefs led many women to give up their agency over their bodies and cave into getting sterilized—except they did not know all the time what they were signing up for.
In August 1964, the North Carolina Eugenics Board met to decide if a 20-year-old Black woman should be sterilized. Because her name was redacted from the records, we call her Bertha. She was a single mother with one child who lived at the segregated O'Berry Center for African American adults with intellectual disabilities in Goldsboro. According to the North Carolina Eugenics Board, Bertha had an IQ of 62 and exhibited “aggressive behavior and sexual promiscuity.” She had been orphaned as a child and had a limited education. Likely because of her “low IQ score,” the board determined she was not capable of rehabilitation. Instead the board recommended the “protection of sterilization” for Bertha, because she was “feebleminded” and deemed unable to “assume responsibility for herself” or her child. Without her input, Bertha’s guardian signed the sterilization form.
Maria Figueroa returns to the maternity ward at Los Angeles county hospital. Her story is part of the PBS documentary “No Más Bebés.”Kevin Castro -"During the late 1960s and early 1970s, some Mexican and Mexican-American women who were admitted to Los Angeles County-USC Medical Center for an emergency caesarian faced an agonizing choice. If they wanted painkillers, or if they wanted to proceed with their operations, then they had to sign a piece of paper that a nurse or doctor thrust into their hands. “You better sign those papers, or your baby probably could die,” one woman recalls being told in Spanish. Many women gave their signature, on what they believed to be standard paperwork, despite feeling bewildered or disoriented, being in severe pain, or not understanding English. Only later did they learn that they had consented to a tubal ligation – sterilization – more commonly known as having their “tubes tied.” Those children that they had delivered at the hospital would be their last. For them, there would be no more babies, or as one woman put it in Spanish, No Más Bebés. Under California eugenics laws that were in place between 1909 and 1979, about 20,000 women — mostly Black, Latinx and Indigenous women who were incarcerated or in state institutions for disabilities — were forcibly sterilized or coerced into sterilization."
No Más Bebés tells the story of a little-known but landmark event in reproductive justice, when a small group of Mexican immigrant women sued county doctors, the state, and the U.S. government after they were sterilized while giving birth at Los Angeles County-USC Medical Center during the late 1960s and early 1970s. Marginalized and fearful, many of these mothers spoke no English, and charged that they had been coerced into tubal ligation — having their tubes tied — by doctors during the late stages of labor. Often the procedure was performed after asking the mothers under duress.