Buck v. Bell

Supreme Court of United States
274 U.S. 200 (1927)
ELI5:

Rule of Law:

A state statute permitting the compulsory sterilization of intellectually disabled individuals institutionalized by the state does not violate the Due Process or Equal Protection Clauses of the Fourteenth Amendment when the state's interest in public welfare is deemed to outweigh the individual's interest in bodily integrity and procreation.


Facts:

  • Carrie Buck was a woman who was institutionalized at the Virginia State Colony for Epileptics and Feeble Minded after being deemed 'feeble minded.'
  • Carrie Buck's mother was also an inmate at the same institution and was also considered 'feeble minded.'
  • Carrie Buck had given birth to an illegitimate child who was likewise deemed 'feeble minded.'
  • At the time of her trial court proceeding, Carrie Buck was eighteen years old.
  • A 1924 Virginia law permitted the sexual sterilization of inmates in certain state institutions if the institution's superintendent determined it was in the best interest of the patient and society.
  • The superintendent of the State Colony determined that it was in the best interest of society and Carrie Buck for her to be sterilized.

Procedural Posture:

  • The superintendent of the Virginia State Colony for Epileptics and Feeble Minded petitioned a special board of directors for an order to sterilize inmate Carrie Buck.
  • The special board granted the order for sterilization.
  • Carrie Buck appealed the board's decision to the Circuit Court of Amherst County, Virginia.
  • The Circuit Court affirmed the sterilization order, finding that Buck was 'the probable potential parent of socially inadequate offspring.'
  • Carrie Buck, the appellant, appealed the Circuit Court's judgment to the Supreme Court of Appeals of Virginia, the state's highest court.
  • The Supreme Court of Appeals of Virginia affirmed the judgment of the Circuit Court.
  • The U.S. Supreme Court granted a writ of error to review the judgment of the Supreme Court of Appeals of Virginia.

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Issue:

Does a Virginia law authorizing the compulsory sterilization of intellectually disabled individuals confined to a state institution violate the Due Process and Equal Protection Clauses of the Fourteenth Amendment?


Opinions:

Majority - Justice Holmes

No, the Virginia law does not violate the Fourteenth Amendment. The Court reasoned that the state's interest in protecting the public welfare from being 'swamped with incompetence' is a sufficient basis for this infringement on individual liberty. It analogized compulsory sterilization to compulsory vaccination, arguing that if the state can call upon its best citizens to sacrifice their lives in war, it can call upon those who 'sap the strength of the State' for this 'lesser sacrifice.' The Court accepted the legislature's premise that traits like 'feeble-mindedness' are hereditary and that society can prevent future crime and poverty by preventing 'manifestly unfit' individuals from procreating. The procedural safeguards in the Virginia statute, such as notice and a hearing, were deemed sufficient to satisfy due process.


Dissenting - Justice Butler

Justice Butler dissented from the majority opinion but did not provide a written explanation for his reasoning.



Analysis:

This decision is one of the most heavily criticized in Supreme Court history, as it provided constitutional justification for the eugenics movement in the United States. It established a precedent that significantly devalued the fundamental rights to bodily autonomy and procreation for individuals deemed 'unfit' by the state. While the scientific and social premises underlying Buck v. Bell have been thoroughly discredited, and later cases like Skinner v. Oklahoma have significantly curtailed its reach by treating procreation as a fundamental right, the decision has never been explicitly overturned. Its legacy serves as a cautionary tale about the dangers of judicial deference to legislative policies based on flawed science and social prejudice.

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