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Pure America: Eugenics and the Making of Modern Virginia

af Elizabeth Catte

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Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America, a sweeping, unsparing history of eugenics in Virginia, and by extension the United States. Virginia's twentieth-century eugenics program was not the misguided initiative of well-meaning men of the day, writes Catte, with clarity and ferocity. It was a manifestation of white supremacy. It was a form of employment insurance. It was a means of controlling "troublesome" women and a philosophy that helped remove poor people from valuable land. It was cruel and it was wrong, and yet today sites where it was practiced like Western State Hospital, in Staunton, VA, are rehabilitated as luxury housing, their histories hushed up in the service of capital. As was amply evidenced by her acclaimed 2018 book What You Are Getting Wrong About Appalachia, Catte has no room for excuses; no patience for equivocation. What does it mean for modern America, she asks here, that such buildings are given the second chance that 8,000 citizens never got? And what possible interventions can be made now, repair their damage?… (mere)
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At the end of Chapter Two, Elizabeth Catte begins connecting the threads of Eugenics, the Lost Cause, and replacement theory in the way each shares an interest in preserving a group’s place in the social hierarchy by any means available. Catte writes (referring to Confederate statues but really dealing with an entire colonial mindset):

By the consequence of their mortality these leaders deferred the pleasure of instruction to
their statue, unloving but no less rooted in what they hoped would be a lasting articulation of
their power. Attempts to make power endure can look like repressive laws, failed science
and combustible violence. But it analso feel like a gun pointed at you on an ordinary day.
And sometimes that’s exactly what it is. (110)

the passage and the book make clear that a discussion of eugenics, or any method of using ‘purity’ as a way to keep the hierarchy intact, can’t be separated from its roots in the history, geography and economics of a country. Even more, the way in which bigotry – when it becomes insidious in one form – merely evolves under the veneer of ‘science,’ ‘reform,’ or ‘progress’ to make something indefensible look like a service on the surface.

We compartmentalize these events and pretend a sense of innocence at our own peril. Important work and important connections drawn by Elizabeth Catte.
( )
  DAGray08 | Jan 1, 2024 |
Note: I accessed a digital review copy of this book through Edelweiss.
  fernandie | Sep 15, 2022 |
You’d be forgiven for thinking you were in for an in-depth accounting of the history of eugenics from the title of Elizabeth Catte’s Pure America: Eugenics and the Making of Modern Virginia. What you get instead is something more interesting, and more chilling. Catte’s account is certainly historical and wide ranging, though not particularly in-depth. It is, however, delivered with a moral clarity that left me apprehensive about the resurgence in our time of the ideas that led to the flowering of eugenics in pre-WWII America.

There are only four chapters in this short book, focused on 1) the precedent setting sterilization case of Carrie Buck; 2) the treatment of poor folks removed from the area that became Shenandoah National Park (including cases of forced sterilization); 3) the history of the Western State Hospital in Staunton, Virginia (a site of eugenics based institutionalization) and its gentrification into condos marketed to empty nesters, and 4) the history of the use of institutionalized mental patients as laborers benefiting the institutions that held them. The total text is less than 200 pocket-sized pages.

Eugenics, for those not familiar with the term, is a pseudo-science that, in the first half of the twentieth century, led to the classification and division of Americans based on their perceived “genetic purity”. The best definition, and more information on it, can be found on the NIH website.

In eugenics theory some classes of people were deemed “fit” to bear children and some were deemed “unfit” to do so. A key tenet of eugenics was to “purify the gene pool” by only allowing those who were “fit” to actually reproduce. Some of the unfit classifications of American citizens included “feebleminded”, “imbecile” and “moron”. Conveniently, those who fit into these classes might not be obvious “to the untrained eye”, but would require someone knowledgeable in eugenics to ferret them out. Sadly but unsurprisingly those that eugenicists found to be in these categories were mostly blacks, women and poor white men.

The key use of this pseudo-science in America was in the institutionalization and forced sterilization of those deemed to be in lower classifications. All of this continued up to the 1970s when “deinstitutionalization” started - primarily driven by costs.

The popularity of eugenics in America led to court cases that solidified its practices under law. In the 1927 Supreme Court case of Buck v. Bell, which arose from Virginia, the Court ruled that society had a right to sterilize those who eugenicists deemed unfit. In this case the “imbecile” in question was Carrie Buck, whose chief problem was that she was born poor and placed in foster care where she was raped by the nephew of her foster parents. Their response was to have her institutionalized as “feebleminded”. Their motivation seems to have primarily been to sweep the rape under the rug.

Once institutionalized, Buck’s was deemed a model case to test Virginia’s new sterilization law. The court challenge was arranged by eugenicists precisely to defend forced sterilization as covered under this law - they even found her a lawyer with close connections to the institution where she was held. Despite all this, the Court ruled in their favor. In the ruling Justice Oliver Wendell Holmes delivered the infamous line “three generations of imbeciles are enough”.

Catte’s book helps highlight the ties between eugenics, racism, white supremacy and, especially in Virginia, the appeal of the “Lost Cause”. A key thread running through the book is the evidence and effects of eugenics she finds all around her in her new home state of Virginia. Reading this book, and knowing the composition of the Supreme Court we have today, leads to a depressing thought. The ruling in Buck v. Bell has never been expressly overturned. Is it really a stretch to imagine that we may face a dystopian near future where the Court is presented a new case and rules once again that the State, based on race and class, has a right to control who among us can remain free and who can reproduce?

Rating: Five Stars ⭐⭐⭐⭐⭐ ( )
  stevesbookstuff | Jul 22, 2022 |
Elizabeth Catte is one of the best polemicists currently writing. This book is slim but packs a massive punch. Part history, part personal essay, part political polemic, Catte is able to give readers a summary of the facts, in terms of the history of Eugenics in America, while also building to a larger point about the trappings and failures of historical memory. Specifically, Catte is able to show how the built environment benefits from the exploitation of those targeted by eugenicists, and also how the environment seems completely erase them as well. In a lot of ways, the book is about how the eugenicists won. A great book to wake someone up from the American Dream. ( )
  chuckthebuck | May 1, 2022 |
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Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America, a sweeping, unsparing history of eugenics in Virginia, and by extension the United States. Virginia's twentieth-century eugenics program was not the misguided initiative of well-meaning men of the day, writes Catte, with clarity and ferocity. It was a manifestation of white supremacy. It was a form of employment insurance. It was a means of controlling "troublesome" women and a philosophy that helped remove poor people from valuable land. It was cruel and it was wrong, and yet today sites where it was practiced like Western State Hospital, in Staunton, VA, are rehabilitated as luxury housing, their histories hushed up in the service of capital. As was amply evidenced by her acclaimed 2018 book What You Are Getting Wrong About Appalachia, Catte has no room for excuses; no patience for equivocation. What does it mean for modern America, she asks here, that such buildings are given the second chance that 8,000 citizens never got? And what possible interventions can be made now, repair their damage?

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