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The Pivot of Civilization by Margaret Sanger
page 67 of 180 (37%)
idiotic, the imbecile, the cretins and the epileptics--are better
protected than pregnant women." The syphilitic, the irresponsible, the
feeble-minded are encouraged to breed unhindered, while all the powerful
forces of tradition, of custom, or prejudice, have bolstered up the
desperate effort to block the inevitable influence of true civilization
in spreading the principles of independence, self-reliance,
discrimination and foresight upon which the great practice of
intelligent parenthood is based.

To-day we are confronted by the results of this official policy. There
is no escaping it; there is no explaining it away. Surely it is an
amazing and discouraging phenomenon that the very governments that have
seen fit to interfere in practically every phase of the normal citizen's
life, dare not attempt to restrain, either by force or persuasion, the
moron and the imbecile from producing his large family of feeble-minded
offspring.

In my own experience, I recall vividly the case of a feeble-minded girl
who every year, for a long period, received the expert attention of a
great specialist in one of the best-known maternity hospitals of New
York City. The great obstetrician, for the benefit of interns and
medical students, performed each year a Caesarian operation upon this
unfortunate creature to bring into the world her defective, and, in
one case at least, her syphilitic, infant. "Nelly" was then sent to a
special room and placed under the care of a day nurse and a night nurse,
with extra and special nourishment provided. Each year she returned to
the hospital. Such cases are not exceptions; any experienced doctor or
nurse can recount similar stories. In the interest of medical science
this practice may be justified. I am not criticising it from that
point of view. I realize as well as the most conservative moralist that
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