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Florence Fisher organized The ALMA Society (Adoptees Liberation Movement Association) in 1972, Emma May Vilardi created International Soundex Reunion Registry (ISRR) in 1975, Lee Campbell and other birthmothers joined the fight for Open Records forming Concerned United Birthparents (CUB) in 1976, and by the spring of 1979 representatives of 32 organizations from 33 states, Canada and Mexico gathered together in DC to establish the American Adoption Congress (AAC).

The Triadoption Library began keeping records in 1978 showing 52 search/support/reform organizations, by 1985 there were over 550 worldwide.

The Adoption Triangle by Annette Baran, Reuben Pannor and Arthur Sorosky; Twice Born and Lost and Found by Betty Jean Lifton; I Would Have Searched Forever by Sandra Musser; The Adoption Searchbook: Techniques for Tracing People by Mary Jo Rillera; The Politics of Adoption by Mary Kathleen Benet; Dear Birthmother by Kathleen Silber and Phylis Speedlin; all published in the 1970s and still in print, were instrumental in examining and defining the foundation of reform. Many adopted children who were separated from their birth parents by adoption have a desire to reunite, and most would like family medical history information and access to any documents where they are mentioned.

Given this history of child removal, the National Association of Black Social Workers (NABSW) condemned transracial adoptions in 1972 in their historic Position Statement.

In that paper, the NABSW equated the removal of African American children from their families of origin—and their placement in white homes—with "cultural genocide." Pro-transracial adoption advocates argue that there are more white families seeking to adopt than there are minority families; conversely, there are more minority children available for adoption.

Government agencies have varied over time in their willingness to facilitate trans-racial adoptions.

"Since 1994, white prospective parents have filed, and largely won, more than two dozen discrimination lawsuits, according to state and federal court records." This trend has helped lower the resistance to trans-racial adoptions in the United States, at least for Asian and Hispanic children, although there is still high demand for Caucasian children, who usually come from Eastern Europe.

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