The intention to control or reduce ethnic minorities, especially "Negroes," can be seen in writings by some leaders in the eugenics movement:
In an 1893 "open letter" published in the Virginia Medical Monthly, Hunter Holmes McGuire, a Richmond physician and president of the American Medical Association, asked for "some scientific explanation of the sexual perversion in the Negro of the present day." McGuire's correspondent, Chicago physician G. Frank Lydston, replied that African-American men raped white women because of "[h]ereditary influences descending from the uncivilized ancestors of our Negroes." Lydston suggested as a solution to perform surgical castration, which "prevents the criminal from perpetuating his kind."[17]
In 1935, a decade after the passage of Virginia's eugenics laws, Plecker wrote to Walter Gross, director of Nazi Germanys Bureau of Human Betterment and Eugenics. Plecker described Virginia's racial purity laws and requested to be put on Gross' mailing list. Plecker commented upon the Third Reich's sterilization of 600 children in Algeria who were born of German women by black fathers: "I hope this work is complete and not one has been missed. I sometimes regret that we have not the authority to put some measures in practice in Virginia."[18]
Despite lacking the statutory authority to sterilize black, mulatto and American Indian children simply because they were "colored", a small number of Virginia eugenicists in key positions found other ways to achieve that goal. The Sterilization Act gave State institutions, including hospitals, psychiatric institutions and prisons, the statutory authority to sterilize persons deemed to be "feebleminded" a highly subjective criterion.
Dr. Joseph DeJarnette, director of the Western State Hospital in Staunton, Virginia, was a leading advocate of eugenics. DeJarnette was unsatisfied with the pace of America's eugenics sterilization programs. In 1938 he wrote:
"Germany in six years has sterilized about 80,000 of her unfit while the United States with approximately twice the population has only sterilized about 27,869 in the past 20 years. ... The fact that there are 12,000,000 defectives in the U.S. should arouse our best endeavors to push this procedure to the maximum... The Germans are beating us at our own game."[19]
By "12 million defectives", DeJarnette was almost certainly referring to ethnic minorities, as there have never been 12 million mental patients in the United States.
According to historian Gregory M. Dorr, the University of Virginia School of Medicine (UVA) became "an epicenter of eugenical thought" that was "closely linked with the national movement." One of UVA's leading eugenicists was promoted to dean of medicine in 1939. He was in a position to shape the opinion and practice of Virginia physicians for several decades. This excerpt from a 1934 UVA student paper indicates one person's thoughts: "In Germany, Hitler has decreed that about 400,000 persons be sterilized. This is a great step in eliminating the racial deficients."[20]
The racial effects of the program in Virginia can be seen by the disproportionately high number of black and American Indian women who were given forced sterilizations after coming to a hospital for other reasons, such as childbirth. Doctors sometimes sterilized the women without their knowledge or consent in the course of other surgery.