-Caveat Lector-

www.devvy.com/exam.html#SOFC


Judge Allows East Stroudsburg
Lawsuit to Proceed

But genital exams remain part of the 'medicalization' of
the public schools

Concerned citizens protest the visual gential exams given
to kindergarten children in Aiken, SC.
HARRISBURG, PA - A federal judge has ruled that the
civil lawsuit filed by the parents of seven Pennsylvania
schoolgirls who received genital exams in 1996 can
move forward. The judge ruled, however, that the
families may not seek punitive damages. The case is
expected to come before a jury next April.
The court action was the result of physical examinations
given to 59 6th-grade girls in March of 1996 at the J.T.
Lambert Intermediate School in East Stroudsburg, PA,
which included internal examination of genitalia without
parental knowledge or consent (See Education
Reporter, June 1996). The students' requests to call their
parents or opt out of the exams were denied. In May of
1996, the family of one of the girls filed suit and was later
joined by other outraged parents.
The East Stroudsburg case created a public controversy
over the issue of conducting genital exams and other
health care procedures in the public schools. The Sept.
7, 1998 edition of the Washington Times quoted a
spokeswoman for the National Association of School
Nurses as saying that millions of school physicals, some
of which include genital exams, are being performed on
school children every year. To her knowledge, the East
Stroudsburg lawsuit was the first legal action taken
against such exams.
Since the controversy began, reports of similar exams in
other states have surfaced. In Aiken, SC, kindergarten
children were given visual genital inspections by school
nurses without parental knowledge (See Education
Reporter, April 1998). Former candidate for South
Carolina state school superintendent Rebekah
Sutherland says that, when the story broke in March of
1997, many parents came forward to complain. "They
told me that the consent form for the exam had been
buried among numerous other kindergarten registration
forms, and that they unknowingly signed it while being
rushed through the registration process."
A total of 56 South Carolina school districts conducted
the exams. The Aiken school district now claims that
they are no longer being performed, but Sutherland and
others remain skeptical.
Concerned citizens worry about the continued trampling
of parental rights by governmental institutions. They
question the government's authority to introduce medical
procedures in the schools that have previously been
conducted in physician's offices under parental scrutiny.
State Rep. Sam Rohrer (R-PA) says that Title I and
Medicaid are the vehicles through which government is
restructuring public schools to become health care
providers.
"The federal statute known as Title I has been around
since 1965," Rep. Rohrer explains. "It was established to
provide funding for 'extra' educational services for poor
children. Title I has been reauthorized to incorporate the
objectives of Goals 2000, specifically, the first of the
eight National Education Goals which states: 'By the year
2000, all children in America will start school ready to
learn.' " Rohrer adds that schools receiving Title I funds
must comply with the mandates of Goals 2000, "whether
or not they receive money under Goals 2000." Through
"school-wide programs," students can now be labeled
"educationally deprived," which allows them to be
eligible for Title I funds.
The Medicaid program has been similarly expanded.
Poverty guidelines have been dropped altogether in
some states for children in certain age groups, and
drastically altered in others. Terms such as "disability"
have been redefined to include the inevitable stresses of
growing up, and the end result is that almost any child
can be "identified" as needing some sort of remediation
under Title I, with medical services covered by
Medicaid.
Marie Smith, an education researcher and school board
member in Missouri, says that the Medicaid-funded
Early Periodic Screening and Diagnostic Testing
(EPSDT) program for school children covers unclothed
physical exams including genitals. "Schools are
reimbursed by Medicaid for performing such services, "
says Smith, "and these types of initiatives precipitated the
East Stroudsburg case."
She cautions that it's important for parents to understand
the "expanded" meaning of many of the terms used in
health and education program documents, including
consent forms. "The importance of reading these forms
carefully cannot be overstated," Smith warns. "Terms
such as 'abuse,' 'prevention,' 'intervention,' and
'anticipatory guidance' should send up red flags as to
their relationship to sex education, family planning
services and supplies, or referrals for such services."
The genital exams given to the kindergartners in Aiken,
SC, were funded by Title I and Medicaid programs.
Documents show that the Aiken County School District
signed a contract with the South Carolina Dept. of
Health and Environmental Control (DHEC) to provide
in-school health services to Title I schools.
"However," says Rebekah Sutherland, "non-Medicaid
children also attend those schools and were given the
exams, even though their parents pay for their medical
care." She points out that parents are not aware of a
difference between the public schools - that some are
eligible for Title I funds while others are not - and that
this distinction causes confusion and distrust.
In August, Sutherland and the South Carolina Council of
Conservative Citizens held a protest march in Aiken to
criticize the examinations of the 5- and 6-year-olds. A
local pastor, the Rev. Dr. Bobby Eubanks, summed up
the feelings of the marchers. "Taking our children's
clothes off and examining their genitalia is not the
responsibility of the schools. They are there to educate."

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