In 1942, the United States Supreme Court Case of Skinner v. Oklahoma ruled that states could not legally sterilize those inmates of prisons deemed habitual criminals. Skinner v. Oklahoma was about the case of Jack Skinner, an inmate of the Oklahoma State Penitentiary in McAlester, Oklahoma, who was subject to sterilization under the Oklahoma Habitual Criminal Sterilization Act of 1935. The case, decided on 1 June 1942, determined that state laws were unconstitutional if those laws enabled states to forcibly sterilize inmates deemed to be habitual criminals. Such laws violated the Equal Protection Clause of the Fourteenth Amendment to the US Constitution. The Skinner v. Oklahoma decision also reflected tensions in US eugenic policies when juxtaposed against similar policies of the Nazi regime in Europe, especially with regard to sterilization measures.

Tomorrow's Children is a film that tells the story of Alice Mason, a young woman whom the US government forcibly sterilizes because she comes from a family with a history of alcoholism, mental illnesses, and physical disabilities, traits that they considered biologically determined and inferior. The film, released in 1934, was directed by Crane Wilbur, produced by Bryan Foy, written by Wilbur and Wallace Thurman, and released by Foy Productions Ltd. Tomorrow's Children criticized forced sterilization and the eugenics movement in the United States in addition to protesting film censorship regulations in the early 1900s.

In 1933, an act of the North Carolina legislature created the Eugenics Board of North Carolina, or EBNC, to oversee the practice of sterilization, which is the removal of an individual’s ability to reproduce, in the state. Beginning in the late nineteenth and early twentieth centuries, the US eugenics movement involved both state and non-governmental entities attempting to improve human populations through selective breeding, which included sterilization of those labeled as genetically inferior. In North Carolina, the EBNC headed the state government’s eugenics program and oversaw decisions related to the sterilization of poor and disabled people. By the time of the dissolution of the EBNC in the late 1970s, an estimated 7,600 people had undergone forced sterilization under the board’s approval. Some of them later received funds in the 2010s from the state government in one of the first programs to provide compensation to involuntarily sterilized individuals. The EBNC presided over the sterilizations of thousands of people in North Carolina, prompting one of the first attempts at eugenics reparations in the US.

Paul Bowman Popenoe was a researcher, writer, and social advocate who studied breeding in the United States during the twentieth century, first in plants and then in humans. Popenoe advocated for eugenic policies in California and beyond in the early twentieth century, and he introduced and promoted marriage counseling as a professional service in the US during the mid-twentieth century. The US eugenics movement, in which Popenoe participated, was a scientific and political project in which eugenicists attempted to improve human populations through selective breeding. Participants of the movement often advocated for the implementation of compulsory sterilization laws for certain “undesirable” populations. Though largely disavowed as of 2026, eugenics persisted well into the twentieth century. Through dozens of publications and a lifetime of public advocacy, Popenoe supported policies that led to the forced sterilization of thousands of people in California and popularized counseling as an intervention into people’s marriages and reproductive choices.