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A 1935 recommendation to sterilize a 23-year-old male patient at Pacific Colony, based a supposed IQ of 75. His foster mother refused the sterilization. The outcome of this case is unknown, but in some instances medical superintendents disregarded such appeals. (California Committee for the Protection of Human Subjects Protocol ID 13-08-1310 and the University of Michigan Biomedical IRB HUM00084931)