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Questions and Answers

What commonality exists between the cases of Cornelia Whitner and Darlene Johnson, as highlighted?

  • Both cases disproportionately affect poor Black women and penalize them for pregnancy-related decisions. (correct)
  • Both cases primarily address issues of drug trafficking rather than reproductive rights.
  • Both cases involve affluent women seeking to manipulate the legal system.
  • Both cases resulted in the women receiving lenient sentences due to public outcry.

In the context of the passage, what does the phrase 'reproductive penalties' primarily refer to?

  • Mandatory sterilization procedures for individuals convicted of certain crimes.
  • Tax incentives offered to families who have more than a certain number of children.
  • Financial fines imposed on individuals who choose not to have children.
  • Legal and social repercussions for decisions related to pregnancy, childbirth, and reproductive health, particularly impacting marginalized groups. (correct)

What is a common consequence for mothers who use drugs prenatally, according to the content?

  • Financial penalties and fines levied by the state.
  • Public shaming and mandatory community service.
  • Permanent or temporary removal of the baby from the mother's custody. (correct)
  • Mandatory enrollment in drug rehabilitation programs.

In some states, what legal action is automatically triggered by a positive drug screening of a newborn?

<p>Neglect proceedings aimed at obtaining custody of the baby. (B)</p> Signup and view all the answers

According to the passage, how do prosecutors and judges often view poor Black women in the context of reproductive penalties?

<p>As suitable subjects for reproductive penalties because they are not seen as suitable mothers. (A)</p> Signup and view all the answers

What is the significance of the reference to birth control policy in relation to the criminal cases discussed?

<p>It highlights a historical context of attempts to control Black fertility based on the premise that it contributes to social problems. (A)</p> Signup and view all the answers

Between 1986 and 1989 in New York City, what trend was observed concerning child abuse and neglect petitions?

<p>A quadrupling of petitions containing allegations of the mother's drug use. (A)</p> Signup and view all the answers

What is the central argument made regarding the combination of crime, race, and reproduction?

<p>It gravely threatens Black people's welfare as well as the concept of procreative liberty. (B)</p> Signup and view all the answers

What is now the leading cause for newborn foster placement in New York City, as indicated in the content?

<p>Crack exposure in newborns. (A)</p> Signup and view all the answers

What does a positive neonatal toxicology reveal about the mother and child?

<p>Only that the mother ingested drugs shortly before delivery. (C)</p> Signup and view all the answers

What is the typical profile of women who are indicted for criminal offenses after giving birth to babies who test positive for drugs?

<p>They are typically poor and Black, and often addicted to crack cocaine. (A)</p> Signup and view all the answers

In Darlene Johnson's case, what was the condition of her probation that led to her appeal being dismissed?

<p>Compliance with a court-ordered birth control method. (D)</p> Signup and view all the answers

What is circumvented when evidence of maternal drug use is equated with child neglect?

<p>The inquiry into the mother's competence to care for her child. (D)</p> Signup and view all the answers

What risk does a pregnant woman face if she chooses to give birth rather than have an abortion when she is addicted to crack?

<p>She risks going to prison for harming the fetus. (C)</p> Signup and view all the answers

According to the content, what is a potential negative consequence of wrongfully removing children from their mothers based on insufficient evidence of unfitness?

<p>Children may be cast into a more perilous foster care system. (D)</p> Signup and view all the answers

What point does the content make regarding the removal of babies from drug-addicted mothers?

<p>The state should remove babies from drug-addicted mothers when they are at risk of harm, but wrongful removal can also be harmful. (B)</p> Signup and view all the answers

What is a common issue that women face in prison that negatively impacts a developing fetus?

<p>Exposure to violence plus limited or no prenatal care. (A)</p> Signup and view all the answers

What is unique about Minnesota's approach to pregnant women with substance abuse issues?

<p>It authorizes civil commitment for pregnant women with habitual and excessive drug use. (A)</p> Signup and view all the answers

How have some judges utilized the juvenile court system in cases involving pregnant drug users?

<p>By taking custody of the fetus to protect it from the mother's drug use. (B)</p> Signup and view all the answers

What was the significance of Judge O.H. Eaton, Jr.'s verdict in Florida in 1989 regarding a pregnant woman?

<p>It was a landmark decision representing the first conviction of a woman for prenatal drug exposure. (B)</p> Signup and view all the answers

What action are physicians in Minnesota required to take if they suspect a pregnant patient is using drugs?

<p>They must test them and report positive results to government authorities. (B)</p> Signup and view all the answers

What was the ultimate outcome of the Waukesha County, Wisconsin case involving the crack-addicted mother?

<p>The Wisconsin Supreme Court reversed the detention order. (B)</p> Signup and view all the answers

Besides Minnesota's specific law, what other legal avenue has been used to mandate treatment for pregnant substance abusers?

<p>Civil commitment laws applicable to drug-dependent or mentally ill persons. (B)</p> Signup and view all the answers

How did some district attorneys become involved in addressing drug use during pregnancy in the late 1980s?

<p>By bringing criminal cases against women for prenatal drug exposure. (A)</p> Signup and view all the answers

What was a primary criticism leveled against Condon's implementation of the Interagency Policy?

<p>The policy was implemented too hastily, neglecting careful deliberation regarding patient care. (A)</p> Signup and view all the answers

What was the initial approach of the Interagency Policy towards pregnant women who tested positive for crack?

<p>Immediate arrest upon testing positive at the time of giving birth. (D)</p> Signup and view all the answers

The "amnesty" program added to the Interagency Policy offered women who tested positive for drugs a choice. What were the consequences of this choice?

<p>Treatment, or arrest. (A)</p> Signup and view all the answers

What actions would lead to a pregnant woman's arrest under the Interagency Policy, according to the letter from the solicitor?

<p>Failing to complete substance abuse counseling or maintain clean urine specimens. (D)</p> Signup and view all the answers

What was the Interagency Policy's approach to women who tested positive for drugs a second time?

<p>They were arrested and imprisoned. (C)</p> Signup and view all the answers

Crystal Ferguson was arrested under the Interagency Policy. What was the primary reason for her arrest?

<p>She failed to comply with an order to enter a residential program due to childcare issues. (A)</p> Signup and view all the answers

What detail highlighted a potential racial bias in the Interagency Policy's enforcement?

<p>All but one of those arrested under the policy were Black and Nurse Brown noted the white woman arrested had a Black boyfriend. (C)</p> Signup and view all the answers

How were arrested patients treated during their removal from the maternity ward?

<p>They were taken to jail in handcuffs and leg shackles, sometimes while still bleeding from delivery. (A)</p> Signup and view all the answers

What is the central argument against punishing women for both having a baby and forced maternity?

<p>It violates a woman's autonomy over the self-defining decision of whether to bring another being into the world. (A)</p> Signup and view all the answers

How do prosecutions of drug-addicted mothers infringe on reproductive liberty?

<p>By imposing an invidious government standard for procreation and penalizing the choice to complete a pregnancy. (B)</p> Signup and view all the answers

What are the two rights emphasized regarding a woman's reproductive liberty?

<p>The right to autonomy over her reproductive life and the right to be valued equally as a human being. (C)</p> Signup and view all the answers

Why does the text suggest a need to view the government's concern for the health of unborn Black children with distrust?

<p>Because the government has a history of neglecting the circumstances of pregnant Black women and Black infants. (C)</p> Signup and view all the answers

How does the prosecution of crack-addicted mothers infringe upon a mother's rights?

<p>By infringing upon their right to make decisions determining individual identity and right to equal respect as a human being. (B)</p> Signup and view all the answers

What is the significance of "selectivity of prosecutions with respect to poor Black women?"

<p>It weakens the state's asserted rationale for the prosecutions. (C)</p> Signup and view all the answers

What does the author suggest by highlighting the history of state neglect of Black infants?

<p>It casts doubt on the government's professed concern for the welfare of the fetus. (B)</p> Signup and view all the answers

What must be questioned regarding the government's punitive actions against pregnant, drug-addicted women?

<p>The government's justification for the prosecutions. (C)</p> Signup and view all the answers

Based on the information provided, what is the primary reason for the disproportionate prosecution of Black women for drug use during pregnancy?

<p>Racist attitudes among healthcare professionals and closer scrutiny of poor women, who are disproportionately Black, lead to increased reporting. (C)</p> Signup and view all the answers

What did the 1990 ACLU Reproductive Freedom Project memorandum reveal about the cases of women prosecuted for drug use during pregnancy?

<p>Approximately 70% of the documented cases involved Black defendants. (B)</p> Signup and view all the answers

What societal factor contributes to the acceptability of prosecuting drug-dependent mothers?

<p>The failure of these women to meet society's ideal image of the mother makes their prosecution more acceptable. (D)</p> Signup and view all the answers

What evidence contradicts the claim that Black women are prosecuted for drug use during pregnancy because they are more guilty of fetal abuse?

<p>Studies show that drug use among pregnant patients was evenly distributed among white and Black women. (B)</p> Signup and view all the answers

In the context of the provided text, what does the phrase "making reproduction a crime" imply?

<p>Prosecuting women for actions during pregnancy that are perceived as harmful to the fetus. (B)</p> Signup and view all the answers

A hospital reports drug use among pregnant patients to the solicitor's office. Based exclusively on the context, what factor most likely influences which patients are reported, if drug use rates are similar across racial groups?

<p>The race of the patient, influenced by potential biases within the healthcare system. (D)</p> Signup and view all the answers

A state initiates a new program providing comprehensive support to pregnant women with substance abuse issues, aiming to reduce punitive prosecutions. How would this program directly address one of the key factors contributing to the disproportionate prosecution of Black women?

<p>By reducing the likelihood of detection among poor women as they are more likely to seek help. (C)</p> Signup and view all the answers

If national statistics indicate similar rates of substance abuse among pregnant women across different racial groups, yet prosecutions disproportionately target one group, what does this suggest about the criminal justice system's approach?

<p>Bias in reporting and prosecution may lead to unequal enforcement of drug laws based on race or socioeconomic status. (D)</p> Signup and view all the answers

Flashcards

Civil Commitment

Mandatory treatment ordered by judges for pregnant substance abusers.

MN Civil Commitment Law

Minnesota law that allows civil commitment for pregnant women with "habitual and excessive use" of drugs.

Mandatory Reporting (Pregnancy)

Testing pregnant patients for drug use and reporting positive results to authorities.

Fetal Custody

Taking custody of a fetus through the juvenile court system to protect it from the mother's drug use.

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Fetus as a 'Child'

Court ruling that a viable fetus is a child entitled to protection under state child welfare laws.

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Secure Drug Facility (Pregnancy)

Placing a pregnant woman in a secure drug facility to protect the fetus.

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Prenatal Drug Exposure Cases

Criminal cases brought against women for prenatal drug exposure.

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Judge O.H. Eaton Jr. Case (1989)

First conviction of a woman for drug trafficking that was a landmark decision regarding prenatal drug exposure.

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Punishing Pregnancy

Punishing women for harming a fetus by substance use during pregnancy based on the decision to have a baby.

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Incarceration & Fertility

The penalty for a defendant's decision to remain fertile, often through mandated birth control or incarceration for becoming pregnant while on probation.

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Black Fertility Premise

The concept that Black fertility is seen as a cause of social problems, influencing birth control policies.

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Punishing Black Mothers

A way the government directly punishes Black mothers for their children's difficulties, often through the criminal justice system.

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Prenatal Crime

Indicting women who give birth to babies who test positive for drugs.

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Disparate Impact

Reproductive penalties disproportionately affect poor and Black women in the criminal justice system.

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Procreative Liberty

Reproductive freedom, or the lack thereof, and how laws and policies affect individual's control over their reproductive lives.

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Making Reproduction a Crime

Criminalizing actions during pregnancy, such as drug use, that are seen as harmful to the fetus.

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Racial Bias in Prosecutions

The disproportionate prosecution of Black women for fetal abuse, despite similar rates of drug use across races.

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Increased Monitoring of Poor Women

Poor women, disproportionately Black, are more likely to be monitored by government agencies, increasing the chance of drug use detection.

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Racism among healthcare professionals

Racist attitudes within healthcare contribute to Black women being reported to authorities more often.

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Ideal Mother Image Bias

Prosecutors target poor Black women, they fail to meet ideal mother figure according to society.

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Identifying Drug-Using Mothers

Requires the state to identify drug-using mothers to charge them with crimes.

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Crusade Against Women

Punitive actions against women who use drugs during pregnancy, disproportionately affecting poor Black women.

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Discriminatory Enforcement

The idea that prosecutions are driven not by actual guilt, but by a mixture of racism and poverty.

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State Identification

The state must be able to identify those who use drugs during pregnancy, to charge drug-dependent mothers with crimes.

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Reproductive Autonomy

Punishing a woman for having a baby or forcing maternity violates her autonomy and the right to decide whether to bring another being into the world.

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Prosecution of Drug-Addicted Mothers

Prosecuting drug-addicted mothers punishes them for completing their pregnancy and imposes a standard for procreation.

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Government Standards for Childbearing

Government standards for childbearing can deny the humanity of subordinated groups, infringing on decisions that determine individual identity and equal respect.

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Infringement of Mother's Rights

Prosecutions infringe upon a mother’s right to make decisions determining her individual identity and to be valued equally as a human being.

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Burden of Justification

The prosecutions infringe upon women's freedom to bear a child, so the government must justify its punitive actions with genuine concern.

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Selective Prosecutions

Focusing prosecutions selectively on poor Black women weakens the state’s rationale for the prosecutions.

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State Neglect of Black Infants

Historical state neglect of Black infants casts doubt on expressed concern for the welfare of the fetus.

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Distrust of Expressed Interest

A nation's history of neglecting pregnant Black women requires viewing its current interest in unborn Black children with distrust.

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Hospital Bioethicists criticism

A hasty process orchestrated by Condon that neglected careful internal deliberation for a program affecting patient care.

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Public Service Announcements

Advertisements broadcasted by Condon during the Interagency Policy to advise pregnant women against drug use.

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"Amnesty" Program

A program added to the Interagency Policy that offered patients testing positive for drugs a chance to get treatment before arrest.

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Two Letters

A notification of a substance abuse clinic appointment and a warning from the solicitor, threatening arrest for non-compliance.

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Charges against mothers.

Consequences include drug possession, child neglect, or distribution of drugs to a minor charges.

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Crystal Ferguson's arrest

Crystal Ferguson requested outpatient referral due to childcare issues, but was arrested for failing to comply with residential program order.

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Racial disparities

Under the policy, 42 patients were arrested, with all but one being Black, highlighting racial disparities.

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Arrests in maternity ward

Patients were arrested shortly after giving birth and taken to jail in handcuffs and leg shackles.

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Prenatal Drug Use Penalty

Removing a baby from its mother, either temporarily or permanently, because of the mother's drug use during pregnancy.

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Newborn toxicology reporting statutes

Laws requiring healthcare providers to report newborns who test positive for drugs to child welfare authorities.

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Automatic Trigger

Using a positive drug test as the primary reason to start neglect proceedings and potentially remove a baby from its mother's care.

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Crack Exposure

The substance most frequently cited as grounds for placing newborns in foster care, particularly during the late 1980s and early 1990s.

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Presumption of Parental Unfitness

The assumption that a parent is unfit to care for their child, based on a positive neonatal toxicology report.

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Expanded Definition of Neglect

Expanding the legal definition of neglected children to include infants who test positive for controlled substances at birth.

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Limitations of Toxicology

A test that indicates recent drug use by the mother, but doesn't show the extent of drug use, potential harm to the baby, or the mother's parenting abilities.

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Harm of Wrongful Removal

The potential harm caused to children when they are wrongly removed from their mothers' care based on insufficient evidence of parental unfitness.

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Study Notes

Whitner Case (1992)

  • Cornelia Whiter, a twenty-eight year old woman, gave birth to a baby boy named Kevin.
  • Hospital staff discovered traces of cocaine in Kevin's urine.
  • Whitner was arrested for "endangering the life of her unborn child" for smoking crack while pregnant.
  • Whitner's attorney advised her to plead guilty and enter a drug treatment program.
  • Judge Eppes sentenced Whitner to eight years in prison.

Johnson Case

  • Darlene Johnson, a twenty-seven year old mother of four, stood before a California Superior Court judge for sentencing.
  • Johnson was eight months pregnant.
  • Johnson had already pled guilty to three counts of felony child abuse for whipping her daughters.
  • Judge Broadman gave Johnson a choice between a seven-year prison sentence or one year in prison and three years of probation with the condition that she be implanted with Norplant.
  • Johnson initially agreed but later learned that Norplant could be dangerous for her due to health problems.
  • Judge Broadman refused to rescind the order.
  • The ACLU joined Johnson's appeal, arguing that state-coerced birth control violated the fundamental right to procreate.
  • An appallate court dismissed Johnson's appeal after she tested positive for drugs and was remanded to prison.

Prosecution of Pregnant Women

  • States have recently turned their attention to reproduction as a focus for criminal punishment.
  • The cases of Cornelia Whitner and Darlene Johnson represent two controversial ways in which the criminal justice system is penalizing pregnancy: prosecuting women for exposing their babies to drugs and imposing birth control as a condition of probation.
  • Most women indicted for criminal offenses after giving birth to babies who test positive for drugs are poor and Black, and addicted to crack cocaine.
  • Between 1985 amd 1995, at least 200 women in 30 states were charged with maternal drug use.
  • Charges have included distributing drugs to a minor, child abuse and neglect, reckless endangerment, manslaughter, and assult with a deadly weapon.
  • In 1989, 82% of Americans questioned in an ABC poll agreed that a pregnant woman who uses crack cocaine and addicts her unborn child should be put in jail for child abuse.
  • In 1990, lawmakers in 34 states debated bilss concerning prenatal substance abuse.
  • A proposed bill making drug use during pregnancy a felony failed ti pass.
  • Employers have excluded fertile women from certain jobs to prevent fetal exposure to workplace hazards.
  • As the antiabortion movement portrayed the fetus as a separate person, the fetus acquired legal rights of its own often against the pregnant woman.

Crack Epidemic

  • Crack cocaine exploded on the American scene in the early 1980s, and its abuse quickly rose to epidemic proportions.
  • Crack became popular in inner cities due to its low cost, instantaneous high, and could be smoked rather than snorted
  • The media imbued crack with phenomenal qualities, instant addiction, intensified sex drive etc.
  • Crack was vilified for stripping underclass users of evert shred of human dignity.
  • Federal spending on the drug problem skyrocketed.
  • Approximately hallf of the nation's crack smokers are female.
  • In many urban hospitals, the number of drug-exposed infants quadrupled between 1985 and 1990.
  • NAPARE found that 11% of newborns in 36 hospitals surveyed were affected by thier mother's illegal drug use during pregnancy in 1988.
  • A study estimated that 375,000 drug exposed infants are born every year.
  • The Loj Angeled Timed wrote about 375,000 babies "tainted by potentailly fatal narcotics in the Avomb each year."
  • The media then created the drama's leading characters - the pregnant addict and the crack baby, both irredeemable and Black.
  • The pregnant crack addict was portrayed as selfish womam who put her love for crack above her love for her children.
  • The crack baby was always pictured trembling and shrieking in an overcrowded hospital ward, suffering multiple ailments.
  • In addition to medical complications, crack babies were supposed to suffer irreversible neurological damage.
  • The data on the extent and severity of crack's impact on babies are highly controversial.

Punitive Response and The South Carolina Experiment

  • The crisis of drug-exposed babies led state prosecutors, legislators, and judges around the nation to punish women who use drugs while pregnant.
  • Penalties include jailing during pregnancy, seizing custody of babies at birth, and prosecuting them for crimes.
  • About a dozen sates have enacted statutes requiring the reporting of positive newborn toxicologies to child welfare authorities.
  • Now, crack exposure is the leading grounds for newborn foster placement.
  • A Washington, D.C. judge sentenced Brenda Vaughn, who pleaded guilty to forging checks, to jail for the duration of her pregnancy.
  • Minnesota is the only state so far to pass a lw specifically authorizing civil commitment of pregnanr omen who engage in tje"habitual and exessive use" of drugs.
  • Jennifer Clarise Johnson was this country's first criminal conviction of a mother for exposing her baby to drugs while she was pregnant.
  • The conviction rested on proving that Johnson passed cocaine metabolite to her babies through their umbilical cord.
  • The medical unversity of South Carolina, along with local enforcement, instituted the intergency Policy on Cocain Abuse in Pregnancy providing for nonconsensual drug testing of pregnant patients, reporting results to the police and arrests. Patients testing positive for drugs were offered treatment and threatened with arrest, if they refused or failed.

Arguments Agains Prosecution

  • The crisis of drug-exposed babies led state prosecutors, legislators, and judges around the nation to punish women who use drugs while pregnant.
  • Penalties include jailing during pregnancy, seizing custody of babies at birth, and prosecuting them for crimes.
  • About a dozen sates have enacted statutes requiring the reporting of positive newborn toxicologies to child welfare authorities.
  • Now, crack exposure is the leading grounds for newborn foster placement.
  • A Washington, D.C. judge sentenced Brenda Vaughn, who pleaded guilty to forging checks, to jail for the duration of her pregnancy.
  • Minnesota is the only state so far to pass a lw specifically authorizing civil commitment of pregnanr omen who engage in tje"habitual and exessive use" of drugs.
  • Jennifer Clarise Johnson was this country's first criminal conviction of a mother for exposing her baby to drugs while she was pregnant.
  • The conviction rested on proving that Johnson passed cocaine metabolite to her babies through their umbilical cord.
  • As Condon expressed it, "We all agreed on one principle: We needed a program that used not only a carrot, but a real and very firm stick."

Racial and Socioeconomic Disparities

  • 70% of the 52 documented cases involved Black defendants.
  • In Florida, 10 out of 11 criminal cases had been brought against Black women.
  • Hospitals mainly serving poor minority communities implemented screening practices.
  • There are negative relationships betwen Black patients and drug counselors. Black women who use drugs during pregnancy are reported more readily than their white patients.
  • Doctors experimented on slave women before practicing new surgical procedures on white women in the past. Doctors have also been more willing to override Black patients' autonomy by performing forced medical treatment to benfit the fetus.

Reasons to Avoid Prosecutions

  • Studies suggest that the harmful effects of prenatal crack exposure may be temporary and treatable.
  • A Northwestern University study found that comprehensive prenatal care may overcome the outcome.
  • Journals tended to accept only studies that supported fetal harm.
  • Positive toxicology may only reveal use shortly before delivery not the extent of the mothers drug use, any harm to the baby, or mother's parenting capabilities.
  • Thousands of low-income Black mothers have lost custody of their babies on the basis of a solitary drug test.
  • Moreover, a study of Northwestern University pregnant cocaine addicts, found that a comprehensive prenatal care may improve the complicated outcome of the pregnancies.
  • The medical community over emphasized on studies showing detrimental results from cocaine exposure.

Norplant Sentencing

  • Several state legislatures have considered legislation requiring Norplant implantation for drug using mothers or child abusers.
  • Although no court has upheld a sentence like this it is still in practice. Judges have also previously orderd people to sterilize, or abstain from sexual intercourse, in order to avoid getting pregnant while under court supervision.
  • One of the reasons we continue to punish the sentencing and the choice of women with Norplant is that it often targets low income minorities.

A "War on Drugs"

  • Many national drug policy critics argue that the "War on Drugs" serves a similar purpose today.
  • Poverty does not always stem from family problems or from drug use.

Finding Support

  • Many drug treatment programs are based on male oriented models, what is really needed is a more women oriented program.

Why prosecute?

  • The women most likely to turn up in data are poverty and low- income African Americans.
  • The state must be able to tell who used drugs during pregnancy who is the poor black community who is already under state observation.

Harms of Prosecuting

  • This can come down to the violation of a "Black" person's medical autonomy.

Welfare Reform and Other Myths

  • There has been a general agreement that government helps contribute to the welfare of those in need and that they seek to have a hand n better their own behavior.
  • Single mother welfare programs can be harmful to the idea of "American" or "Family" values and may force people to conform to new ideals.
  • Studies showed that the effects of a family receiving and not receiving aid were often negligible.

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