Originally published at Spectre Journal
In 2013, investigative reporting revealed that nearly 150 women incarcerated in the California prison system had been sterilized between 2006 to 2010. The gynecological prison official who oversaw the procedures – and was paid nearly $150,000 by the state per sterilization – defended the payments and the procedures, stating, “Over a 10-year period, that isn’t a huge amount of money, compared to what you save in welfare paying for these unwanted children – as they procreated more.” It is certainly outrageous that interned women were coerced into undergoing sterilization – oftentimes at the precise moment when they were “under sedation and strapped to an operating table.” But such practices are neither rare within the long scope of U.S. history, nor are they even technically prohibited by law in all circumstances.1
THE INSTITUTION AND THE PRISON
Given the disproportionate rates at which people of color and disabled people are over-represented within the U.S. prison population, the above abuses were essentially a case of modern eugenics being carried out against precisely those populations that have been historically targeted – disabled people, people of color, and women in poverty. What this demonstrates is the insidious ways in which the matrix of institutional confinement, disability oppression, and eliminationist social policy has remained a persistent feature of modern capitalist society, even as it has undergone mutations, adaptations, and reconfigurations over past decades and centuries.
Insofar as the ruthlessly competitive accumulation of capital via exploited labor has been the constant guiding imperative of historical capitalism, disabled people have ever represented a troublesome source of non- (or even counter-) profitability to the ruling class. The labor power that disabled people possess – the basic unit of commodity value under capitalism – is deemed an invalid, defective, or otherwise undesirable resource vis-à-vis the productive economy.2As the U.S. federal government defines it, to be disabled is to be “unable to engage in substantial gainful activity”;3 in other words, to be unable to competitively acquire a paying job within the prevailing conditions of capitalist wage-labor.3
In this way, disabled people have historically been cast into that sub-class of people under capitalism who rely on state welfare payments, are marginal to the formal process of capital accumulation, and are considered ‘disposable’ from the standpoint of political economy. In truth, and conceptualized broadly, disabled people occupy a class position that spans the proletariat: the active working class, the reserve army of labor, and the so-called lumpenproletariat.4 Under any conception, however, disabled people under capitalism are, by definition, so many ‘damaged goods’; commodities systematically devalued as a result of inherited or acquired ‘deficits’ in their functioning as components of capital accumulation. Thus, to the capitalist ruling class, disabled people represent an economic ‘problem’ necessitating a political ‘solution.’
Beginning in the late nineteenth century, and reaching its peak maturation in the early-to-mid twentieth century, the prevailing ‘solution’ to the ‘problem’ of disability was the erection of a system of mass institutionalization, sterilization, and social elimination, which claimed the lives of hundreds of thousands of disabled and other marginalized and oppressed peoples in the U.S. This system was codified and executed at the state level, and rendered licit at the federal level.5 Then, as now, a central pillar of the overarching regime of control, separation, and social exclusion of the disabled and other marginalized populations was the carceral institution. This is a complex of controlling and controlled spaces ranging from asylums, hospital wards, state facilities, nursing homes, penal colonies, poorhouses, halfway homes, jails, and prisons. The form has changed over the years, but the function – control, separation, and social exclusion – has remained. At its peak, in the mid-1950s, there were an estimated 550,000 people confined to the nation’s mental asylums and hospitals.6 Today, the number of people with mental illnesses and disabilities confined to the nation’s prisons and jails is estimated to be close to 1.25 million.7
The red thread connecting the erstwhile system of incarceration in institutional asylums and that of the prison system today, is more than abstractly analogous. Both represent forms of segregation, subjugation, and constraint as coercive mechanisms of social policy. Behind the paper-thin pretense of being ‘rehabilitative’, both structures eschew the latter in favor of the social removal and warehousing of putatively deviant, degenerate, or maladjusted populations. Involuntary confinement and loss of autonomy are equally characteristic of the institution and the prison. Through the mid-twentieth century, the majority of people in state mental hospitals were forcibly committed by lunacy commissions, medical professionals, state welfare agencies, or the judiciary.8
Moreover, whether committed on a voluntary or involuntary basis, institutionalized residents had no control over when they would be discharged, what treatments they would receive, or the nature of their living conditions (this remains the case for those committed to psychiatric wards and institutions to this day). In similar fashion to the way that durations of prison sentences are determined by Parole Board bureaucracies, release from the institution was contingent upon the subjective determination of bureaucrats (which determination was likewise influenced by a resident-inmate’s exhibit of “good institutional behavior”).9 In sum, the high degree of continuity between these various carceral systems suggests a shared function across wide-ranging forms.