Minnie Joycelyn Elders (born Minnie Lee Jones; August 13, 1933) is an American
pediatrician
Pediatrics (American English) also spelled paediatrics (British English), is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, pediatrics covers many of their youth ...
and
public health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the de ...
administrator who served as
Surgeon General of the United States
The surgeon general of the United States is the operational head of the United States Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters of public health in the federal government of the United States. T ...
from 1993 to 1994. A
vice admiral
Vice admiral is a senior naval flag officer rank, usually equivalent to lieutenant general and air marshal. A vice admiral is typically senior to a rear admiral and junior to an admiral.
Australia
In the Royal Australian Navy, the rank of Vice ...
in the
Public Health Service Commissioned Corps
The United States Public Health Service Commissioned Corps (USPHSCC; also referred to as the Commissioned Corps of the United States Public Health Service) is the Uniformed services, uniformed service branch of the United States Public Health S ...
, she was the second woman, second
person of color
The term "person of color" (: people of color or persons of color; abbreviated POC) is used to describe any person who is not considered "white". In its current meaning, the term originated in, and is associated with, the United States. From th ...
, and first
African American
African Americans, also known as Black Americans and formerly also called Afro-Americans, are an Race and ethnicity in the United States, American racial and ethnic group that consists of Americans who have total or partial ancestry from an ...
to serve as Surgeon General.
Elders is known for her frank discussion of her views on controversial issues such as
drug legalization,
masturbation
Masturbation is a form of autoeroticism in which a person Sexual stimulation, sexually stimulates their own Sex organ, genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. Stimulation may involve the use of han ...
, and distributing
contraception
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only be ...
in schools.
She was forced to resign in December 1994 amidst controversy as a result of her views. She is currently a professor emerita of pediatrics at the
University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) is a Public university, public medical school in Little Rock, Arkansas. It is part of the University of Arkansas System and consists of six colleges, seven institutes, several research cente ...
.
Early life and education
Elders was born Minnie Lee Jones in
Schaal, Arkansas, to a poor, farm
sharecropping
Sharecropping is a legal arrangement in which a landowner allows a tenant (sharecropper) to use the land in return for a share of the crops produced on that land. Sharecropping is not to be conflated with tenant farming, providing the tenant a ...
family, and was the eldest of eight children, and
valedictorian
Valedictorian is an academic title for the class rank, highest-performing student of a graduation, graduating class of an academic institution in the United States.
The valedictorian is generally determined by an academic institution's grade poin ...
of her school class.
The family also spent two years near a wartime shipyard in
Richmond, California
Richmond is a city in western Contra Costa County, California, United States. The city was municipal corporation, incorporated on August 3, 1905, and has a Richmond, California, City Council, city council. before returning to Schaal. In college, she changed her name to Minnie Joycelyn Lee. In 1952, she received her
B.S. degree in
Biology
Biology is the scientific study of life and living organisms. It is a broad natural science that encompasses a wide range of fields and unifying principles that explain the structure, function, growth, History of life, origin, evolution, and ...
from
Philander Smith College
Philander Smith University (previously Philander Smith College) is a private historically black college in Little Rock, Arkansas. It is affiliated with the United Methodist Church and is a founding member of the United Negro College Fund (UNC ...
in
Little Rock, Arkansas
Little Rock is the List of capitals in the United States, capital and List of municipalities in Arkansas, most populous city of the U.S. state of Arkansas. The city's population was 202,591 as of the 2020 census. The six-county Central Arkan ...
, where she also pledged
Delta Sigma Theta
Delta Sigma Theta Sorority, Inc. () is a List of African-American fraternities, historically African American Fraternities and sororities, sorority. The organization was founded by college-educated women dedicated to public service with an emp ...
. She married briefly to Cornelius Reynolds, a Federal employee, and later to Oliver Elders, a basketball coach. After working as a
nurse's aide
Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—inclu ...
in a
Veterans Administration
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing lifelong healthcare services to eligible military veterans at the 170 VA medical centers an ...
hospital in
Milwaukee
Milwaukee is the List of cities in Wisconsin, most populous city in the U.S. state of Wisconsin. Located on the western shore of Lake Michigan, it is the List of United States cities by population, 31st-most populous city in the United States ...
for a period, she joined the
United States Army
The United States Army (USA) is the primary Land warfare, land service branch of the United States Department of Defense. It is designated as the Army of the United States in the United States Constitution.Article II, section 2, clause 1 of th ...
in May 1953 and became a
second lieutenant. During her 3 years in the Army, she was trained as a
physical therapist
Physical therapy (PT), also known as physiotherapy, is a healthcare profession, as well as the care provided by physical therapists who promote, maintain, or restore health through patient education, physical intervention, disease prevention ...
. She then attended the
University of Arkansas Medical School, where she obtained her
M.D. degree in 1960. After completing an internship at the
University of Minnesota
The University of Minnesota Twin Cities (historically known as University of Minnesota) is a public university, public Land-grant university, land-grant research university in the Minneapolis–Saint Paul, Twin Cities of Minneapolis and Saint ...
Hospital and a residency in pediatrics at the
University of Arkansas Medical Center, Elders earned an
M.S.
A Master of Science (; abbreviated MS, M.S., MSc, M.Sc., SM, S.M., ScM or Sc.M.) is a master's degree. In contrast to the Master of Arts degree, the Master of Science degree is typically granted for studies in sciences, engineering and medicine ...
in
Biochemistry
Biochemistry, or biological chemistry, is the study of chemical processes within and relating to living organisms. A sub-discipline of both chemistry and biology, biochemistry may be divided into three fields: structural biology, enzymology, a ...
in 1967.
Director of Arkansas Department of Health
In 1987, then-governor
Bill Clinton
William Jefferson Clinton (né Blythe III; born August 19, 1946) is an American politician and lawyer who was the 42nd president of the United States from 1993 to 2001. A member of the Democratic Party (United States), Democratic Party, ...
appointed Elders as Director of the Arkansas Department of Health, making her the first African-American woman in the state to hold this position. Some of her major accomplishments while in office include reducing the teen pregnancy rate by increasing the availability of birth control, counseling, and sex education at school-based clinics; a tenfold increase in early childhood screenings from 1988 to 1992 and a 24 percent rise in the immunization rate for two-year-olds; and an expansion of the availability of HIV testing and counseling services, breast cancer screenings, and better hospice care for the elderly. She also worked hard to promote the importance of sex education, proper hygiene, and prevention of substance abuse in public schools. In 1992, she was elected President of the Association of State and Territorial Health Officers.
Experiences with racism
Elders believed that opposition to her Surgeon General nomination was driven by sexism and racism. "Some people in the American Medical Association, a certain group of them, didn't even know that I was a physician. They were passing a resolution to say that from now on every Surgeon General must be a physician—which was a knock at me. ... They don't expect a black female to have accomplished what I have and to have done the things that I have."
During an interview, she was asked if she related to Shirley Chisholm's statement about feeling more oppressed as a woman than as an African American, and replied by saying, "I am who I am because I'm a black woman."
Elders was able to be the voice for the African-American community and speak on poverty and its role in teenage pregnancy, which is a major issue within the community. Poor African-American teenage mothers are "captive to a slavery the 13th Amendment did not anticipate," which is a major reason why she stressed the importance of teaching sex education in public schools.
Views on sex education
As an endocrinologist, Elders was especially concerned with young diabetic women getting pregnant. If young teen women who have diabetes get pregnant, they have a high chance of their bodies rejecting the fetus or the fetus developing abnormalities ''in utero''. To prevent these pregnancies from happening, she thoroughly talked to her patients about the dangers of early pregnancy and the importance of using contraceptives, and taking control of their sexuality as soon as they began puberty. Of the approximately 260 young diabetic women she treated, only one of them became pregnant.
Sex education for young African-American women
Elders strongly advocated sex and reproductive education, especially in African-American communities. She criticized older textbooks that said only white females had naturally regular periods, because white females were on birth control to regulate their periods. Black females did not readily seek out birth control because their "
lackministers were up on the pulpit saying the birth control pills were black genocide." She was very vocal about her disgust with black men exploiting black women and stripping them of their reproductive health choices, because "If you can't control your reproduction, you can't control your life."
Surgeon General of the United States
Elders has received a
National Institutes of Health
The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
career development award, also serving as assistant professor in
pediatrics
Pediatrics (American English) also spelled paediatrics (British English), is the branch of medicine that involves the medical care of infants, children, Adolescence, adolescents, and young adults. In the United Kingdom, pediatrics covers many o ...
at the University of Arkansas Medical Center from 1967. She was promoted to associate professor in 1971 and professor in 1976. Her research interests focused on
endocrinology
Endocrinology (from ''endocrine system, endocrine'' + ''wikt:-logy#Suffix, -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the ...
, and she received board certification as a
pediatric endocrinologist in 1978, becoming the first person in the state of Arkansas to do so.
Elders received a
D.Sc.
A Doctor of Science (; most commonly abbreviated DSc or ScD) is a science doctorate awarded in a number of countries throughout the world.
Africa
Algeria and Morocco
In Algeria, Morocco, Libya and Tunisia, all universities accredited by the s ...
degree from
Bates College
Bates College () is a Private college, private Liberal arts colleges in the United States, liberal arts college in Lewiston, Maine. Anchored by the Historic Quad, the campus of Bates totals with a small urban campus which includes 33 Victorian ...
in 2002.
In January 1993, Bill Clinton appointed her as the United States Surgeon General, making her the first
African American
African Americans, also known as Black Americans and formerly also called Afro-Americans, are an Race and ethnicity in the United States, American racial and ethnic group that consists of Americans who have total or partial ancestry from an ...
and the second woman (following
Antonia Novello) to hold the position. At her confirmation hearing, Elders responded to criticism over an incident in which she decided not to notify the public that condoms her department had been distributing in Arkansas had been found to be defective, with a failure rate ten times the allowed rate. Elders said that "I don't know" whether the decision had been correct, but she had believed at the time that public disclosure could lead to a public loss of faith in the efficacy of condoms, which would have been the greater danger. She was a controversial choice and a strong backer of the
Clinton health care plan
The Clinton health care plan of 1993, colloquially referred to as Hillarycare, was an American healthcare reform package proposed by the Presidency of Bill Clinton, Clinton administration and closely associated with the chair of the task force ...
, so she was not confirmed until September 7, 1993. As Surgeon General, Elders quickly established a reputation for being controversial. Like many of the Surgeons General before her, she was an outspoken advocate of a variety of health-related causes. She argued for an exploration of the possibility of
drug
A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect. Consumption of drugs can be via insufflation (medicine), inhalation, drug i ...
legalization
Legalization is the process of removing a law, legal prohibition against something which is currently not legal.
Legalization is a process often applied to what are regarded, by those working towards legalization, as victimless crimes, of which ...
, and backed the distribution of
contraceptives
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only be ...
in schools. President Clinton stood by Elders, saying that she was misunderstood.
Views on drug legalization
Elders drew fire, as well as censure from the Clinton administration, when she suggested that legalizing drugs might help reduce crime and that the idea should be studied. On December 15, 1993, around one week after making these comments, charges were filed against her son Kevin for selling
cocaine
Cocaine is a tropane alkaloid and central nervous system stimulant, derived primarily from the leaves of two South American coca plants, ''Erythroxylum coca'' and ''Erythroxylum novogranatense, E. novogranatense'', which are cultivated a ...
in an incident involving undercover officers four months prior. Elders believes the incident was a frame-up and the timing of the charges was designed to embarrass her and the president. Kevin Elders was convicted, and he was sentenced to 10 years in prison, of which he served four months. He appealed his conviction to the
Arkansas Supreme Court
The Supreme Court of Arkansas is the highest court in the state judiciary of Arkansas. It has ultimate and largely discretionary appellate jurisdiction over all state court cases that involve a point of state law, and original jurisdiction ...
, and that court affirmed the conviction. The court held that Elders failed to show that he was entrapped into making the narcotics sale. There was no further appeal.
Comments on abortion and masturbation
In January 1994 in the context of
abortion
Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnan ...
, Elders said, "We really need to get over this love affair with the
fetus
A fetus or foetus (; : fetuses, foetuses, rarely feti or foeti) is the unborn offspring of a viviparous animal that develops from an embryo. Following the embryonic development, embryonic stage, the fetal stage of development takes place. Pren ...
and start worrying about children."
Later that year, she was invited to speak at a
United Nations
The United Nations (UN) is the Earth, global intergovernmental organization established by the signing of the Charter of the United Nations, UN Charter on 26 June 1945 with the stated purpose of maintaining international peace and internationa ...
conference on
AIDS
The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
. She was asked whether it would be appropriate to promote
masturbation
Masturbation is a form of autoeroticism in which a person Sexual stimulation, sexually stimulates their own Sex organ, genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. Stimulation may involve the use of han ...
as a means of preventing young people from engaging in
riskier forms of sexual activity, and she replied, "As per your specific question in regard to masturbation, I think that is something that is a part of human sexuality and it's a part of something that perhaps should be taught. But we've not even taught our children the very basics. And I feel that we have tried ignorance for a very long time and it's time we try education."
Resignation
Elders' comments on masturbation caused great controversy and resulted in Elders losing the support of the White House. Clinton's chief of staff,
Leon Panetta, remarked, "There have been too many areas where the President does not agree with her views. This is just one too many."
In December 1994, Elders was forced to resign by President Clinton.
This led
sex-positive retailer
Good Vibrations
"Good Vibrations" is a song by the American rock music, rock band the Beach Boys, produced and composed by Brian Wilson with lyrics by Mike Love. Released as a single on October 10, 1966, it achieved immediate critical and commercial success, ...
in 1995 to proclaim May 28 as
National Masturbation Day in honor of Elders' advocacy.
A collection of Elders' professional papers is held at the
National Library of Medicine
The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library.
Located in Bethesda, Maryland, the NLM is an institute within the National Institutes of Health. I ...
in Bethesda, Maryland.
Post-governmental activities

Since leaving her post as Surgeon General, Elders has returned to the
University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) is a Public university, public medical school in Little Rock, Arkansas. It is part of the University of Arkansas System and consists of six colleges, seven institutes, several research cente ...
as professor of
pediatrics
Pediatrics (American English) also spelled paediatrics (British English), is the branch of medicine that involves the medical care of infants, children, Adolescence, adolescents, and young adults. In the United Kingdom, pediatrics covers many o ...
, and is currently professor emerita at UAMS. She is a regular on the lecture circuit, speaking against
teen pregnancy. She has appeared on TV in ''
Penn and Teller: Bullshit!'' during the episode on abstinence, where she says that she considers abstinence-only programs to be child abuse and discusses her opinions on teenage sex education, masturbation and contraceptives. In 2009 Elders teamed up with the University of Minnesota to establish the nation's first chair in Sexual Health Education, a fund to attract and retain outstanding tenured sexual health education faculty in the Program in Human Sexuality at the
University of Minnesota Medical School
The University of Minnesota Medical School is a medical school at the University of Minnesota. It is a combination of three campuses located in Minneapolis, Duluth, and St. Cloud, Minnesota.
The medical school has more than 17,000 alumni as of 2 ...
. She is interviewed in the 2013 documentary
''How to Lose Your Virginity'' on her opinions regarding comprehensive sex education versus abstinence-only sex education.
Elders was inducted into the
Arkansas Women's Hall of Fame in 2016.
In 2015,
Philander Smith College
Philander Smith University (previously Philander Smith College) is a private historically black college in Little Rock, Arkansas. It is affiliated with the United Methodist Church and is a founding member of the United Negro College Fund (UNC ...
, Elders' ''alma mater'', established the Dr. Joycelyn Elders School of Allied and Public Health.
In an October 15, 2010, article, she clearly voiced support for
legalization of marijuana:
In 1997, Elders published a memoir.
[Joycelyn Elders, ''Joycelyn Elders, M.D.: From Sharecropper's Daughter to Surgeon General of the United States of America'', Harper Perennial (1997)]
She received a
Candace Award from the
National Coalition of 100 Black Women in 1991.
She was inducted into
Omicron Delta Kappa
Omicron Delta Kappa (), also known as The Circle and ODK, is an American collegiate honor society that recognizes leadership and scholarship. It was founded in 1914, at Washington and Lee University in Lexington, Virginia and has chartered more t ...
as an ''honoris causa'' initiate at
SUNY Plattsburgh in 1996.
See also
* ''
Sticky: A (Self) Love Story'', a documentary on masturbation including an interview with Elders about her experience being asked to resign from the Clinton administration
References
*''Joycelyn Elders, M.D.'' by Dr. Joycelyn Elders and David Chanoff. Another Surgeon General's autobiography.
External links
*
Joycelyn Elders's oral history video excerptsat The National Visionary Leadership Project
Video of Joycelyn Elders from the
AETN documentary on her
*
{{DEFAULTSORT:Elders, Joycelyn
1933 births
Living people
African-American female military personnel
African-American women scientists
21st-century American scientists
American abortion-rights activists
American endocrinologists
Women endocrinologists
American pediatricians
Women pediatricians
Surgeons general of the United States
State cabinet secretaries of Arkansas
Women in Arkansas politics
Arkansas Democrats
Philander Smith University alumni
United States Army officers
University of Arkansas faculty
University of Arkansas alumni
Clinton administration personnel
American women physicians
United States Public Health Service Commissioned Corps admirals
Women in the United States Army
Delta Sigma Theta members
American cannabis activists
African-American women physicians
20th-century African-American physicians
20th-century American physicians
21st-century American women
African-American United States Army personnel