NAPW
Source: The Independent UK
Pubdate: Tue, 25 Nov 2003
Author: Andrew Gumbel

AMERICA'S NEW FAMILY VALUES

    Barbara Harris was working as a waitress in a southern California pancake  house when she stumbled on the cause that would become her passion: saving  America from the scourge of "crack babies". It was 1990, and she and her husband  were asked to become foster parents to an eight-month-old girl born to a  crack-cocaine-addicted mother. Over the next two years, they took in three more  children born to the same woman, including one suffering from a neurological  disorder that the Harrises were convinced was the result of damage incurred  during pregnancy.

   The idea that poor, drug-addicted women - most of them living in inner- city  neighbourhoods antithetical to the white suburban landscape of Harris's home in  Orange County - were having baby after baby without regard for their own or  their children's well-being became her crusade. "These women literally have  litters of children!" she later said in a series of provocative interviews.  "They're not acting any more responsible than a dog on heat."

   In the early 1990s she hooked up with a conservative state assemblyman and  tried to introduce a radical new law that would have made it a crime for a woman  to give birth to a drug-damaged child. When that initiative failed, in part  because of concerns about its constitutionality, she decided to set up her own  private initiative to encourage drug addicts to opt either for sterilisation or  for long-term contraception such an IUD or a subcutaneous implant.

   The result was an organisation that she initially called Crack, or Children  Requiring a Caring Kommunity. Six years on, Crack - or Project Prevention, as it  has been renamed in response to its more indignant critics - claims to have made  successful interventions in almost 1,100 cases, and has set up chapters in 28  states. The deal that it offers drug addicts is straightforward: get yourself  sterilised (a service usually offered free under the Medicaid public health  programme), and you will be paid $ 200 (pounds 117) cash.

   To say the idea is controversial would be a colossal understatement. In  Oakland, California, opponents ripped down signs advertising Crack's services.  In Kansas City, the signs never went up after a local billboard company caved in  to community pressure. Anti-Crack coalitions have sprung up in Baltimore,  Washington and Seattle. In Los Angeles, one group providing services to the  homeless told Harris straight: "Please stay away from our clients."

   To Harris's detractors, she is pandering to the worst stereotypes of decayed  inner-city living and has no regard for the scientific literature on crack  cocaine and pregnancy rates for addicts. They say she is discriminating against  poor women who are not necessarily in the best position to make decisions about  their future - or about what to do with the $ 200. They point to the  disproportionate number of black and Latino women who get sterilised under the  programme, and ask if there isn't a racist agenda at work. Worst of all, they  say, she is singling out a class of women and saying they are unfit to reproduce
 - a social engineering project that has prompted unflattering comparisons, in  some quarters, with the eugenics movement of the early 20th century, which  culminated in the Nazi practice of mass sterilisation, "racial hygiene" laws  and, eventually, genocide.

   "Their material broadly suggests that there is a particular portion of the  population that should not be, or that is not worthy of, reproducing the human  race. The risk is that this will be easily interpreted to mean that this group  is unworthy of being regarded as fully human," says Lynn Paltrow, a feminist  lawyer and executive director of the New York- based National Advocates for  Pregnant Women. "Our concern is that this programme will result in an increase  in prejudice and misinformation about drug use, addiction and about the women  and children affected by it."

   To which Barbara Harris says: nonsense. All she is interested in, she says,  is preventing children from suffering because of the gross irresponsibility of  women too spaced out to control their own fertility. "Lynn Paltrow is an  educated idiot," says Harris, from her new home in North Carolina. "To her, it's  all about the women's right to have as many babies as they want. But what makes  a woman's right to procreate more important than the welfare of the children?  There is nothing positive about a woman giving birth to babies that are taken  away from her. We're talking six or eight babies. I can't tell you how many of  these women I've talked to. They've cried and cried, and don't even know where  their children are. Sometimes they know their kids have died, or are  brain-damaged. That's a lot of guilt to carry around."

   She explains that, although sterilisation is usually freely available at any  time, money is the inducement many women need to follow through. "They're not  willing to take the time out of their busy lives. They know it's something they  ought to do, but all they are thinking about is how to get drugs. I've had  letters saying, Thank you for helping me to do the first responsible thing about  my addiction.'"

   Harris makes a powerful point when she argues that, for all the idealised  talk about offering women drug treatment programmes, or reducing poverty, or  improving health care and education, none of these is actually happening on  anything like the scale required to address the problems. Project Prevention,  she says, exists precisely to take some small positive step amid the dearth of  public-policy initiatives.

   But she is also capable of sounding remarkably callous. Her critics say that  the cash offer is exactly the wrong sort of inducement to offer to an addict,  and she isn't entirely inclined to disagree. One of her flyers, now withdrawn  from circulation, used to say: "Don't let a pregnancy ruin your drug habit."  And, although she points out that her group offers referrals to drug treatment,  she also tells me she has no interest in monitoring how the money is spent.  "Some people say they might spend it on drugs, but as far as I'm concerned they  are welcome to," she said. "They can turn tricks, rob, steal, whatever, it's  their choice. The babies don't have a choice."

   The notion of "crack babies" has fuelled the US war on drugs ever since the  epidemic of cheap, highly addictive cocaine derivatives hit the inner cities as  a by-product of the Nicaraguan civil war in the 1980s. (The Contras, backed by  the US, financed their insurgency in part by selling drugs to the North American  market, and the CIA tended to look the other way.) It's certainly an emotive  idea - thousands of children suffering horrific neurological disorders because  of the addiction of their mothers. But it has little or no basis in fact.

   The harm that drugs cause during pregnancy is impossible to measure or single  out from other factors (poverty, malnutrition, stress, inadequate pre-natal care  and so on). Barbara Harris has no way of knowing what exactly caused the  screaming fits and other symptoms that beset her adoptive child, and a growing  body of scientists is beginning to wonder if the link to crack cocaine is even  plausible.

   "Crack babies are like Max Headroom and reincarnations of Elvis - a media  creation," the academic specialists John P Morgan and Lynn Zimmer wrote in a  widely cited 1997 article, "The Social Pharmacology of Smokeable Cocaine".  "Cocaine does not produce physical dependence, and babies exposed to it  prenatally do not exhibit symptoms of drug withdrawal. Other symptoms of drug  dependence - such as craving' and compulsion' - cannot be detected in babies. In  fact, without knowing that cocaine was used by their mothers, clinicians could  not distinguish so-called crack-addicted babies from babies born to comparable  mothers who had never used cocaine or crack."

   Myth No 2 is that drug addicts are giving birth at abnormally high rates.  Although instances of multiple pregnancies can clearly be found, the best  research suggests that the average drug user has between two and three children,  just like anyone else. The best research also points out that the "average" drug  user is not, contrary to media-fuelled conventional wisdom, a poor,  under-educated, black inner-city dweller, but more likely a divorced, white  high-school graduate struggling to get by with a couple of children in tow.

   Barbara Harris insists that she offers her services to anyone, and counts  stockbrokers and former teachers among her clients. ("When you're on drugs, you  don't stay wealthy very long and you don't stay employed.") But it appears, from  her flyer campaigns and from the statistical breakdowns of her own numbers, that  her organisation focuses primarily on the inner city and on ethnic minorities.

   That may be no bad thing, as far as her supporters are concerned. The Crack  organisation has had positive responses as well as negative, from social  workers, prison wardens, probation officers and at least one prominent  African-American community activist and commentator in Los Angeles. Harris has  also become something of a darling of the conservative right, earning the praise  of talk-radio hosts, including the queen of tough love and radical approaches,  Laura Schlessinger. Funding for her group comes largely from wealthy Republican  donors, among them a Texas software entrepreneur called Jim Woodhill. He has  acknowledged paying a consultancy retainer to the disgraced British academic  Christopher Brand, the author of a scabrous self-published tract called The g  Factor, in which he argues that black people are genetically inferior to whites.  Mr Brand, who was fired from Edinburgh University (not for his ideas on race,  but for his opinion that sex between adults and children over the age of 12 was  to be encouraged) is held up by some opponents of Project Prevention as proof  that the sterilisation-for-cash programme is part of a sinister resurgence of  eugenics.

   But Barbara Harris is no white supremacist. Her husband and adoptive children  are all black, and she takes great delight in squashing the racism accusation  like a fly on a hot North Carolina afternoon. The pre-eminent chronicler of the  US eugenics movement, a Yale history professor called Daniel Kevles, argues that  Project Prevention has nothing to do with eugenics, because it has no ambition  to improve the human gene pool; its aim, misguided or not, is merely to prevent  the birth of damaged children. "The word eugenics' is a fighting word, and is  used by people to discredit things that they don't like," Professor Kevles says.  "It doesn't really get to the heart or the pros and cons of the issue."

   The issue, more precisely, appears to be reproductive discrimination against  the poor - what Germaine Greer once described as middle-class resentment at  "having to shell out for the maintenance, however paltry and meagre, of the  children of others". It is perhaps indicative of this that while sterilisation  is freely available under Medicaid, reproductive services designed to promote  fertility are not. There is a long history in the United States of seeking to  discourage the poor from having children, during the heyday of the eugenics  movement and since - particularly in the South, where the class issue has been  closely bound up with race.

   In South Carolina, for example, pregnant black drug addicts are routinely  arrested and prosecuted for child abuse, since the state courts have determined  that a foetus has the same legal status as a child. In a notorious case a couple  of years ago, an indigent woman whose child was stillborn was sentenced to 20  years in prison for murder, even though the prosecutor could not prove that the  stillbirth had been caused by her cocaine addiction. In another notorious case,  a hospital in Charleston, South Carolina was taken to court for conducting  secret urine tests on its pregnant patients and then calling the police if it  found evidence of drug use. Women were dragged out of the hospital in chains,  some of them just moments after they had given birth. The US Supreme Court  eventually deemed the hospital's behaviour to be unconstitutional.

   Is this the path that Barbara Harris's movement is heading down? "The more  you dig, the more frightening this is," Paltrow says. "On some level, I do  believe Barbara Harris is a sincere person who does not set out to be  discriminatory. But the consequence of her programme is to blame the individual  and provide further incentive to government to de-fund any kind of public  services." As the gap between rich and poor grows ever wider under a Bush  administration seemingly intent on privatising social services altogether,  Paltrow's fears may not be entirely unfounded.





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