New Podcast Episode: Margaret Sanger and Race

Dr Dorothy Ferebee - Planned Parenthood as a Public Health Measure for the Negro Race, speech for Birth Control Federation of America, 1942

Dr Dorothy Ferebee – Planned Parenthood as a Public Health Measure for the Negro Race, speech for Birth Control Federation of America, 1942

Listen to this podcast episode here or on Google Play, or subscribe on iTunes

Since the earliest days of her birth control activism, Margaret Sanger has been often accused of being a racist, among other things. To many of her critics, her birth control advocacy must be understood as a nefarious plot to undermine human morals and decency, and any means of twisting her message to convey this are fair game. As I discuss in an earlier piece, a favored method of attack, which persists to this day, is to present a sentence or phrase of Sanger’s out of context to ‘prove’ her ‘true’ beliefs about people of other races. Her detractors even claim that she was on a genocidal mission to reduce or even exterminate black people, Jews, and other immigrant groups by destroying future generations. Never mind that Martin Luther King, Jr. praised her work on behalf of his beleaguered people. Never mind that she worked closely with civil rights leaders such as Mary McLeod Bethune and W.E.B. DuBois. Never mind that she opened clinics to serve black and other minority women because so many existing clinics refused to serve anyone but whites. Never mind that she wrote in 1944:

‘We must protect tomorrow’s Chinese baby and Hindu baby, English and Russian baby, Puerto Rican, Negro and white American babies who will stand side by side… to bring promise of a better future’

Read the written version here

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Margaret Sanger and Race

Dr Dorothy Ferebee - Planned Parenthood as a Public Health Measure for the Negro Race, speech for Birth Control Federation of America, 1942

Dr Dorothy Ferebee – Planned Parenthood as a Public Health Measure for the Negro Race, speech for Birth Control Federation of America, 1942

Since the earliest days of her birth control activism, Margaret Sanger has been often accused of being a racist, among other things. To many of her critics, her birth control advocacy must be understood as a nefarious plot to undermine human morals and decency, and any means of twisting her message to convey this are fair game. As I discuss in an earlier piece, a favored method of attack, which persists to this day, is to present a sentence or phrase of Sanger’s out of context to ‘prove’ her ‘true’ beliefs about people of other races. Her detractors even claim that she was on a genocidal mission to reduce or even exterminate black people, Jews, and other immigrant groups by destroying future generations. Never mind that Martin Luther King, Jr. praised her work on behalf of his beleaguered people. Never mind that she worked closely with civil rights leaders such as Mary McLeod Bethune and W.E.B. DuBois. Never mind that she opened clinics to serve black and other minority women because so many existing clinics refused to serve anyone but whites. Never mind that she wrote in 1944:

‘We must protect tomorrow’s Chinese baby and Hindu baby, English and Russian baby, Puerto Rican, Negro and white American babies who will stand side by side… to bring promise of a better future’.

Eugenics journal, photo 2017 by Amy CoolsNow, as a eugenicist, Sanger did make herself an easy target for her accusers despite her decades of work with underserved and marginalized people, first as a nurse in the slums of the Lower East Side of New York City and then as a birth control pioneer. Eugenics, enthusiastically adopted by many who considered themselves scientific, progressive, and enlightened in the first half of the 20th century, is now recognized as pseudoscience, (mis)applying the evolutionary process of (unguided) natural selection to utopian social engineering theories. Eugenicists believed that the ills of humanity could be cured preemptively by breeding them out of existence while breeding in favor of ‘desirable’ traits. Despite the rosy vision of transforming humanity into the most vigorous, hyper-intelligent, and disease free race the world had ever seen, eugenics principles actually produced very ugly results when instituted as social policy. Here in the United States, government programs incarcerated mentally ill, disabled, and socially maladjusted people and forcibly sterilized them. Then the world’s most infamous eugenicists, the Nazis, took those principles to their most extreme logical conclusion, borrowing a page from the United States’ eugenics book in instituting the most horrific, murderous selective-breeding process the world has ever seen, inflicting untold and untellable quantities of human suffering and bloodshed.

Little wonder, then, that eugenics has a very bad name. Though the desire to reduce human suffering caused so many to embrace it, eugenics was based on a fundamental misunderstanding of Darwin’s great theory. Its proponents understood natural selection just well enough to appreciate its power for change but missed the greater point: the wide variety of human traits and capabilities is itself a long-evolved, complexly-balanced, and very very successful web of adaptations developed and attuned over hundreds of thousands of years. Human beings, necessarily self-centered and short-sighted, are very inept judges of trait selection in comparison with Nature itself.

Buck v Bell Virginia Historical Marker Q 28, Courtesy of Historical Collections, Claude Moore Health Sciences Library, University of VirginiaSanger, like many other eugenicists, was inconsistent in her attitudes about who should have children, when, and who should decide. Generally, she advocated for the right to self-determination in reproductive matters, calling for mass education and for cheap, reliable, widely available methods of birth control. In many instances, however, she advocated coercive sterilization for violent criminals and for those who she believed could not make this important decision for themselves, such as the mentally ill and cognitively disabled. She backed away from the latter, though, as the Nazis rose to power and instituted coercive, violent eugenics practices on a grand scale. Sanger was an early, ardent, and very vocal opponent of Nazism, and its policies alerted her to the problems of her short-sighted views on forced sterilization for anyone. As the logical-extreme beliefs of Nazism revealed, eugenics had its limits, and even the most non-coercive, most benign brands of eugenics were discarded by most of its former proponents over time.

But there are two other things Sanger was very consistent about.

One was her dismay at the sheer quantity of human suffering in the world and her desire to reduce it if she could. I find that oft-cited Sanger quotes, particularly from her book Woman and the New Race, refer to her observation that poor immigrants were especially likely to have more children than they could afford, and her claim that they were more likely therefore to produce ‘unfit’ children. ‘Unfit’, as Sanger described them, are those who are malnourished, diseased, undereducated, and in countless other ways ill-equipped to lead happy, flourishing lives. Yet, as is often the case with politically- and ideologically-motivated attacks, Sanger’s words are presented out of the context in which she wrote them, inspired by the plight of the immigrants she had in mind, mostly the Eastern Europeans she worked with in New York City’s Lower East Side. Before her time as a birth control activist, Sanger worked for them as a visiting nurse. As a Socialist activist and as a health care provider, she was driven by her special concern for the working poor that she observed were abused, often taken advantage of, in their desperation, by rapacious employers who offered them meager wages and terrible working conditions in exchange for backbreaking hours of miserable labor. These families were broken down from disease, hard labor, malnutrition, and, for the women, numerous pregnancies that often ended disastrously from these very health-destroying circumstances. One of Sanger’s most infamous quotes from Woman and the New Race, ‘The most merciful thing that the large family does to one of its infant members is to kill it’, so often used to ‘prove’ that Sanger was both racist and genocidal, is understood as a sarcastically-despairing remark when presented within the chapter in which it appears. That chapter describes the horror and suffering that preceded the all-too-frequent deaths of the immigrant poor, especially children and their mothers, and laments society’s lack of concern in preventing all this suffering and death. Even the next sentence alone will do: ‘The same factors which create the terrible infant mortality rate, and which swell the death rate of children between the ages of one and five, operate even more extensively to lower the health rate of the surviving members.’

Nurse's uniform, ca. 1905, of Lilian Wald visiting service to the Lower East Side tenements of NYC

Nurse’s uniform, ca. 1905, of Lilian Wald visiting service to the Lower East Side tenements of NYC. Sanger would likely have worn an updated version of this uniform when she worked there in 1911

Second, Sanger believed all human beings should be given the same care and opportunities as everyone else. That’s why she opened her first birth control clinic in the racially diverse Brownsville neighborhood of Brooklyn in 1916, opened clinics to serve black and Latina women in Columbus Hill and Harlem neighborhoods in the late 1920’s and early 1930’s, and expanded her mission to help black communities in the American South in 1939. While there might be more than a shade of paternalism (maternalism?) in these efforts, her own writings, as well as the support of black civil rights leaders, demonstrate that her motives were, at least on the whole, motivated by her concern that justice be done for these underserved people.

As Sanger wrote to her friend Albert Lasker in 1939:

‘You are quite right in assuming that poor white people down South are not much better off than the Negroes, but there has been at least a start in several states to help the poor whites and as there is not sufficient time for a nurse, nor the material left over, for the Negroes, they are just left out of the service in most of the states. That is why I was anxious to have a special fund directed for the Negroes…’

Returning to Woman and the New Race, Sanger gave another reason why she was driven to improve lives in the disadvantaged communities she worked with and advocated for:

‘They would not be here if they did not bear within them the hardihood of pioneers, a courage of no mean order… And they have something else. The cell plasms of these peoples are freighted with the potentialities of the best in the Old World civilization. They come from lands rich in the traditions of courage, of art, music, letters, science, and philosophy… The immigrant brings the possibilities of all these things to our shores, but where is the opportunity to reproduce in the New World the cultures of the old? What opportunities have we given to these peoples to enrich our civilization? We have greeted them as “a lot of ignorant foreigners,” we have shouted at, bustled, and kicked them… What hope is there for racial progress in this human material, treated more carelessly and brutally than the cheapest factory product?’

In other words, America’s immigrants carry greatness in their very genetics, which our factories and farms have too often exploited, quashed, and wasted over the centuries by treating them as little more than wealth-generating fodder before kicking them to the curb or the ditch.

And in her article ‘Love or Babies: Must Negro Mothers Choose?’ Sanger wrote:

‘The Negro race has reached a place in its history when every possible effort should be made to have every Negro child count as a valuable contribution to the future of America. Negro parents, like all parents, must create the next generation from strength, not from weakness; from health, not from despair.’

Civil rights leader W.E.B. Dubois shared this view with Sanger: that if oppressed people were to overcome the social forces arrayed against them, they needed to forge their way from a position of strength: of health, of education, of increased wealth, and birth control was one of the ways to get there. And Sanger and DuBois both believed that they all could get there because they were just as capable of greatness as anyone else, given the same chances.

This doesn’t sound like racism to me.

*Listen to the podcast version here or on Google Play, or subscribe on iTunes

Ordinary Philosophy and its Traveling Philosophy / History of Ideas series is a labor of love and ad-free, supported by patrons and readers like you. Please offer your support today!

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Sources and inspiration:

Another Look at Margaret Sanger and Race‘, Feb 23, 2012. From The Margaret Sanger Papers Project at NYU

Birth Control or Race Control? Sanger and the Negro Project‘ The Margaret Sanger Papers Project Newsletter #28 (Fall 2001)

Ferebee, Dorothy Boulding, d. 1980, “Speech by Dorothy Boulding Ferebee, M.D. entitled “Planned Parenthood as a Public Health Measure for the Negro Race,” January 29th, 1942,” Smith Libraries Exhibits

Margaret Sanger and the African American Community‘, compiled by Anna Holley, SisterSong Intern, July 2010, TrustBlackWomen.org

Marlin, George. ‘Margaret Sanger: “Abortion is Dangerous and Vicious”‘ Dec 14, 2011, The Catholic Thing blog

A Negro Number, June 1932 edition of Birth Control Review, by various authors.

Reed, Miriam. ‘Margaret Sanger: Correcting the False Narratives of Racism‘, June 30, 2016. Church and State

Sanger, Margaret, 1879-1966, “Letter from Margaret Sanger to Albert Lasker, November 12, 1939,” Smith Libraries Exhibits, Margaret Sanger Papers, Sophia Smith Collection.

Sanger, Margaret. ‘Love or Babies: Must Negro Mothers Choose?‘ Source: Negro Digest, August 1946, pp.3-8, via The Margaret Sanger Papers Project at NYU

Sanger, Margaret. ‘Population – Everybody’s Business,’ Published Article. Source: Tomorrow, 1944, pp. 16-18, Margaret Sanger Microfilm S72:0480, via The Margaret Sanger Papers Project at NYU

The Truth About Margaret Sanger‘, Blackgenocide.org

Why So Much Hatred for Margaret Sanger?

Margaret Sanger, photo probably taken Jan 30th 1917, photo courtesy of the Library of Congress

Margaret Sanger, photo probably taken Jan 30th 1917, photo courtesy of the Library of Congress

There’s been a widespread and concerted effort to vilify Margaret Sanger and remove her name from the public roll of great contributors to human rights history. In my research for the Sanger project I’m working on, I find scores of examples of this effort every single time I do an internet search using her name.

Last year, for example, Ted Cruz and some other conservative politicians called for her portrait to be removed from the Smithsonian’s National Portrait Gallery in Washington DC, where her portrait bust is included in the Struggle for Justice exhibition. In justification of his campaign, Cruz used part of a quote lifted from its original context and presented it as saying something nearly opposite of what it was originally meant to say. In a letter to a friend, Sanger expressed her worry that her birth control clinic project in the South might be misperceived and misrepresented as racist; Cruz lifted a few words from this very letter to ‘prove’ that it was. He may have borrowed this idea from Michael Steele, former chairman of the Republican Party, and Ben Carson and Herman Cain, one-time Republican presidential hopefuls. These three influential conservative men, in turn, likely received this bit of distorted wisdom, directly or indirectly, from Angela Davis and some others in the black power movement who, concerned that the reproductive justice movement might have ill effects in the long run on the empowerment of black people, (mis)represented Sanger’s words, works, and character in the worst possible light. The radical origin of the charges of racism against Sanger may surprise followers of these conservative political figures who have passed them along. And what was this purported insight into Margaret Sanger’s character? Why, that she was so racist that she wanted to exterminate the black race through preventing the conception of ensuing generations.

In my research and in early responses to my publications from my Sanger project I’ve also encountered frequent charges that she was a eugenicist, which is true, and in league with or at least sympathetic to Nazi beliefs, which is false.

So, let’s first consider Margaret Sanger’s beliefs and whether they justify her inclusion among the great American freedom leaders. Then, let’s consider her beliefs in the light of her own time and whether they deserve admiration today, on the whole, or are at least understandable given the circumstances of her time.

Gregory Peck and June Havoc in Gentleman's Agreement, public domain via Wikimedia Commons

Gregory Peck and June Havoc in Gentleman’s Agreement

As to Nazism, Sanger is actually an early and particularly vociferous opponent, much more so than many others in an America so rife with anti-Jewish sentiment in her time. I was surprised many years ago, in my late teens or early twenties, when I watched an old Gregory Peck movie (I’ve always been quite a fan of that talented and oh-so-handsome man) in which he played a reporter planning to write an exposé on the issue. To discover how prevalent anti-Semitism really was in America, his character Philip Schuyler Green goes undercover, putting it out there to his friends and colleagues that he was, in fact, Jewish, and had just never happened to mention it before. It doesn’t take long for his work and then his whole life to fall apart as he experiences terrible discrimination, his friends and colleagues turning against him one by one. At that time, I was surprised to learn that when Peck made this movie, anti-Semitism in America was enough of a thing that a major motion picture star would make a movie about it.

Theodore Roosevelt, American President and yes, a eugenicist too

Theodore Roosevelt, American President and yes, a eugenicist too

But Sanger is a eugenicist. This belief in the power of genetic inheritance to cure the ills of humankind by selectively breeding them out of existence was widely accepted at the time, even by such luminaries as our own President, Theodore Roosevelt. Eugenics is often divided into two types, positive and negative, and eugenicists are now often judged now by which of these they promoted. Positive eugenics is the idea that healthy, intelligent, hard-working, creative, and wealthy people should have more children so as to increase the stock of human beings who will, in turn, pass down desirable genetic traits. Roosevelt was a eugenicist of this sort. Negative eugenics is the idea that disabled, diseased, unintelligent, idle, and poor people should have fewer children so as to decrease the stock of human beings who will, in turn, pass down negative traits. The latter brand of eugenics can be further broken down into two camps, with differing ideas as to how it could be brought about: that decreased breeding of the ‘unfit’ should be entirely voluntary and encouraged through education, or, that it should be imposed by certain authorities. (Proponents of positive eugenics could also be broken down this way but I have yet to find an example of imposed human breeding of the ‘fit’, though Communist Romanian president Nicolae Ceaușescu’s policies on reproduction could conceivably be considered a sort of coercive positive eugenics).

Sanger promotes negative as well as positive eugenics principles, but as to whether she believes it should be voluntary or coerced, she’s incoherent at best. At times she’s opposed to any sort of official coercion, as in her many statements against the Nazis and in her stated principle that all human beings, women included and especially, should have the individual right and power to determine their own destinies. Yet she also often declares that since many people are incapable of rational judgment, including the ‘insane’ and the so-called ‘feeble-minded’, others need to make that decision for them. Though she criticizes the Nazis harshly for doing that very thing, she never makes it clear who should do the sterilizations, who should decide, and how coercive they should be if their ‘patients’ refuse. I believe she places herself in a moral dilemma in this matter. She so firmly believes in the power of eugenics to cure the terrible set of human ills that she encounters as a nurse that she wants it, no, needs it, to work. She’s well aware that most people would never consent to such a thing, be it for religious reasons or simply that most people, well or mentally ill, rational or not, naturally recoil at the idea that they should be sterilized because others think they should be. So how to cure these ills in the next generation, since Sanger knows there’s no way they could be cured in her own? That’s the dilemma that Sanger never successfully resolves.

Her vehement opposition to the Nazis goes back, first, to the race issue. One of her main criticisms of the Nazis is not that sterilization is a bad thing in principle, or even that the state might legitimately impose sterilization in special circumstances, such as in the case of criminally insane people (an idea we find abhorrent today but that many in Sanger’s time do not). It’s that the Nazis decide to ‘perfect’ the race along racial lines. To Sanger, this idea is both irrational and unscientific. In Woman and the New Race, she writes glowingly of the great wealth of contributions that people of all races and cultures have always brought and still bring to the world, and that much of the promise of future human greatness lies in this diversity. Since it’s clear that all races include people of great intelligence, health, and abilities, she believes that all races should be likewise bettered through eugenics, both positive and negative, and the latter only if and when necessary (though again, she’s incoherent on this point). Sanger is opposed to ‘human waste’, as she puts it, not only of human beings she considers physically and mentally ‘unfit’, but also the human waste of the lives of those children born in such numbers only to have many of them suffer terribly before dying early deaths, often taking their mothers with them; or permanently disabled by hard factory labor, malnutrition, and neglect; or shipped off as cannon fodder. She’s also opposed to the waste of human potential, of throwing away the great contributions, genetic and otherwise, of the best and brightest of all races to the human race as a whole. In this, she reminds me of Alexander Hamilton, who also argues against the waste of human potential inherent in race-based slavery.

It seems to me, in hindsight, that though many of her eugenics beliefs are founded on bad science, or rather, pseudoscience posing as science, they do not come from a malicious place. They form in the mind of a woman who cares enough about her fellow human beings to devote many years of her early adulthood nursing the poor immigrants in the slums of the Lower East Side of New York City, something few of us have the courage or the vision to do. Sanger is appalled by the suffering and privation she witnesses and desperately wants to help these people, especially the women and children who bear the brunt of society’s ills, but she recognizes that she and her fellow nurses don’t have a prayer of keeping up with the ever-growing need. And she realizes that even if they could keep up with the pace, they were only treating suffering that didn’t need to exist in the first place. She believes, over time, that she’s found the answer.

So given all of this, I ask again, why single out Margaret Sanger for such hatred? Why not call for, say, Teddy Roosevelt’s portrait to be taken down, or those of the many others who held problematic beliefs whose portraits hang, without challenge, on the National Portrait Gallery walls?

And why hate Sanger so much as to spread three major falsehoods about her, again and again and again, that have been so often and thoroughly debunked?

The first lie and second lies, as we’ve considered, are that Sanger’s a racist and a Nazi sympathizer. The other lie is that she’s pro-abortion. In fact, if we look at her writings, we find she’s more anti-abortion than anything.

Flyer for Sanger Clinic, Brownsville, Brooklyn, image courtesy of the Margaret Sanger Papers Project

Flyer for Sanger Clinic, Brownsville, Brooklyn, image courtesy of the Margaret Sanger Papers Project

The fact that Sanger is opposed to abortion in most circumstances may surprise many people, especially many conservatives, though I believe the Sanger-as-abortionist lie is as prevalent and persistent as it is because her views on abortion are as politically inconvenient to many on the left, so they don’t trouble to contradict it. She does allow that there are some extreme circumstances in which it is permissible, such as to save the life of the mother (a standard we adhere to today), and she can’t bring herself to blame the women who resort to abortion out of desperation. It’s the Comstocks,the self-righteous anti-sex moralists, the Pope, priests, and bishops, the government, the medical establishment, and the exploitative labor system that cause abortions, not desperate women. They’re the victims. In fact, as you can see from the flyer for her groundbreaking birth control clinic, Sanger lists the prevention of abortion as one of the clinic’s primary purposes.

And yet, the hatred of Sanger rages unabated in so many quarters. There’s plenty to criticize in her eugenics beliefs, in fact, enough to make the three lies I’ve just discussed seemingly unnecessary if you feel the need to discredit her. Again, other people who have had a dramatic impact on our history, like her, are complicated and had some bad ideas, but no Cruzes, Steeles, and Cains are so vehemently, and I would say dishonestly, trying to undermine the validity of every part of their life’s work and demand that their legacy be erased from our public institutional memory. They’re not calling for the removal of the portraits of anti-Semitic Henry Ford or pro-Nazi Charles Lindbergh, for example. To be certain, there are such efforts on the left to challenge the legacies and even mostly discredit influential historical figures such as Cecil Rhodes, Woodrow Wilson, and Thomas Jefferson. But those are for things they actually did: promoting imperial colonialism, instituting scores of racist laws in our nation’s capital, and owning slaves. The debate is only whether their legacies, on the whole, are worthy of respect and admiration.

So I ask again: why single out Margaret Sanger for such a degree of hatred and slander, given her work with the immigrant poor and minorities, her strong anti-Nazism, and her anti-abortionism? Why is she not excused for her flawed eugenics ideas on the understanding that she was a woman of her time, or that the good parts of her legacy outshine and thus have outlasted the bad, as we excuse so many others of our flawed heroes? In New York City, teeming with statues, monuments, and portraits of noteworthy historical figures, I could find no monument to her, however modest, in the city she called home for so long and served so well in such difficult circumstances.

When it comes to Cruz and many others who are adamantly anti-Sanger, I strongly suspect that one of their primary objections to her is really her anti-Catholicism and irreligion. For example, Cruz is a self-proclaimed, unapologetically religious man who, like many prominent conservative politicians these days, often stresses the Christian heritage of the United States. He’s also often regarded as a proponent of dominionism, the idea that the Christian faith should guide all matters of government, because of his frequent praise of his father, who promotes that ideology. To Cruz’s credit, in his 2016 Republican convention speech he stated that religious freedom includes the freedom to be an atheist, in contrast to a declaration he made a year ago that only a religious person is fit to be president of the United States. But the targeting of Sanger by Cruz, and Carson, and Cain, based on easily-disproved, thoroughly-debunked attacks on her character, makes me wonder how committed such conservative leaders are to the idea that Americans should be free to believe in accordance with their conscience and their reason.

Margaret Sanger Portrait Bust, image credit National Portrait Gallery, Smithsonian, Washington DC

Margaret Sanger Portrait Bust, image credit National Portrait Gallery, Smithsonian, Washington DC

So why hate Margaret Sanger? Could it simply be because she was a strong woman, a fearless woman, a truly self-liberated woman who did not chase after monetary success or choose acceptable or glamorous routes to fame, an outspoken atheist who stood up to such a powerful man as the Pope… in other words, a self-realized, so-fully-human woman that she’s a mass of greatnesses, ordinarinesses, and deep flaws? For all of our self-assurances that we’ve achieved a sex-equal, religiously tolerant society which places such a high value on free speech, are too many of us still unable to accept such women?

I’m quite sure the answer is yes.

Listen to the podcast version here, on Google Play, or on iTunes

This piece is also published at Darrow, a forum for ideas and culture

Ordinary Philosophy and its Traveling Philosophy / History of Ideas series is a labor of love and ad-free, supported by patrons and readers like you. Please offer your support today!

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Sources and inspiration:

Birth Control or Race Control? Sanger and the Negro Project‘ The Margaret Sanger Papers Project Newsletter #28 (Fall 2001)

Cruz, Ted. ‘2016 Republican National Convention Speech‘, abcnews.go.com, Jul 21, 2016

Davidson, Amy. ‘Ted Cruz vs. Margaret Sanger’s Portrait‘. New Yorker, Oct 28, 2015

Davis, Angela. Women, Race, & Class. New York: Random House, 1981.

Fea, John. ‘Ted Cruz’s campaign is fueled by a dominionist vision for America‘. The Washington Post: Religion (Commentary), Feb 4th, 2016

Gentleman’s Agreement (1947)‘, from IMDB

Jenkinson, C.lay. ‘Self-Soothing by way of Erasing the Complexity of Human History‘. Clayjenkinson.com, Dec 28, 2015

Nicolae Ceaușescu‘. Encyclopædia Britannica

Parkinson, Justin. ‘Why is Cecil Rhodes Such a Controversial Figure?‘ BBC News Magazine, Apr 1, 2015

The Sanger-Hitler Equation‘, The Margaret Sanger Papers Project Newsletter #32 (Winter 2002/2003)

Sanger, Margaret. The Pivot of Civilization, 1922. Free online version courtesy of Project Gutenberg, 2008, 2013.

Sanger, Margaret. Woman and the New Race, 1920. Free online version courtesy of W. W. Norton & Company

Sullivan, Martin. ‘Margaret Sanger Portrait‘: talk for Face-to-Face, National Portrait Gallery of the Smithsonian

The Portraits: Margaret Sanger‘ from the National Portrait Gallery of the Smithsonian website

Wirestone, Clay. ‘Did Margaret Sanger believe African-Americans “should be eliminated”?PolitiFact, October 5th, 2015

Book Review / Summary: The Birth of the Pill

In The Birth of the Pill, Jonathan Eig tells the fascinating story of the four people whose combined efforts, arguably more than any others, made birth control effective, affordable, widely available, and perhaps most importantly (since it makes all the others possible), socially acceptable: Margaret Sanger, Dr. Gregory Pincus, Dr. John Rock, and Katherine McCormick.

At the time the contraceptive pill was being developed, human reproduction was still very poorly understood. Prudish attitudes and obscenity laws hampered scientific research, discouraged and in many cases prevented doctors from educating their patients, and kept women from having any significant degree of control over their own bodies or the decision to become pregnant. It took a few independent-minded, morally driven people of unusual character to achieve change in the arena of reproductive rights.

Two of these four had spent years caring for people whose unchecked fertility threatened their own life and health, and the well-being of their families. Women, especially poor women, found themselves pregnant again and again before their bodies had recovered from earlier pregnancies, had medical conditions caused or exacerbated by pregnancy and childbirth, or could not afford adequate food, clothing, shelter, and health care for their rapidly growing families. Many women also found too many pregnancies burdensome, as they were prevented from pursuing an education or a career, or suffered from exhaustion, depression, and feelings of hopelessness as they found themselves caring for more children than they could cope with.

Margaret Sanger and Dr. John Rock encountered all of these problems up close and personal; their birth control activism was the direct result of their experiences as reproductive health care providers. Sanger worked for many years as a nurse caring for the poorest people in the slums and tenements of New York City. She was so moved by the plight of these women that she risked fines and imprisonment to open the first ‘birth control’ clinic (as she coined the term). Countless poor women, who had often already fled starvation, poverty, and disease in their home countries, found themselves unable to escape the cycle of repeated pregnancies and deepening poverty as their own bodies weakened and their meager resources were stretched ever thinner in the face of anti-immigrant bias, pittance wages, and filthy, overcrowded, and dangerous living and working conditions. This was also an era when women had no right of refusal of sex to their husbands. They faced the awful choice of risking another pregnancy, injury or death by self-performed abortion, or being abandoned when few jobs were available to women, and few jobs paid women enough to live on themselves, let alone support a family. And charity organizations, try as they might, could not keep up with even a fraction of the demand for assistance. Despite repeated arrests and fines, Sanger continued to provide birth control devices and information to the who women flocked to her clinic, pouring out their life stories in person and in letters like this one (original spelling):

‘… I am thirty years old have been married 14 years and have 11 children… I have kidney and heart disease, and every one of my children is defictived and we are very poor. Now Miss Sanger can you please help me… I am so worred and and I have cryed my self sick …I know I will go like my poor sister she went insane and died. …the doctor won’t do anything for me … if I could tell you all the terrible things that I have been through with my babys and children you would know why I would rather die than have another one. Please no one will ever know and I will be so happy and I will do anything in this world for you and your good work …Doctors are men and have not had a baby so they have no pitty for a poor sick Mother. You are a Mother and you know so please pitty me and help me. Please Please.’

I can only imagine what Sanger felt as she read this letter as she worked with so many women struggling under these same burdens, while social mores and the law opposed her efforts to help them.

Dr. John Rock was an obstetrician and fertility specialist. While one of his main focuses was on helping women with fertility problems become pregnant, he also worked with many other women for whom pregnancy, childbirth, and child care was detrimental to their physical and mental health, for various reasons. He became a staunch activist for birth control, and worked to convince the public and the Catholic church, of which he was a committed member, that effectively planning families and regulating childbirth is not only practical, but of the highest moral worth, since it promotes bodily and spiritual health, and a loving family life in which all children can be well cared for. He thought he could convince the church hierarchy that the hormonal method of birth control is consistent with Catholic teaching, since it’s simply an extension of the natural cycle that occurs in a woman’s body, rather than a barrier method with was doctrinally forbidden; his rhythm-method clinic taught the only form of birth control other than abstinence that was sanctioned by his religion, but as he observed, neither worked very well. His efforts to help women control their rates of pregnancy would eventually prove effective, but his efforts to convince the Church, until this day, have been in vain.

Yet birth control was not only linked to beliefs in reproductive rights and health: it was linked to a change in sexual mores. Sanger, Pincus, Rock, and McCormick all held what we’d now call ‘sex-positive’ beliefs: they thought sex could and should be a wonderful thing, among the most joyous, intimate, and healthy means by which humans connect with one another. In a time when sex was often regarded as shameful, depraved, and for the sake of men (I would argue that while it’s re-branded, it still is, as ‘liberated’, ‘powerful’ women painfully squeeze themselves into bustiers and stilettos and straighten, curl, bleach, and cut their hair and bodies to fit into a few stereotypical male fantasy body types as possible, in our crudely sex-obsessed, tabloid, misogynistic culture — yes, I’m talking about you too, Beyonce), they thought it could and should be a loving, freeing, and transcendent experience for both partners.

Dr. Gregory Pincus, the scientist who would ultimately formulate the first effective, FDA-approved birth control pill, was an unusually independent-minded, freethinking, colorful personality from an early age. As a young researcher at Harvard, he was widely publicized for his frank and unapologetic views on the benefits of revolutionizing human reproduction through scientific intervention. The sensationalist, brave-new-world ‘news’ stories led to Harvard’s kicking him out of their faculty and their labs, as a reputation-defense measure. Pincus went on to found his own research institute,. where he continued his research into hormones and their effects in reproduction. Arguably, it was this very political and financial independence from any large mainstream establishment that enabled him to succeed in his goal to produce the first birth control pill.

It also took money, and lots of it, as it does with any new pharmaceutical. Planned Parenthood could only provide limited funding for Pincus’s work, so it dragged on slowly, until Katherine McCormick, wealthy heiress, came along. She had discovered, shortly after she married, that her new husband suffered from severe mental illness. McCormick was well-educated, an MIT graduate at the time of her marriage, and was fascinated by all things science. When she learned of her husband’s mental illness, she poured time, money, and research into finding a cure, especially in the fields of hormonal research and heritability. She was also dedicated to women’s rights causes, and by the time of her husband’s death, her interests and fields of study and activism led to her single-minded determination to aid in the cause of making birth control effective and widely accessible. It was she, more than any other, who provided Pincus the funds to pursue more lab research, and for he and Rock to conduct more clinical trials.

Eig’s book is not a simple hero story: he reveals the history and personalities of each with their complex set of motivations, warts and all. Sanger was a eugenicist, for example. It was not uncommon for progressives, scientists, and those in the medical field to subscribe to the principles of eugenics at that time; many thought (mistakenly, as it turned out) that it was the only way science could really ‘cure’ disability and disease once and for all. Medical science, humanitarian groups, and governments had not yet offered systematic or effective solutions to the dangers of pregnancy and childbirth, diseases caused by overcrowding and malnourishment, and mental health issues, and were simply unable to keep up with the demands of the humanitarian crisis in affected communities. Eugenics, on the other had, seemed to offer the only sure and straightforward solution, until the application of its principles by fascist governments revealed how faulty a ‘science’ (really a pseudoscience) it was. Sanger was also a neglectful mother, unsuited by personality to the stay-at-home role mothers were restricted to in her time. Pincus was a media hound, and conducted some of his trials in what today would be considered an unethical manner. Rock was willing to mislead some of his patients when he found that public attitudes made most women unwilling to participate in contraceptive studies, if presented as such. And McCormick, like Sanger, had a marked tendency to elitism.

Yet the contributions of these four unusual, passionate, driven crusaders towards improving women’s health and social and legal emancipation can hardly be stressed enough. Women can now have as many children as they choose when they choose, and are not subject to the whims of men when it comes reproductive issues (still mostly true despite discouraging recent regrettable, retrograde legal decisions, for example, regarding the mandate that insurance companies pay for full reproductive health care). Sanger’s, Pincus’s, Rock’s, and McCormick’s belief that birth control would ultimately improve and save the lives of women, and improve the standard of living for families, have been vindicated over the years. For example, women on the pill live longer, on average, than other women, and the results of decades of study leads the World Health Organization to promote birth control as an important means of improving health and relieving poverty around the world.

With his excellent book, Eig not only compellingly tells the story of how the pill came to be, but also of the human dramas behind its invention. The history of the pill, the circumstances which gave rise to its invention, and the ideas of its creators show us how and why ready access to effective birth control is as important today as it ever was.

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Sources and inspiration: 
Eig, Jonathan. The Birth of the Pill: How Four Crusaders Reinvented Sex and Launched a Revolution. W.W. Norton & Company, New York, 2014. http://books.wwnorton.com/books/The-Birth-of-the-Pill/

Kelland, Kate, Ed Jon Hemming ‘Women On the Pill Live Longer: Study’. Reuters, Mar 12 2010
http://www.reuters.com/article/2010/03/12/us-contraceptive-pill-risk-idUSTRE62B01R20100312

World Health Organization website, ‘Reproductive Health’.
http://www.who.int/topics/reproductive_health/en/