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" "Thus we see that the second and third children have a very good chance to live through the first year. Children arriving later have less and less chance, until the twelfth has hardly any chance at all to live twelve months. This does not complete the case, however, for those who care to go farther into the subject will find that many of those who live for a year die before they reach the age of five. Many, perhaps, will think it idle to go farther in demonstrating the immorality of large families, but since there is still an abundance of proof at hand, it may be offered for the sake of those who find difficulty in adjusting old-fashioned ideas to the facts. The most merciful thing that the large family does to one of its infant members is to kill it. 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.
Margaret Higgins Sanger (September 14, 1879 – September 6, 1966) was an American birth control activist, feminist, and eugenicist who opened the first birth control clinic in the United States and established organizations that evolved into the .
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Eugenists imply or insist that a woman's first duty is to the state; we contend that her duty to herself is her first duty to the state. We maintain that a woman possessing an adequate knowledge of her reproductive functions is the best judge of the time and conditions under which her child should be brought into the world. We further maintain that it is her right, regardless of all other considerations, to determine whether she shall bear children or not, and how many children she shall bear if she chooses to become a mother. To this end we insist that information in regard to scientific contraceptives be made open to all. We believe that if such information is placed within the reach of all, we will have made it possible to take the first, greatest step toward racial betterment....
Has knowledge of birth control, so carefully guarded and so secretly practiced by the women of the wealthy class – and so tenaciously withheld from the working women – brought them misery? Rather, has it not promoted greater happiness, greater freedom, greater prosperity and more harmony among them? The women who have this knowledge are the women who have been free to develop, free to enjoy in its best sense, and free to advance the interests of the community.