Medical Gaze Sans Bioethics: Revisiting Enslaved Black Women's Medical Bondage in Behind the Sheet

The birth of modern gynecology in the USA is preceded by experimental exploitations of Black women's bodies in the mid-nineteenth century, entailing a long-drawn extraction of "reproductive knowledge" from enslaved patients. Charly Evon Simpson's Behind the Sheet (2019) stages the history of medical bondage of Black enslaved women in antebellum South, reconstructing the events that led to the surgical innovation for vesico-vaginal fistula. Scrutinizing Simpson's dramatization of the event, this paper prompts inquiries into the interplay of power and consent between the physician and the enslaved patient in plantation healthcare, highlighting the need to reexamine bioethical principles. Using the theoretical framework of medical gaze propounded by Foucault and further developed by Susan Greenhalgh, the paper analyzes the operation of white patriarchal power and the construction of physician heroism in the medical sphere. Investigating the realm of bodily autonomy in the context of medical bondage, the paper attempts to render a "herstorical" standpoint on the contributions of enslaved Black women to the field of gynecology.