No woman in the child-bearing period of life should be released from an
Asylum, until this operation has been performed. If a man is committed,
his wife should have the option of divorce or be sterilized before his
release.

A central Board should issue marriage certificates, after consideration
of confidential medical reports upon the health, physical condition, and
family history of the parties to a proposed marriage contract.

Medical officers should be appointed in the various centres of
population by the central Board, and fees on reports should be paid
after the manner of Life Insurance fees.

In fact the Life Insurance system would serve as a good model, for the
establishment of a system of marriage control, and if questions
involving a more detailed family history were added to a typical Life
Insurance report form, it could hardly be improved upon, for the
purpose of marriage health reports.

If upon consideration of the medical report of the contracting parties,
in accordance with the law upon the subject, a certificate of marriage
were refused, a certificate of sterilization by tubo-ligature, forwarded
to the Board by a Surgeon, should entitle to the marriage certificate.

No law should attempt to step in between two lovers, who have become
attached to each other by the bonds of a strong affection, lest a
greater evil befall both themselves and society.

A marriage certificate of health should state the complete family