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The Pivot of Civilization by Margaret Sanger
page 65 of 180 (36%)

The Mental Survey of the State of Oregon recently published by the
United States Health Service, sets an excellent example and should be
followed by every state in the Union and every civilized country as
well. It is greatly to the credit of the Western State that it is one of
the first officially to recognize the primary importance of this problem
and to realize that facts, no matter how fatal to self-satisfaction,
must be faced. This survey, authorized by the state legislature, and
carried out by the University of Oregon, in collaboration with Dr. C.
L. Carlisle of the Public Health service, aided by a large number of
volunteers, shows that only a small percentage of mental defectives and
morons are in the care of institutions. The rest are widely scattered
and their condition unknown or neglected. They are docile and
submissive, they do not attract attention to themselves as do the
criminal delinquents and the insane. Nevertheless, it is estimated that
they number no less than 75,000 men, women, and children, out of a total
population of 783,000, or about ten per cent. Oregon, it is thought, is
no exception to other states. Yet under our present conditions, these
people are actually encouraged to increase and multiply and replenish
the earth.

Concerning the importance of the Oregon survey, we may quote Surgeon
General H. C. Cumming: "the prevention and correction of mental
defectives is one of the great public health problems of to-day. It
enters into many phases of our work and its influence continually crops
up unexpectedly. For instance, work of the Public Health Service in
connection with juvenile courts shows that a marked proportion of
juvenile delinquency is traceable to some degree of mental deficiency
in the offender. For years Public Health officials have concerned
themselves only with the disorders of physical health; but now they are
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