South Carolina offers a stark example of the extent to which law enforcement racially profiles and arrests pregnant people assumed to be drug users.

The police force in South Carolina works with the Medical University of South Carolina to devise a drug-testing program for pregnant women at a public hospital serving an impoverished, African-American community. The program is first imagined and organized by nurse Shirley Brown, the case manager for the hospital's obstetrics department.

The medical director of the neonatal intensive-care unit at the hospital calls this: “thinly-veiled discrimination against... poor Black women." One doctor at the hospital expresses concern that the policy makes healthcare providers an arm of the law, and that the hospital is applying the policy only to a select population.