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"Some resisted by rioting or escaping detention facilities, while others pursued legal challenges. Over time, changing attitudes towards women's rights and public health led to the decline of the American plan. By the mid 20th century, however, laws that remain on the books and continued state surveillance of women's bodies was. Well, there was a precedent, wasn't there? The program's impact extended beyond its immediate victims, influencing modern systems of incarceration and public health policy."