There is a special type of philanthropy or benevolence, now widely advertised and advocated, both as a federal program and as worthy of private endow… - Margaret Sanger

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There is a special type of philanthropy or benevolence, now widely advertised and advocated, both as a federal program and as worthy of private endowment, which strikes me as being more insidiously injurious than any other. This concerns itself directly with the function of maternity, and aims to supply [free of charge] medical and nursing facilities to slum mothers. Such women ... are, we are informed, to "receive adequate care during pregnancy, ... and for one month afterward." Thus are mothers and babies to be saved. "Childbearing is to be made safe." The work of the maternity centers ... is carried on among the poor and more docile sections of the city, among mothers least able, through poverty and ignorance, to afford the care and attention necessary for successful maternity. ... Such "benevolence" ... conceals a stupid cruelty, because ... it is never the intention of such philanthropy to give the poor over-burdened and often undernourished mother of the slum the opportunity to make the choice herself, to decide whether she wishes time after time to bring children into the world. It merely says 'Increase and multiply: We are prepared to help you do this.' Whereas the great majority of mothers realize the grave responsibility they face in keeping alive and rearing the children they have already brought into the world, the maternity center would teach them how to have more. The poor woman is taught how to have her seventh child, when what she wants to know is how to avoid bringing into the world her eighth.