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Should the Mentally Ill be on Mandatory Birth Control or Sterilized?

Some positive and negative aspects of mandatory birth control or sterilization.

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In the beginning of the twentieth century many sterilization programs around the world participated in some sort of eugenicist programs.  These programs were designed to end the reproduction capabilities of the mentally ill to keep genetic complication from the human race. 

The methods used to achieve this movement were mostly vasectomies for males and salpingectomies (tubal litigation) for females.  These operations did nothing to affect the sex drives of individuals but just kept the subjects from reproducing.

The United States was the first country to perform these operations.  Between 1900 and 1970 over 65,000 individuals were sterilized in the United States alone.

The most recent case was Poe v. Lynchburg Training School & Hospital in 1980 was filed on the grounds that sterilization was deemed unconstitutional but was rejected due to the laws not being in use anymore.

The Positive Aspects

  • Seeing a mentally disabled individual coping with everyday life is not an easy thing.  If the individual does reproduce then the responsibility of caring for the offspring will fall on the parents of the 1st generation of the  mentally ill individual.  If the parents are unable to care for the 2nd generation of offspring then responsibility falls on the federal government to care for them.
  • With sterilization of mentally ill individuals there will be a decrease in the number of mentally ill individuals in the population.
  • Society will benefit as a whole with the sterilization of these individuals.  There will no longer be a large number of these individuals for the remaining population to care for.  If the children of these mentally ill individuals do turn out normal then they will have to cope with their parents abnormalities.
  • This mandatory sterilization of mentally ill individuals will increase the overall fitness of the human population.

The Negative Aspects

  • Sterilizing the mentally ill is a violation of human rights.  Not all mentally ill patients would produce mentally ill offspring. 
  • This sterilization could lead to the loss of generations of potentially capable offspring.  Sterilization could lead to the loss of an Einstein so to speak or people with the equivalent intellect. 
  • Society would not be as diverse and many people who care for the mentally ill would no longer have jobs to ensure the survival of their own offspring.
  • Mentally ill individuals are people too with basic human rights and liberties.  To sterilize these individuals would be a violation of their natural rights as living human beings.
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  1. Proud person with mental illness

    On April 25, 2009 at 3:15 pm


    This posting is highly uninformed. I am a person with a mental illness, and have dealt with it most of my life. My illness causes frequent mood changes, high anxiety, and occasional delusions and hallucinations. I have been hospitalized three times (of my own free will) due to suicidality, and have had to go on Disability from my job. However, with the help of doctors and hard work to find the right balance of medications and a healthy lifestyle (nutrition, sleep, exercise, exposure to natural sunlight, etc.) I have been able to return to a highly productive life.
    I am a Ph.D. student with multiple publications, I have a wonderful long-term marriage and many friends, I am able to care for myself and others, I volunteer, and I am now much better able to cope with stress. I contribute much more to this society than the majority of “healthy” people I know, and I am very happy. Having a mental illness is not a death sentence. We don’t consider sterilizing people with diabetes, asthma, obesity, hereditary cancer, heart disease, addiction, or other medical issues. If you do your research, you will find that many of the most brilliant minds around the world were known or suspected to suffer from “mental illness.” Along with the pain that these medical conditions can cause, they can bring some of the greatest creativity and dedicated energy available to the human experience. A person suffering from mental illness is only someone with great potential who has not yet been properly served by our medical community (partially due to our lack of universal health care and the high cost of medications and qualified doctors). Every person has the ability to become in control of their own lives and happiness if they only find the right treatment for their specific medical condition. The same is true for someone who suffers from a weight condition, an addiction, a type of cancer, etc.
    Since scientists have not figured out just what causes mental illness, sterilization will not likely end it. It could be caused by environmental chemicals, stressors, or a specific gene that could somehow be altered or replaced in the future. If you want to create a SuperRace of “average” people, go ahead, but at what point do we stop killing people off and decide that maybe we should just invest more into research and helping those around us and stop trying to genetically create a “perfect” society?
    Also, I find the picture at the top of this site offensive. You could just as well have posted a picture of me, an attractive young professional with a smile and a row of books behind me. I have a mental illness, and I am proud to have the advantages it gives me.

  2. Joe

    On April 27, 2009 at 7:50 am


    After reading the comment posted above, I feel like the person reading the article may have recieved the wrong impression from the work. This sounds similar to Jonathon Swift’s “A Modest Proposal”. As you know since your working on a Ph.D., this was written to solve the Irish famine. The author here seems to show no bias for either aspect. They show the positive and negative aspects equally. And one question for you “Proud Person With Mental Illness”, just what kind of mental illness do you have? Obviously it isn’t a severe one or you would not be coping with society and daily life so well. The article is obviously talking about the mentally ill who are a burden on society. Obviously you are not in this category, so why be so upset. If you ever check to see if there is a response to your comment, write back. Your previous response facinates me so dazzle me again if you wish.

  3. Somebody

    On May 19, 2009 at 7:07 pm


    As a person with a history of mental illness, I was amazed at the people who had the impression that people with mental illnesses aren’t intelligent. This is absolutely false. I was also struck at the number of people who thought that mentally ill people had nothing to offer society and should be automatically institutionalized and sterilized. In fact, I have held down a job and been a productive member of society for several years. This article seems to feed the stereotype that mentally ill people are the same as mentally challenged people, and that is totally inaccurate.

  4. Leonardo da Vinci E.

    On August 25, 2009 at 1:27 pm


    The ethics envolved are complex. One does not have to sterilize anyone under proper supervision. Fantasy is an alternative to reproduction.

  5. Logical Right

    On August 28, 2009 at 10:54 pm


    A mental ill person is able to adopt a child? Probably not.
    Why then is permitted to have their own?
    Because children is an object than you can create yourself?
    Same respect and same rights for everyone!!!

  6. girlbxtdr

    On August 31, 2009 at 2:40 pm


    After reading this I am inclined to believe that the author was speaking of severe mental illnesses not the simple ones. I agree to an extent about mandatory birth control but I also believe that child abusers should be ssterilized and people on welfare should be on birth control. Also girls ages 13- 18 should be on a birth control. Yes it sounds extreme but think about all the unwanted pregnancies that would be prevented be these actions.

  7. TelltheTruth

    On September 6, 2009 at 10:58 am


    Ok, well, I’m a mentally ill person and I am one who is chronically unemployed, sick, and usually confused. It has been of no benefit to society for me to have children and I think sterilization would have been best for me. I have a friend with the same ongoing problems in dealing with life as I do, as a matter of fact, as of this moment, she’s in a hospital and her daughter is who knows where. If we would have been sterilized, none of this would’ve happened, and we would not have had the children who have ended up with problems just because of us.

  8. irene

    On October 19, 2009 at 2:20 pm


    I was severely abused and have suffered PTSD with depression and anxiety. I have not resources or family.

    I believe I would\’ve had a better life had I been sterilized when I was young like I asked doctors to do.

    I now have 3 children and I cannot cope. After working like a slave in labor jobs and minimum wage I am now on disability.

    Stupid doctors! I wish would\’ve listened to me, they never do.

    I am drain on society and I have children depending on me. I can\’t give them away. Something could happen to them like what happened to me. I was abused in foster care and home and group homes. Public organizations should not be trusted with human lives. I kept getting abused. I was treated badly for my race and skin color. I was sexually assaulted in state care! I was white in the Chicago child care system. They do not recognize individuals needs.

    I am so lonely. All I ever get is chastizing and religious people bothering me to go to church.

    I am intelligent but have no stability. I should not have had children. They drain all my happiness. They need constant care for years. I believe drug addicts are happier than I am. I would commit suicide but I can\’t leave them without a mother.

  9. jenn hardee

    On March 21, 2010 at 10:28 pm


    As a non mentally ill parent with a mentally ill child I am shocked at the ignorance of what I am reading. I have one mentally ill child out of 4. My daughter is beautiful and loving and one of the kindest human beings on this planet and she is highly intelligent. Shame on you for suggesting that she has no value. And yes she has a major mental illness. Right now she is on birth control and has chosen not to have children at this time; but it was her choice. Shall we start screening all potential parents and deciding who can have children. I was under the impression that this is still a free country. I am appalled that we would dare to treat the less fortunate thus.
    Disgusted by this whole thing!!!

  10. outside opinion

    On April 12, 2010 at 8:27 pm


    For those with mental illness that posted a response. It’s clear by your responses you are a highly functioning disabled person, and sterilization may not be the answer in your case. It is not the answer for every disabled person. However, it might be the answer for someone who is completely dependent on their care givers. How could someone with a severe mental disability possibly care for another human being? Yes of course, the parents could consent to being the primary care giver. But, parents die. And then what? Your other children are forced to take on the responsibility that they may not be financially or mentally prepared to take on and the child may end up in foster care. Just does not seem like the most wise choice.
    Every human being should be considered as a value to our society, but not every human is fit to be a parent. Not even those without disabilities.

  11. Coffeeco

    On April 22, 2010 at 10:37 am


    Why are you people offended by this article? It is a simple ethical matter. The article states the positive and negative aspects. It is non bias. You people write “Shame on me”. No “Shame on you”, for being so damn ignorant that you can’t finish reading the article because you read something you didn’t like. If you would have kept reading maybe you wouldn’t have your pannies in a wad. As for the first comment, you really think universal health care would help your drug addicton (oh sorry you called it a mental illness didn’t you).

  12. Justin

    On May 12, 2010 at 9:30 pm


    Personally i think the only people that should be sterilized should be people living in Wilkinson County, Ga because, them bitches over there are crazy!

  13. Connie

    On September 10, 2010 at 5:55 pm


    I have to say that I thought the article was well written, non-bias, and informative. At this point there are several degrees of mental illness and disability. I do think that in severe cases of mental disability and illness birth control would be a good idea. However to have sterilization forced on the individual is unfair and in violation of their basic rights as a human being. There are cases of persons living with Autism that are at a high functioning level, would you take their right to procreate away too even knowing that they are a genius at Mathematics, Art, or Music? I think each situation needs to be evaluated from a clinical standpoint taking into consideration the difficulty the individual has with ADL’s (Activities of Daily Living), what their support systems are, and what resources are available for their use in case a child does happen to come along. People get offended so quickly it’s ridiculous! This writer was obviously trying to prevent both sides and “shame on you” for not taking that into consideration when you responded to this article.

  14. LindsAy.

    On December 14, 2010 at 12:09 pm


    i have psychosis…and i am aware that it is genetic. if someone like myself with genetic disorders falls under this category, but we are functioning individuals, are we included?

  15. LindsAy.

    On December 14, 2010 at 12:11 pm


    i have psychosis and i am aware that it is genetic. if someone like myself with genetic disorders falls under this category, but we are functioning individuals, are we included?

  16. MaryRey

    On May 19, 2011 at 5:33 am


    Um, I guess I wouldn’t be here if they would have inforced this… For everyone stating this article isn’t offensive obviously they don’t have any personal experience with being mentally ill.. It might as well compare mentally ill people to animals… I did have a very hard childhood growing up with a bi polar mom who to this day refuses to get help, but I am very happy with my life and I am working to get my bachelors in psychology to help the mentally ill. Immigrants having 10 kids and getting on welfare are hurting our country a lot more then the mentally ill…

  17. MaryRey

    On May 19, 2011 at 5:34 am


    Um, I guess I wouldn\’t be here if they would have inforced this… For everyone stating this article isn\’t offensive obviously they don\’t have any personal experience with being mentally ill.. It might as well compare mentally ill people to animals… I did have a very hard childhood growing up with a bi polar mom who to this day refuses to get help, but I am very happy with my life and I am working to get my bachelors in psychology to help the mentally ill. Immigrants having 10 kids and getting on welfare are hurting our country a lot more then the mentally ill…

  18. @hearts

    On May 19, 2011 at 5:54 am


    Joe at the top of the page why do you sound sooo offended by the proud person with a mental illnesses comment. You are an idiot if you think any human being is a burden on society… Maybe you should smell your own sht and tell me if it doesn’t stink… People like you with no respect for the disabled should be sterilized in risk of more cold hearted ignorant offspring!!!

  19. @hearts

    On May 19, 2011 at 7:17 am


    And coffeco(panties in a wad girl). It doesn’t matter if its bias or not it is defiantly offensive to someone who has or can relate to a mental illness. you’re the ignorant one. It doesn’t matter who you are god gave you the right to reproduce and its wrong to even talk about taking those peoples rights away just because they have an illness. I would think a psychiatrist would highly advise the mentally ill person not to but if she does that should be her and her caretakers choice. And you must have issues of your own with comprehension/retardation cause your turning someone who has a mental illness a drug addict.

  20. Kim

    On January 11, 2012 at 7:18 pm


    I\’m not a parent, and I\’m not in college, nor do i have a mental illness. But for my U.S. History class we\’re supposed to write research papers about a conflict we believe is important and I chose this one. So I suppose that I just want to say thank you to all the people who commented on here, you\’ve given me good opposing views and some great strong willed opinions on this matter. However as to my views on this are similar to that of Connie\’s, I truly believe that those factors along with some others should be taken into account when looking towards prescribing birth control.

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