More Than Medicine

More Than Medicine
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In 1948, the Constitution of the World Health Organization declared, “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Yet this idea was not predominant in the United States immediately after World War II, especially when it came to women’s reproductive health. Both legal and medical institutions—and the male legislators and physicians who populated those institutions—reinforced women’s second class social status and restricted their ability to make their own choices about reproductive health care. In More Than Medicine, Jennifer Nelson reveals how feminists of the ‘60s and ‘70s applied the lessons of the new left and civil rights movements to generate a women’s health movement. The new movement shifted from the struggle to revolutionize health care to the focus of ending sex discrimination and gender stereotypes perpetuated in mainstream medical contexts. Moving from the campaign for legal abortion to the creation of community clinics and feminist health centers, Nelson illustrates how these activists revolutionized health care by associating it with the changing social landscape in which women had power to control their own life choices. More Than Medicine poignantly reveals how social justice activists in the United States gradually transformed the meaning of health care, pairing traditional notions of medicine with less conventional ideas of “healthy” social and political environments.

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Jennifer Nelson. More Than Medicine

More Than Medicine. A History of the Feminist Women’s Health Movement

Contents

Acknowledgments

Introduction

1 “Medicine May Be the Way We Got in the Door” Social Justice and Community Health in the Mid-1960s

2 “Thank You for Your Help . . . Six Children Are Enough” The Abortion Birth Control Referral Service

3. Reproductive Control, Sexual Empowerment. The Aradia Women’s Health Center and the Early Movement for Feminist Health Reform

4. Conserving Feminist Health Care, Confronting Anti-Abortion. The Atlanta Feminist Women’s Health Center

5 “All This That Has Happened to Me Shouldn’t Happen to Nobody Else” Loretta Ross and the Women of Color Reproductive Freedom Movement of the 1980s

6. Women of Color and the Movement for Reproductive Justice. A Human Rights Agenda

Notes

Index

About the Author

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Jennifer Nelson

NEW YORK UNIVERSITY PRESS

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L. C. Dorsey’s interaction with the Tufts-Delta Health Center characterizes the way community involvement in medical services could help transform black people’s lives beyond simple health care provision. Dorsey was born on a plantation to sharecropper parents (just a generation removed from slavery) in Washington County, Mississippi. She grew up in neighboring LeFleur County without access to education or job experience except in the fields. As a teenager, Dorsey was a social activist—a self-described civil rights field worker—with the Council of Federated Organizations (COFO), the Student Non-Violent Coordinating Committee (SNCC), and the Southern Christian Leadership Conference (SCLC). From her involvement in the civil rights movement, Dorsey heard about the Tufts-Delta Health Center and was intrigued because she wanted to become engaged with a project that would be sustainable. She explained that she was hired to be a part of community health outreach with the center. Dorsey said that Hatch, at that time director of Community Health Action at the health center, wanted to give young people the chance to grow in the organization, so he hired people with little or no work experience. After a stint as an outreach worker, Dorsey applied to direct the community farm associated with the clinic. Again, she noted she had no direct experience but was given an opportunity to develop her skills on the job. She also utilized Delta Health Center resources to complete her high school degree at the local junior college. Dorsey made clear that her work with the health center helped build her confidence to the point that she eventually completed an undergraduate degree and attended SUNY–Stony Brook for her master’s in social work. Ultimately she completed a Ph.D. at Howard University and returned to the center to become its executive director in 1988.88

Most of the Delta Health Center patients were women, children, and elderly men. Because there was so little paid labor in the South, many young men migrated north to find jobs. As a result of out-migration, the average age of Mound Bayou residents was only about fifteen, and the average age of men in the community was about fifty. Thus, women and their children were very much at the center of the Tufts-Delta Health Center as both patients and workers.89 With so many women in the community, obstetrics and gynecology were essential specialties at the health center. Two white nurse midwives, one a nun, Sister Mary Stella Simpson and Asa Johansen, both of whom joined the clinic when it opened its doors, worked in this area. The first black female obstetrician/gynecologist to practice in Mississippi, Dr. Helen Barnes, also joined the center in 1968. When she arrived at Mound Bayou, Barnes set up a program for prenatal care, delivery, and contraceptive services, which was supported after 1970 with federal funds accessed through Title X, a program created by President Nixon to promote family planning among poor Americans.90 Born in Mississippi, Barnes left the state to earn her medical degree from Howard University in Washington, D.C. After completing her degree in 1958, she returned to the Mississippi Delta to serve as one of the few black general practitioners in Greenwood, Mississippi. After returning north to complete specialty training in ob/gyn at Kings County Hospital in Brooklyn, New York, she joined the Tufts-Delta Health Center.91

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