History Daily - President Clinton Apologizes for the Tuskegee Syphilis Experiment
Episode Date: May 16, 2025May 16, 1997. Bill Clinton officially apologizes for the Tuskegee Experiment, in which the US government funded research into the effects of untreated syphilis on African American men between 1932 and... 1972. This episode originally aired in 2023. Support the show! Join Into History for ad-free listening and more.History Daily is a co-production of Airship and Noiser.Go to HistoryDaily.com for more history, daily.
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It's an October
evening in 1932
in Macon
County Alabama
A flatbed truck
kicks up dust
as it bumps along
a remote
country road
Sitting crowded in the back is a group of African-American sharecroppers,
weary from a long day picking cotton in the hot sun.
Among the passengers is 30-year-old Herman Shaw.
Herman sits slumped in the corner of the truck bed, shivering despite the warm weather.
For several days now, Herman's health has been in rapid decline.
He's been losing weight, his muscles and joints ache,
and painful sores have appeared around his groin.
Herman fears that he's become the latest victim of the disease that's been rampaging through,
America, a pestilence that the locals around here simply call bad blood.
Herman winces in pains the truck rolls to a stop.
Gingerly, he climbs down from the vehicle and begins walking the rest of the way home.
As Herman limps up the winding dirt path towards his wooden shack, he notices a flyer nailed
to a fence post.
In bold letters, it reads,
Do you have bad blood?
Free blood tests available at Tuskegee Hospital.
Herman rips the flyer from the fens post and stuffs it in his pocket.
He's never visited a doctor in his life, and the prospect terrifies him.
But he's desperate, and Tuskegee is just a short bus ride away.
This flyer might be bringing good news.
Herman continues up the road, feeling optimistic that whatever he's got, it can be cured
and that his suffering will soon be over.
At Tuskegee Hospital, sure enough, Herman will test positive for bad blood,
or as the doctors know it, syphilis, a potentially-de-old.
deadly sexually transmitted disease without a known cure at the time.
Herman will be one of 600 African-American men in Macon County chosen to participate in the Tuskegee
Syphilis study, a government-funded research experiment which aims to study the long-term
effects of untreated syphilis. The doctors in charge of this study will deceive its participants,
telling them that they are receiving real medicine when in fact they are only being given
and placebos, keeping the patient sick even after a treatment is discovered so that the doctors
can track the full progression of the illness over several decades. By the time the study is called off
in 1972, 128 volunteers will have died as a consequence of their untreated syphilis.
It will take decades for many African-American citizens to regain their trust in the U.S.
public health system, and precisely 25 years for the United States government to reckon with
its involvement in the ethically reprehensible study, with President Bill Clinton issuing an
official apology for the Tuskegee Sifflis study on May 16, 1997. From Noiser and Airship, I'm Lindsay
Graham, and this is History Daily. History is made every day. On this podcast, every day, we tell
the true stories of the people and events that shaped our world. Today is May 16, 1997. President
Clinton apologizes for the Tuskegee Syphilis experiment. It's October.
October 1932, 40 years before the Tuskegee Sifla study will eventually end.
A young public health service officer gazes through the window of a train heading south
through the Alabama countryside. Dr. Raymond Vondalier wrinkles his nose in distaste as the
cypress swamps and cottonfields streak past the window. Raymond is the deputy director of the
Public Health Service's Division of Veneerial Diseases. He's on his way to Tuskegee, Alabama
to launch a medical study on the long-term effects of a disease that has been tearing through
the country. By 1932, one in ten Americans have been infected by syphilis, a highly contagious
sexually transmitted disease for which doctors of the day have no cure. The symptoms of syphilis
are incredibly painful, with patients experiencing agonizing ulcers around the genitals,
as well as chronic fatigue, weight loss, and muscle pain. While these symptoms usually subside
after a year or two, late-stage syphilis can lead to permanent organ damage, blindness, and in some
cases death. The only existing treatments are unreliable and potentially dangerous as they contain
toxic substances like arsenic and mercury. The question that healthcare professionals face is whether
late-stage syphilis is a serious enough disease to warrant the risk of using these existing treatments.
To answer that question, the public health service has devised an experiment. They intend to persuade a group of
men with syphilis to participate in a study spanning several years. The aim is to observe the long-term
effects of untreated syphilis on the human body to decide whether existing treatments are worth
the risk. In the early afternoon, Raymond's train arrives in Tuskegee, Macon County's largest town.
Raymond picks up his briefcase and steps down onto the platform, loosening his tie in the midday heat.
On the street outside the station, he's greeted by Dr. Eugene Dibble, the chief physician at the local
hospital. After stiffly shaking hands, the two men climb into Dr. Dibble's car and drive out to
the hospital on the edge of town. As they make their way through Tuskegee, Raymond feels increasingly
satisfied with their decision to hold the experiment here in Backwoods, Alabama, where syphilis
rates are among the highest in the country. Most residents of Macon County are impoverished black
farmers and sharecroppers. Raymond is confident that he and his colleagues will be able to convince
these vulnerable people to sign up for the experiment in exchange for hot meals and free health
checks. The other reason for holding the experiment here in Macon County is that many government
health care professionals wrongly believe that syphilis affects black people and white people differently.
This is scientifically inaccurate, but doctors have chosen this predominantly African-American region
in order to test the theory. With the help of hospital staff, Raymond gathers a group of
600 local black sharecroppers to participate in the experiment. 399 of them test positive
for syphilis, while 201 uninfected volunteers will act as the control group. On the first day of
Testing, Raymond steps out of his office to address the 600 participants.
Rather than revealing the true nature of the experiment,
he explains that they will be receiving treatment for bad blood,
the colloquial term for syphilis used by most locals.
Raymond doesn't tell the truth of the matter,
that these men will only receive placebos,
and that the purpose of the experiment is not to make them better,
but to monitor the gruesome progression of syphilis in their bodies.
Over the next few years, outrageous abuses will be committed in the name of medical research.
The government doctors will perform painful and invasive spinal taps to investigate the infection's neurological impact,
and when a patient dies, the researchers will autopsy the body to learn more about how long-term syphilis attacks the vital organs.
For his role in successfully setting up the experiment, Dr. Raymond Vondalier will receive a promotion,
becoming president of the Venereal Disease Division of the Public Health Service.
And over the course of the next 40 years, he and other government officials will continue to monitor the condition
of syphilitic men in Macon County, denying them any treatment, even as they suffer the
worst consequences of the disease. Even when penicillin is established as an effective cure for syphilis
in the 1940s, the participants in the experiment will still be denied medicine, and researchers
in Tuskegee will ensure that the men in their study never find out about advances in syphilis
treatment. It won't be until 1972, after a whistleblower uncovers the details of the study, that
the mistreatment of patients in Tuskegee will finally end.
and the horrifying details of the experiment will be laid bare for all to see.
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It's 1966,
inside a public health service clinic in San Francisco.
34 years after the Tuskegee syphilis experiment started.
Medical outreach worker Peter Buxton sits alone in the corner of the break room eating his lunch.
The 27-year-old is only a few weeks into his employment here at the clinic,
where it's his job to track and trace outbreaks of syphilis in San Francisco.
Every day brings a new set of challenges,
but Peter is conscientious, hardworking, and utterly dedicated to containing the spread of this destructive disease.
As Peter unwraps his sandwich, he overhears a snippet of hush conversation between
two colleagues. They're talking about a doctor in Alabama, who was recently reprimanded by officials
at the Centers for Disease Control and Prevention, with the CDC, a branch of the public health
service responsible for conducting research into infectious diseases. The doctor had apparently
given a shot of penicillin to an African-American man with syphilis, prompting CDC officials to
complain that he had ruined their study and jogged their statistics. The anecdote sticks with Peter.
And after lunch, even though he tries to get back to work, he struggles to comment.
concentrate. He can't understand why CDC officials would rebuke a physician for treating a sick person.
So the following day, Peter pursues the issue. He phones the CDC head office to ask what's going on in Alabama.
The center agrees to send Peter their files on the research conducted so far, and later that week, Peter receives a bulging envelope filled with information regarding the roundups of hundreds of poor black sharecroppers with syphilis in Macon County.
According to these documents, none of the men received treatment.
Peter is dumbfounded. He works hard bringing penicillin to the poorest parts of San Francisco to treat people with syphilis.
Meanwhile, in rural Alabama, government physicians are deliberately withholding life-saving medicine.
It doesn't make any sense. As Peter digs deeper through the documents, he gradually builds a picture of what's been going on in Tuskegee.
Going all the way back to 1932, the documents reveal a large-scale study into untreated syphilis in which impoverished African-American men in Macon County,
were used as cheap test subjects by government-funded doctors.
Even after penicillin became readily available in the mid-1940s,
the patients in the study were only given placebos,
as the doctors watched them get sicker and sicker.
To Peter, a Jewish immigrant whose family fled Europe
during the rise of Adolf Hitler,
the study is grimly reminiscent of experiments conducted by Nazi doctors
on prisoners at the Auschwitz concentration camp.
He can't believe that similar horrors are being perpetrated here on American soil.
So over the next few weeks, Peter struggles to shake this troubling discovery.
The more he learns about the experiments taking place in Alabama, the more determined he becomes to intervene.
He tries to get his colleagues to help, but they are afraid of getting in trouble with the CDC and losing their jobs.
They tell him they have families to think about.
But Peter remains undeterred.
He writes a scathing letter to the head office of the Public Health Service, and shortly after, he receives a reply,
requesting his immediate presence at CDC headquarters in Atlanta.
A few days later, Peter finds himself sitting at the end of a long conference table.
Glowering at him from across the room are several high-ranking officials from the CDC and
Health Service. One of the red-faced men proceeds to berate Peter for meddling and sputters
that he should keep his nose out of government business. But this does not deter Peter.
He returns from Atlanta even more resolute in his mission to shut down this ethically reprehensible
study and see Justice served. He continues writing strongly worded letters to senior figures in the
Health Department. But time and time again, Peter's complaints are met with obstinacy and denial.
Years go by without progress. Peter has tried to appeal to the Health Department to change its policies.
But finally, having received nothing but excuses and evasions, Peter decides to go public with his
information. He leaks the CDC documents to a friend at the Associated Press. And on July 25,
In 1972, the New York Times runs a front-page story detailing the use of 600 African-American men
as test subjects in a government-led study into untreated syphilis.
The story will create an instant storm of controversy.
Soon after publication, the CDC will terminate the Tuskegee Syphilis experiment,
bringing an end to 40 years of unethical research.
In the following months, a lawsuit would be brought against the Health Department by Fred Gray,
the lawyer who once represented civil rights activists Rosa Parks.
The case will eventually be settled when the government agrees to pay the victim's families $10 million
and to provide lifetime medical benefits to all surviving participants of the study.
Then in 1974, Congress will pass the National Research Act,
which would be aimed at preventing the exploitation of human subjects by researchers.
But for all these reparations, it will still take another 23 years
before the United States government will fully address its involvement in the Tuskegee syphilis study
and finally apologize for one of the most shocking examples of medical malpractice in U.S. history.
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It's May 16th, 1997 in Washington, D.C.
A televised ceremony is taking place inside the White House.
Alongside a lectern decorated with a presidential seal,
95-year-old Herman Shaw stand with several others surviving participants of the Tuskegee Syphilist experiment.
Today's ceremony has been arranged at the behest of the Tuskegee Syphilis Study Legacy Committee
has an opportunity for President Bill Clinton to offer an official public apology on behalf of,
half of the United States government.
But before Clinton is scheduled to deliver his long-awaited speech, Herman takes to the podium
to say a few words.
The elderly man looks out at the audience, clutching his prepared statement with trembling
fingers.
He takes a moment to reflect on his own suffering and the suffering of his fellow test subjects,
many of whom did not survive.
Then he clears his throat and speaks into the microphone.
I'm saddened today to think of those who did not survive and whose families
will forever live with the knowledge that their death and suffering was preventable.
Herman steps down from the lectern, passing President Clinton,
who clasped Herman's hand in the gesture of solidarity and goodwill.
Herman smiles at the president and steps aside and allows Clinton to say his peace.
What was done cannot be undone, but we can end the silence.
We can stop turning our heads away.
We can look at you in the eye and finally say, on behalf of the American people,
what the United States government did was shameful, and I am sorry.
Following President Clinton's apology, the Tuskegee Cephalis Study Legacy Committee
will continue to put pressure on federal agencies to redress the damages done.
They will urge the government to establish the National Center for Bioethics Research and Healthcare in Tuskegee,
an institution which will officially open in 1999.
Their students can explore issues underlying the medical care of marginalized people
so that society can continue to safeguard against abuses of the kind perpetrated during the Tuskegee experiment
for which President Clinton finally apologized on May 16, 1997.
Next, on History Daily, May 19, 1649.
After a brutal civil war has torn England apart,
the ancient kingdom is officially transformed into a republic.
From Noisor and Airship, this is History Daily.
Hosted, edited and executive produced by me, Lindsay Graham.
Audio editing by Mohamed Shazir, sound design by Misha Stanton, music by Lindsay Graham.
This episode is written and research by Joe Viner.
Produced by Alexander Curry Buckner.
Executive producers are Stephen Walters for Airship and Pascal Hughes for Noiser.
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