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" "These dangers inherent in the very idea of humanitarianism and altruism, dangers which have to-day produced their full harvest of human waste, of inequality and inefficiency, were fully recognized in the last century at the moment when such ideas were first put into practice.
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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Those vast, complex, interrelated organizations aiming to control and to diminish the spread of misery and destitution and all the menacing evils that spring out of this sinisterly fertile soil, are the surest sign that our civilization has bred, is breeding and is perpetuating constantly increasing numbers of defectives, delinquents and dependents. My criticism, therefore, is not directed at the "failure" of philanthropy, but rather at its success.
While I personally believe in the sterilization of the feeble-minded, the insane and syphilitic, I have not been able to discover that these measures are more than superficial deterrents when applied to the constantly growing stream of the unfit. They are excellent means of meeting a certain phase of the situation, but I believe in regard to these, as in regard to other eugenic means, that they do not go to the bottom of the matter. Neither the mating of healthy couples nor the sterilization of certain recognized types of the unfit touches the great problem of unlimited reproduction of those whose housing, clothing, and food are all inadequate to physical and mental health. These measures do not touch those great masses, who through economic pressure populate the slums and there produce in their helplessness other helpless, diseased and incompetent masses, who overwhelm all that eugenics can do among those whose economic condition is better.
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