Abstract

Sexuality plays a central role in Foucault’s philosophy, from his four volume series on the topic to his ideas about medicalization, biopower, and the abnormal. Many of Foucault’s concepts, such as governmentality, biopower, and biopolitics, are useful for analyzing the effects of laws and policies regulating reproduction and sexuality. This article brings Foucault’s ideas to bear on two aspects of sexuality, reproduction and trans health care, to show how the operations of biopower result in reproductive oppression. We briefly trace the history of the professionalization of medicine and the correlative shift in control over reproduction from midwives to doctors. Next we examine the issue of forced or coerced sterilization of people deemed “unfit” to reproduce; for example, those with cognitive or physical disabilities, non-whites, and poor people, exemplifying how biopolitics is a normalizing force. Biopolitics and normalization permeate trans healthcare as well, pathologizing trans people as deviant in order for them to be able to access gender affirming health care and imposing norms based on binary and stereotypical gender categories and whiteness resulting in a restrictive transnormativity. Trans reproduction is subject to passive eugenics which makes sterility a requirement for transition related care. We demonstrate how reproductive oppression harms those who are not cisgender, heterosexual, cognitively and physically abled, and white; sex and biological reproduction are at the center of these processes of reproducing white, middle class workers in dyadic heterosexual family relations to perpetuate a ‘productive’ capitalist system. We conclude by discussing the ways that active and passive eugenics work together in reproducing heteronormativity, the interimbrication of whiteness and heteronormativity, and the implications for citizenship, immigration, and population control in service to the nation-state.