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Когда Фицджеральд писал слова, цитируемые выше, профилактика чаще всего понималась как расширение идеологии и практики евгеники. Придерживаясь теории «расовой гигиены» сторонников превосходства белых, врачи рекомендовали «профилактические» решения социальных проблем. Эти решения включали в том числе «негативную евгенику» – институционализацию и принудительную стерилизацию проституток, бедных женщин, цветных женщин и людей с ограниченными возможностями.
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