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Foreword by Troy Duster,
Acknowledgments,
Note to Readers,
Introduction Osagie K. Obasogie and Marcy Darnovsky,
PART I. THE BIOPOLITICAL CRITIQUE OF BIOETHICS: HISTORICAL CONTEXT,
1. The Biological Inferiority of the Undeserving Poor Michael B. Katz,
2. Making Better Babies: Public Health and Race Betterment in Indiana, 1920–1935 Alexandra Minna Stern,
3. Eugenics and the Nazis: The California Connection Edwin Black,
4. Why the Nazis Studied American Race Laws for Inspiration James Q. Whitman,
5. Constructing Normalcy: The Bell Curve, the Novel, and the Invention of the Disabled Body in the Nineteenth Century Lennard J. Davis,
6. The Eugenics Legacy of the Nobelist Who Fathered IVF Osagie K. Obasogie,
PART II. BIOETHICS AND ITS DISCONTENTS,
7. A Sociological Account of the Growth of Principlism John H. Evans,
8. Why a Feminist Approach to Bioethics? Margaret Olivia Little,
9. Disability Rights Approach toward Bioethics? Gregor Wolbring,
10. Differences from Somewhere: The Normativity of Whiteness in Bioethics in the United States Catherine Myser,
11. Bioethical Silence and Black Lives Derek Ayeh,
12. The Ethicists Carl Elliott,
PART III. EMERGING BIOTECHNOLOGIES, EXTREME IDEOLOGIES: THE RECENT PAST AND NEAR FUTURE,
13. The Genome as Commons Tom Athanasiou and Marcy Darnovsky,
14. Yuppie Eugenics Ruth Hubbard and Stuart Newman,
15. Brave New Genome Eric S. Lander,
16. Can We Cure Genetic Diseases without Slipping into Eugenics? Nathaniel Comfort,
17. Cyborg Soothsayers of the High-Tech Hogwash Emporia: In Amsterdam with the Singularity Corey Pein,
PART IV. MARKETS, PROPERTY, AND THE BODY,
18. Flacking for Big Pharma Harriet A. Washington,
19. Your Body, Their Property Osagie K. Obasogie,
20. Where Babies Come From: Supply and Demand in an Infant Marketplace Debora Spar,
21. Dear Facebook, Please Don't Tell Women to Lean In to Egg Freezing Jessica Cussins,
22. The Miracle Woman Rebecca Skloot,
PART V. PATIENTS AS CONSUMERS IN THE GENE AGE,
23. What Is Your DNA Worth? David Dobbs,
24. Should Patients Understand That They Are Research Subjects? Jenny Reardon,
25. Direct-to-Consumer Genetic Tests Should Come with a Health Warning Jessica Cussins,
26. Genetic Testing for All Women? Not a Solution to the Breast Cancer Epidemic Karuna Jaggar,
27. Welcome, Freshmen: DNA Swabs, Please. Troy Duster,
28. Me Medicine Donna Dickenson,
29. Public Health in the Precision-Medicine Era Ronald Bayer and Sandro Galea,
PART VI. SEEKING HUMANITY IN HUMAN SUBJECTS RESEARCH,
30. Medical Exploitation: Inmates Must Not Become Guinea Pigs Again Allen M. Hornblum and Osagie K. Obasogie,
31. The Body Hunters Marcia Angell,
32. Guinea-Pigging Carl Elliott,
33. Human Enhancement and Experimental Research in the Military Efthimios Parasidis,
34. Non-Consenting Adults Harriet A. Washington,
PART VII. BABY-MAKING IN THE BIOTECH AGE,
35. Generation I.V.F.: Making a Baby in the Lab — 10 Things I Wish Someone Had Told Me Miriam Zoll,
36. Queering the Fertility Clinic Laura Mamo,
37. Reproductive Tourism: Equality Concerns in the Global Market for Fertility Services Lisa Chiyemi Ikemoto,
38. Make Me a Baby as Fast as You Can Douglas Pet,
39. Let's Get Rid of the Secrecy in Donor-Conceived Families Naomi Cahn and Wendy Kramer,
PART VIII. SELECTING TRAITS, SELECTING CHILDREN,
40. Disability Equality and Prenatal Testing: Contradictory or Compatible? Adrienne Asch,
41. The Bleak New World of Prenatal Genetics Marcy Darnovsky and Alexandra Minna Stern,
42. Have New Prenatal Tests Been Dangerously Oversold? Beth Daley,
43. Sex Selection and the Abortion Trap Mara Hvistendahl,
44. A Baby, Please: Blond, Freckles-Hold the Colic Gautam Naik,
PART IX. REINVENTING RACE IN THE GENE AGE,
45. Straw Men and Their Followers: The Return of Biological Race Evelynn M. Hammonds,
46. The Problem with Race-Based Medicine Dorothy Roberts,
47. Race in a Bottle Jonathan Kahn,
48. The Science and Business of Genetic Ancestry Testing Deborah A. Bolnick et al.,
49. All That Glitters Isn't Gold Osagie K. Obasogie and Troy Duster,
50. High-Tech, High-Risk Forensics Osagie K. Obasogie,
PART X. BIOPOLITICS AND THE FUTURE,
51. Die, Selfish Gene, Die David Dobbs,
52. Toward Race Impact Assessments Osagie K. Obasogie,
53. Human Genetic Engineering Demands More Than a Moratorium Sheila Jasanoff, J. Benjamin Hurlbut, and Krishanu Saha,
54. "Moral Questions of an Altogether Different Kind": Progressive Politics in the Biotech Age Marcy Darnovsky,
Afterword by Patricia J. Williams,
List of Contributors,
Index,
The Biological Inferiority of the Undeserving Poor
Michael B. Katz
... If the misery of our poor be caused not by the laws of nature, but by our institutions, great is our sin. ...
CHARLES DARWIN (1839)
For most of recorded history, poverty reflected God's will. The poor were always with us. They were not inherently immoral, dangerous, or different. They were not to be shunned, feared, or avoided. In the late eighteenth and early nineteenth centuries, a harsh new idea of poverty and poor people as different and inferior began to replace this ancient biblical view. In what ways, exactly, are poor people different from the rest of us became — and remains — a burning question answered with moral philosophy, political economy, social science, and, eventually, biology. Why did biological conceptions of poverty wax and wane over the last century and a half? What forms have they taken? What have been their consequences?
The biological definition of poverty reinforces the idea of the undeserving poor, which is the oldest theme in post-Enlightenment poverty discourse. Its history stretches from the late eighteenth century through to the present. Poverty, in this view, results from personal failure and inferiority. Moral weaknesses — drunkenness, laziness, sexual promiscuity — constitute the most consistent markers of the undeserving poor. The idea that a culture of poverty works its insidious influence on individuals, endowing them with traits that trap them in lives of destitution, entered both scholarly and popular discourse somewhat later and endures to this day. Faulty heredity composes the third strand in the identification of the undeserving poor; backed by scientific advances in molecular biology and neuroscience, it is enjoying a revival. The historical record shows this idea in the past to have been scientifically dubious, ethically suspect, politically harmful, and, at its worst, lethal. That is why we should pay close attention to its current resurgence.
This article excavates the definition of poor people as biologically inferior. It not only documents its persistence over time but emphasizes three themes. First, the concept rises and falls in prominence in response to institutional and programmatic failure. It offers a convenient explanation for why the optimism of reformers proved illusory or why social problems remained refractory despite efforts to eliminate them. Second, its initial formulation and reformulation rely on bridging concepts that try to parse the distance between heredity and environment through a kind of neo-Lamarkianism. These early bridges invariably crumble. Third, hereditarian ideas always have been supported by the best science of the day. This was the case with the ideas that ranked "races," underpinned immigration restrictions, and encouraged compulsory sterilization — as well as those that have written off the intellectual potential of poor children.
In its review of the biological strand in American ideas about poverty, this article begins in the 1860s with the first instance of the application of hereditarian thought I have discovered and moves forward to social Darwinism and eugenics, immigration restriction, and early IQ testing. It then picks up the story with Arthur Jensen's famous 1969 article in the Harvard Educational Review, follows it to the Bell Curve, and ends with the astonishing rise of neuroscience and the field of epigenetics. It concludes by arguing that despite the intelligence, skill, and good intentions of contemporary scientists, the history of biological definitions of poor persons calls for approaching the findings of neuroscience with great caution.
In 1866 the Massachusetts Board of State Charities, which had oversight of the state's public institutions, wrote, "The causes of the evil [the existence of such a large proportion of dependent and destructive members of our community] are manifold, but among the immediate ones, the chief cause is inherited organic imperfection, vitiated constitution or poor stock" ([MA] State Board of Charities 1866). This early proclamation of the biological inferiority of the undeserving poor arose as a response to institutional failure. Recurrent institutional and programmatic failure has kept it alive in writing about poverty ever since, supported always by scientific authority.
Beginning in the early nineteenth century, reformers sponsored an array of new institutions designed to reform delinquents, rehabilitate criminals, cure the mentally ill, and educate children. Crime, poverty, and ignorance, in their view, were not distinct problems. The "criminal," "pauper," and "depraved" represented potentialities inherent in all people and triggered by faulty environments. Poverty and crime, for instance, appeared to cause each other and to occur primarily in cities, most often among immigrants. This stress on the environmental causes of deviance and dependence, prominent in the 1840s, underpinned the first reform schools, penitentiaries, mental hospitals, and, even, public schools (Katz [1968] 2001).
By the mid-1860s it had become clear that none of the new institutions built with such optimism had reached their goals. They manifestly failed to rehabilitate criminals, cure the mentally ill, reeducate delinquents, or reduce poverty and other forms of dependence. The question was, why? Answers did not look hard at the failures in institutional design and implementation or at the contexts of inmates', prisoners', and patients' lives. Rather, they settled on individual-based explanations: inherited deficiencies. The Massachusetts Board of State Charities supported its belief that the inheritance of acquired characteristics (later known as Lamarkianism) reproduced the undeserving poor as well as criminals, the mentally ill, and other depraved and dependent individuals with scientific evidence from physiologists which emphasized the toxic impact of large amounts of alcohol on the stimulation of the "animal passions" and the repression of "will" ([MA] State Board of Charities 1866)....
By the 1920s, two initially separate streams — social Darwinism and eugenics — converged in the hard-core eugenic theory that justified racism and social conservatism. Social Darwinism attempted to apply the theory of Darwinian evolution to human behavior and society. Social Darwinists — whose leading spokesperson, Herbert Spencer, enjoyed a triumphant tour of the United States in 1882 — insisted on the heritability of socially harmful traits, including pauperism, mental illness, and criminality, and on the harmful effects of public and private charities that interfered with the survival of the fittest. They viewed the "unfit" not only as unworthy losers but as savage throwbacks to a primitive life. Hereditarian beliefs thus fed widespread fears of "race suicide" giving an urgency to the problem of population control. The "ignorant, the improvident, the feeble-minded, are contributing far more than their quota to the next generation," warned Frank Fetter of Cornell University (Bender 2009, 202).
The English scientist Francis Galton originally coined the term eugenics in 1883 to denote the improvement of human stock by giving "the more suitable races or strains of blood a better chance of prevailing speedily over the less suitable." In the United States, eugenic "science" owed more to the genetic discoveries of Gregor Mendel, first published in 1866 but unrecognized until the end of the century, than to mathematical genetics as practiced by Galton and his leading successor Karl Pearson. In 1904 Charles Davenport, the leading US eugenics promoter, used funds from the newly established Carnegie Corporation to set up a laboratory at Cold Springs Harbor on Long Island. Davenport looked forward to the "new era" of cooperation between the sociologist, legislator, and biologist, who together would "purify our body politics of the feebleminded, and the criminalistic and the wayward by using the knowledge of heredity." Eugenics entered public policy through its influence on immigration restriction and social reform as well as through state sterilization laws. Indiana passed the first of these in 1907. By the end of the 1920s, twenty-four states passed laws permitting the involuntary sterilization of the mentally unfit, a practice upheld by the US Supreme Court in 1920 in Buck v. Bell (Kevles 1985).
In the United States, the application of evolutionary and genetic ideas to social issues gained traction in the late nineteenth century as a tool for explaining and dealing with the vast changes accompanying industrialization, urbanization, and immigration. Eugenics drew support from both conservatives and progressives and underlay the emerging consensus on the need for immigration restriction that resulted in the nationality-based immigration quotas legislated by Congress in 1924. "In the early twentieth century," point out Hilary Rose and Steven Rose in Genes, Cells and Brains, "barring Catholics, eugenics commanded the support of most Euro-American intellectuals — not just racists and reactionaries but feminists, reformers, and Marxists" (Rose and Rose 2012, 129). Conservatives found in eugenics and social Darwinism justification for opposing public and private charities that would contribute to the reproduction of the unfit. But eugenics found enthusiasts as well in birth control advocate Margaret Sanger and in settlement house workers preoccupied with the alleged degeneracy of an immigrant working class. Like their predecessors on the Massachusetts Board of State Charities decades earlier, they turned to the heritability of acquired characteristics and the plasticity of human nature to reconcile their belief in the biological foundation of physical and moral degeneration with their commitment to the power of social reform to build character and instill habits.
Nonetheless, by the 1920s, cracks appeared in the bridge that linked the environmentalists and hereditarians. Hereditarians took an increasingly hard line, manifest in the new science of intelligence tests as well as in their continued advocacy of sterilization. Developed by the French psychologist Alfred Binet, intelligence tests were brought to the United States in 1880 by American psychologist Henry H. Goddard who first applied them at the Vineland, New Jersey, Training School for Feeble-Minded Boys and Girls — he directed its new laboratory for the study of mental deficiency. Other psychologists picked up Goddard's work on intelligence testing, extended it to other populations, and experimented with different methods. Lewis Terman at Stanford, one of the most prominent ... proponent[s] of the hereditarian view of intelligence, introduced the term "IQ," which stood for "intelligence quotient," a concept developed in 1912 by William Stern, a German psychologist. Intelligence testing, which at first aroused skepticism and hostility, received a tremendous boost during World War I, when a trial of the tests on more than 1.7 million people during the war dramatically brought them to public attention. The tests purported to show that nearly one-fourth of the draft army could not read a newspaper or write a letter home and, by implication, that the mental ages of the average white and black Americans were, respectively, thirteen and ten (Gould 1980).
Davenport, Goddard, and others blamed the results for whites on the immigration of inferior races and used them as ammunition in their advocacy of immigration restriction. The tests, they argued, demonstrated the genetic heritability of mental deficiency. These ideas worked their way into public education in the 1920s, underpinning the educational psychology taught in teacher preparation courses and the massive upsurge in testing used to classify students, predict their futures, and justify unequal educational outcomes. "Terman and other psychologists," points out historian Paul Fass, "were quick to point out that opening up avenues of opportunity to the children of the lower socioeconomic groups probably made no sense; they did not have the I.Q. points to compete." In the minds of its prominent advocates, intelligence testing was linked with beliefs that science had demonstrated the primacy of heredity over environment and that the immigration of inferior races was driving America toward a dysgenic future (Fass 1989).
Even before the 1920s, strains between eugenicists and reformers had opened fissures in the consensus around the heritability of mental and character defects. Eugenicists' commitment to "germ plasm" pulled them away from the environmental and neo-Lamarkian theories underpinning Progressive reform. Then, after the 1920s, biochemistry and the rise of the Nazis combined to drive eugenics into eclipse and disrepute. The more research revealed about the complexity of human genetics, the less defensible even reform genetics appeared. The American Eugenics Society praised Hitler's 1933 sterilization law while German eugenicists flattered their American counterparts by pointing out the debt they owed them, and the Nazi regime welcomed and honored prominent American eugenicists (Bender 2009).
The fall of eugenics left the field open to environmental explanations. Nurture rather than nature became the preferred explanation for crime, poverty, delinquency, and low educational achievement. The emphasis on environment fit with the emergent civil rights movement, which rejected racial, or biological, explanations for differences between blacks and whites — explanations that had been used to justify slavery, lynching, segregation, and every other form of violent and discriminatory activity. Hereditarian explanations fit badly, too, with the optimism underlying the War on Poverty and Great Society that assumed the capacity of intelligent government action to ameliorate poverty, ill health, unemployment, and crime.
Nonetheless, by the late 1960s a new eugenics began to challenge the environmental consensus. Its appearance coincided with the white backlash against government-sponsored programs favoring African Americans and the disenchantment following on what appeared to be the failure of programs of compensatory education designed to make up for the culturally deficient homelife of poor, especially poor black, children. Psychologist Arthur R. Jensen's 1969 article in the Harvard Educational Review, "How Much Can We Boost IQ and Scholastic Achievement?" led the revival of hereditarianism. "Compensatory education," Jensen argued, "has been tried and it apparently has failed." The reason was that compensatory education programs ran up against a genetic wall. Poor, minority children lacked the intelligence to profit from them (Jensen 1969).
Jensen's article provoked a furious counter-attack. Nonetheless, the controversy breathed new life into research and writing on the influence of heredity on intelligence and seeped into the rationales for failure offered by educators. (I recall sitting in a meeting in the early 1970s with a high-level Toronto school administrator who, in a discussion of the low achievement of poor students, said, in effect, "well, Jensen has told us why.") The new field of sociobiology, founded by Harvard zoologist E.O. Wilson, a leading authority on insect societies, reinforced the renewed emphasis on heritability. Sociobiology, Wilson wrote, focused on "the study of the biological basis of social behavior in every kind of organism, including man" (1975, 39). This new emphasis on heritability, however, met strong scientific as well as political criticism and failed to clear away the taint that still clung to eugenics and genetically based theories of race, intelligence, and behavior. The idea that the undeserving poor were genetically inferior had not been wiped from the map by any means, but it remained muted, unacceptable in most academic circles.
In 1994, in their widely publicized and discussed The Bell Curve, Richard Herrnstein and Charles Murray — whose notorious Losing Ground had served as a bible for anti–welfare state politicians — challenged the reigning environmentalist view of intelligence. Success in American society, they argued, was increasingly a matter of the genes people inherit. Intelligence, in fact, had a lot to do with the nation's "most pressing social problems," such as poverty, crime, out-of-wedlock births, and low educational achievement. They wrote that "low intelligence is a stronger precursor of poverty than low socioeconomic background." Poverty, they argued, "is concentrated among those with low cognitive ability," which, itself, was largely inherited. It also was racially tinged because blacks, they found, revealed lower cognitive ability at every socioeconomic level. Evidence points "toward a genetic factor in cognitive ethnic differences" because "blacks and whites differ most on tests" measuring "g, or general intelligence," which is a fixed, inherited index of mental capacity (Herrnstein and Murray 1994, 117, 127, 371, 270).
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