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<text id=93TT2035>
<title>
July 19, 1993: Prognosis:Controversy
</title>
<history>
TIME--The Weekly Newsmagazine--1993
July 19, 1993 Whose Little Girl Is This?
</history>
<article>
<source>Time Magazine</source>
<hdr>
HEALTH, Page 52
Prognosis: Controversy
</hdr>
<body>
<p>Pro-condom and pro-choice, the nominee for Surgeon General is
provoking a heated reaction from conservatives
</p>
<p>By MARGARET CARLSON/WASHINGTON--With reporting by Ann Blackman/Washington and Richard Woodbury/Houston
</p>
<p> Joycelyn Elders, the pediatrician nominated to be Surgeon General,
was the first in her sharecropper family of eight children to
go to college, working her way through Philander Smith, a black
institution in Arkansas, as a cleaning woman. When she was home
one weekend, her younger brother Chester, now a Methodist minister
in Pine Bluff, realized that she had begun to change when she
took her siblings to the drive-in to see a movie. "She went
to a section not marked off for coloreds," says her brother.
"The attendant told her to move, and they got in a heated argument.
We started to cry. We weren't into the politics of life; we
just wanted to see the movie. Finally she and the attendant
compromised on how far back we would go. That's when I first
noticed my sister was a little different."
</p>
<p> This week, when the Senate opens hearings on the Elders nomination,
the rest of the U.S. will find out that the 59-year-old Arkansas
public-health director is still a little different. While she
has the bedside manner of the white-coated physician, she has
also been a verbal bomb thrower, trying to wake up Arkansas
citizenry to the health crises in teenage pregnancy and AIDS
by promoting sex education, birth control and freedom of choice
on abortion. Just after her appointment in 1987, Elders was
asked if school-based clinics would dispense contraceptives.
She replied, "I'm not going to put condoms on their lunch trays,
but yes."
</p>
<p> The controversy grew from there. Antiabortion activists have
called her a "mass murderer" and "director of the Arkansas Holocaust."
Her reputation has provoked a coalition of national right-to-life
groups to challenge her nomination. "We are deadly opposed to
her confirmation," says James A. Smith, a lobbyist for the Christian
Life Commission. But the White House contends it is ready to
fight for this nominee. Says Health and Human Services Secretary
Donna Shalala: "She is colorful and plainspoken, and Americans
like people who are straightforward." One Republican Senator,
Don Nickles of Oklahoma, has come out against her, but no one
expects it to stop there.
</p>
<p> Elders has been in battle most of her life. It was a struggle
to escape rural Schaal, Arkansas. She started school at four,
walking five miles daily to catch the bus. At night, she helped
her father stretch raccoon hides, which he sold to Sears. After
college, she enlisted in the Army and trained as a physical
therapist. Later, she was the only black woman in her class
at the University of Arkansas medical school.
</p>
<p> She made enemies traveling the state preaching that the consequences
of irresponsible sex should not be a child who will more than
likely grow up uncared for. She has not taken her lumps quietly.
Elders attacks her religious-right critics as "non-Christians"
who harbor "slave-master mentalities." Last year Elders told
an abortion-rights rally that abortion foes need to get over
their "love affair with the fetus." Earlier this month on a
CNBC call-in show, Elders was asked what she planned to do about
crack-addicted women who sell sex to buy drugs, get pregnant
and have crack-addicted babies. "That's a real problem," the
pragmatic Elders replied. "I would hope that we would be able
to provide them with Norplant, so they could still use sex if
they must to buy their drugs and not have unplanned babies."
</p>
<p> Elders is no stranger to drug problems. In 1981 she took in
a foster child, Nina, 13, a blue-eyed diabetic patient she had
been treating for five years. When Nina was 25 and on her own,
she was arrested on a drug charge, and Elders' husband paid
the $1,000 bail to get her out. Last February the girl and her
boyfriend were found murdered, possibly because of a drug deal
gone bad. "It was a major loss," says her aide Carol Roddy,
"like the daughter she never had."
</p>
<p> For all Elders' empathy with families that don't work, she is
at the center of one that does. Married since Valentine's Day
1960 to Oliver Elders, she cheered at almost every game during
his 33 years as basketball coach of a Little Rock high school
team. Her husband's 97-year-old mother, who has Alzheimer's
disease, lives with them. Elders has two grown sons. My sister,
says her brother Jones, is "your typical housewife. She cooks
like our mother cooked--fried chicken, turnip greens and corn
bread. Yet when she gets out of the house, you wonder who this
person is."
</p>
<p> Washington will try to find out this week, but confirmation
hearings are not always an accurate indicator of future performance.
Who would have thought that former Surgeon General C. Everett
Koop, appointed by President Reagan for his Fundamentalist beliefs
and fervent pro-life position, would refuse White House pressure
to label abortion "psychologically harmful," would become a
crusader for condoms, or would be reviled by Phyllis Schlafly
and air-kissed by Elizabeth Taylor? If Elders gets to don the
gold-braided uniform of the nation's No. 1 doctor, she may end
up, like Koop, infuriating her supporters and amazing her detractors.
</p>
</body>
</article>
</text>