This term is a euphemism for male masturbation, created in honor of United States Surgeon General Joycelyn Elders (the female counterpart is called Joycelyn Eldering).

Elders was appointed by Bill Clinton in 1993, and she was a key advocate of his ill-fated plan for national health coverage. However, she also spoke in favor of honest, positive sex education for children. She explicitly stated that she thought schools should teach masturbation as a pleasurable and harmless act, and a good alternative to emotionally and physically dangerous youthful sex. America's puritanical masturbation taboo was so strong that Clinton felt the need to fire her, terminating her appointment after 15 months of service.

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