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The Pivot of Civilization by Margaret Sanger
page 36 of 180 (20%)
findings of the Galton Laboratory for Great Britain, showing that an
abnormally high rate of fertility is usually associated with poverty,
filth, disease, feeblemindedness and a high infant mortality rate. It
is a commonplace truism that a high birth-rate is accompanied by a high
infant-mortality rate. No longer is it necessary to dissociate cause and
effect, to try to determine whether the high birth rate is the cause of
the high infant mortality rate. It is sufficient to know that they are
organically correlated along with other anti-social factors detrimental
to individual, national and racial welfare. The figures presented by
Hibbs (2) likewise reveal a much higher infant mortality rate for the
later born children of large families.

The statistics which show that the greatest number of children are born
to parents whose earnings are the lowest,(3) that the direst poverty is
associated with uncontrolled fecundity emphasize the character of the
parenthood we are depending upon to create the race of the future.

A distinguished American opponent of Birth Control some years ago spoke
of the "racial" value of this high infant mortality rate among the
"unfit." He forgot, however, that the survival-rate of the children
born of these overworked and fatigued mothers may nevertheless be large
enough, aided and abetted by philanthropies and charities, to form the
greater part of the population of to-morrow. As Dr. Karl Pearson has
stated: "Degenerate stocks under present social conditions are not
short-lived; they live to have more than the normal size of family."

Reports of charitable organizations; the famous "one hundred neediest
cases" presented every year by the New York Times to arouse the
sentimental generosity of its readers; statistics of public and private
hospitals, charities and corrections; analyses of pauperism in town
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