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Emma, Carrie, Vivian: How A Family Became A Test Case For Forced Sterilizations

The day was June 4, 1924. A dark-haired girl, just 17 years old, was admitted to the Virginia State Colony for Epileptics and Feebleminded. She became colony inmate 1692. The superintendent of the colony examined her. He declared her healthy, free of syphilis, able to read, write, and keep herself tidy. And then he classified her as “feeble-minded of the lowest grade, moron class.”

With that designation, this young woman, who’d already lost more than many people could bear in a lifetime, was set on a path she didn’t choose. What happened to her laid the foundation for one of the most tragic social experiments in American history.

This is the story of Carrie Buck, and three generations of her very small family: Emma, Carrie and Vivian. A grandmother, a mother and a child who, by virtue of their poverty and some very bad luck, became the test case for forced sterilizations in the United States.

“Three generations of imbeciles are enough,” wrote Justice Oliver Wendell Holmes, Jr., in his official opinion for the U.S. Supreme Court case, known as Buck v. Bell. The 1927 case reaffirmed the right of individual states to forcibly sterilize anyone “afflicted with an hereditary form of insanity or imbecility.” It was considered an achievement for the growing eugenics movement, the “science” of improving humanity through better breeding. Among other things, eugenics called for restricting the reproduction of those deemed unfit. In practice, forced sterilization efforts largely targeted the least-powerful people: minority women, immigrants, the physically and mentally ill, and the poor.

Carrie was just 21 years old when she received the state-ordered operation, which cut her fallopian tubes and prevented her from having another child after Vivian.

“Were you very sad?” NPR reporter Wendy Blair asked Carrie in 1980.

“Yeah, I was sad,” she said. “Cause see, I wanted to have children.”

Additional Reading:

You can find more information on the Buck v. Bell case at the website of our guest Paul Lombardo, author of Three Generations, No Imbeciles: Eugenics, the Supreme Court and Buck v. Bell. It includes the young Vivian Buck’s gradebook, showing mostly A’s and B’s, and a 1910 document on “fit and unfit matings” by eugenicist Charles Davenport.

This week’s episode was produced by Jennifer Schmidt and Thomas Lu, and edited by Tara Boyle. Our team includes Rhaina Cohen, Parth Shah, and Laura Kwerel. Special thanks to Paul Lombardo for research assistance.

Copyright 2025 NPR

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Shankar Vedantam is the host and creator of Hidden Brain. The Hidden Brain podcast receives more than three million downloads per week. The Hidden Brain radio show is distributed by NPR and featured on nearly 400 public radio stations around the United States.

Vedantam was NPR's social science correspondent between 2011 and 2020, and spent 10 years as a reporter at The Washington Post. From 2007 to 2009, he was also a columnist, and wrote the Department of Human Behavior column for the Post.

Vedantam and Hidden Brain have been recognized with the Edward R Murrow Award, and honors from the American Association for the Advancement of Science, the Society for Personality and Social Psychology, the International Society of Political Psychology, the Society of Professional Journalists, the National Association of Black Journalists, the Austen Riggs Center, the American Psychoanalytic Association, the Webby Awards, the Pennsylvania Associated Press Managing Editors, the South Asian Journalists Association, the Asian American Journalists Association, the Pennsylvania Newspaper Association, the American Public Health Association, the Templeton-Cambridge Fellowship on Science and Religion, and the Rosalynn Carter Mental Health Journalism Fellowship.

In 2009-2010, Vedantam served as a fellow at the Nieman Foundation for Journalism at Harvard University.

Vedantam is the author of the non-fiction book, The Hidden Brain: How our Unconscious Minds Elect Presidents, Control Markets, Wage Wars and Save Our Lives. The book, published in 2010, described how unconscious biases influence people. He is also co-author, with Bill Mesler, of the 2021 book Useful Delusions: The Power and Paradox of the Self-Deceiving Brain.

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