RACE BETTERMENT THROUGH HEREDITY Most of us have heard in one form or another the fairy story of the youth on adventure bent, who was captured by the giant and under dire penalty in case of failure was set the task of sweeping out the giant’s stable before sundown. The peculiarity of this stable, it will be recalled, was that, as fast as the refuse was swept out at the door an even greater quantity poured in through the windows so that the sweeper, just in proportion to his zeal, became more and more encumbered with his burden. A Questionable Form of Charity.—Though we smile at the childishness of this legend, are we not as a civilized people attempting through our charities a feat parallel to that of this unfortunate youth? We foster and favor our social wastage with the inevitable result that it runs riot under our sheltering hand and deluges us with an ever accumulating flood of its like. For are we not constantly building more asylums, sanitaria and prisons, to preserve more unfit, to produce more defectives, to require still greater numbers of asylums, sanitaria and prisons, to preserve more unfit, and so on in unending progression? At nearly every period of history there have been Past Protests.—For instance, we find the importance of this strongly urged by Plato. After pointing out the fact that the shepherd, in order to maintain the standard of his flocks, bred only from the best individuals, as did likewise the huntsman with his dogs and horses, and the fancier with his various pets, Plato went on to show the danger to the state of allowing the constantly increasing body of defectives and degenerates to multiply their kind. Repeated expression of the same idea has occurred from time to time during the succeeding centuries. Little heed was paid to these remonstrances, however, with the result that is known to us all. To-day, “the glory that was Greece and the grandeur that was Rome” is still sung by the poet, but the original nations themselves have long since passed into the night. An Increasing Flood of Defectives.—Strive to ignore the unpleasant facts as we may, we have to admit that the same problem of what the human harvest shall be is with us in grave form to-day. The alarming phase of the situation, however, lies in the fact that we are facing an ever increasing flood of social wastage. But why this increase of defectives? It can not be attributed to oppression, to grinding poverty, or to decline in attention to our sick and needy, for never was prosperity greater, never were charities more flourishing, never such activity in the search for palliatives and cures. The simple fact is that we are breeding our defectives. The human harvest like the grain To whatever source of information we turn the facts are essentially the same. Abroad we find that in England, for example, the ratio of defectives to normals more than doubled between 1764 and 1896. At home, from the investigation of Davenport and Weeks we learn that in the state of New Jersey the number of epileptics doubles every thirty years. And other investigators estimate that the fecundity of mental defectives in general is about twice as great as that of the average of our population. In a recent report of the New York State Board of Charities we read, “There are about thirty thousand feeble-minded persons in the state of New York, of whom four thousand are intermittently sequestered while twenty-six thousand who are a menace to society are at liberty and may produce the unfit.” And a passage from the last Massachusetts report reads as follows: “We have been obliged to refuse a very large number of applicants for the admission of feeble-minded women—many of whom have given birth to one or more children. The prolific progeny of these women almost without exception are public charges from the date of their birth.” How fertile defective types may be is shown by a passage in one of Doctor Wilmarth’s papers which runs as follows: “One feeble-minded woman, now removed from this state, had by different men eighteen children in nineteen years, she alleges.” In a letter Doctor Wilmarth tells me that the birth of the twenty-third Natural Elimination of Defectives Done Away With.—With our improved methods of sanitation and care of the sick, the pauper and the defective, these classes have been freed from the stress of an environment that under natural conditions would have resulted in their premature death and consequent infertility. Or in the terminology of the biologist, we have done away with the factor of natural selection, the factor which in state of nature keeps all races purged of the unfit, the ill-adapted. With this restraining, and purifying influence removed, however, the weakling, the defective, may arrive at maturity and commingle his blood with that of the strong, with the inevitable result that the general vigor of the progeny from generation to generation is sapped and Why Not Prevent Our Social Maladies?—Now there is no reasonable person, I think, who will not admit that the motives underlying our modern altruistic practises are the noblest fruitage of our slow upward struggle from the brute to man. As humane beings, we can not cast aside these principles and return to the painful and pitiless method of nature which would leave the sick and the defective alone to perish miserably; the sacrifice would be too great. Is there then no escape from this dilemma? To this query the modern student of heredity answers yes; let us but add more wisdom to our charity and the enigma is solved. We need no sacrifice of pity but rather an expansion of it. Let us but extend our vision from immediate suffering to the prospective suffering of the countless unborn descendants of our present unfit and ask ourselves the question, why should they be born? Why not prevent our social maladies instead of waiting to cure them? This is the province of eugenics. Eugenics Defined.—The term Eugenics was coined in 1883 by Francis Galton in his book entitled Inquiries Into Human Faculties, and we may therefore look to him for a satisfactory definition. He says, “Eugenics is the study of the agencies under social control, that may improve or impair the racial qualities of future generations, either physically or mentally.” And again, “I take Eugenics very Improved Environment Alone Will Not Cure Racial Degeneracy.—While many an enthusiastic humanitarian is laboring under the assumption that if we can improve external conditions human deficiencies will disappear, the student of heredity realizes that this is in large part a delusion unless we can secure an accompanying improvement in intrinsic qualities of the human species itself through the suitable mating of individuals. Just as the intelligent farmer to-day demands selected seed as well as good soil and proper cultivation, so one with the facts of heredity at hand would, as he views social problems, urge the fundamental importance of having selected stock with which to start. No shifts or shapings of environment will ever enable men to “gather grapes of thorns or figs of thistles.” Professor Thorndike undertook experiments with groups of school children of high and of low initial ability respectively to determine whether equal opportunity or equal special training would produce an equalizing effect in easily alterable traits such as rapidity in addition and the like. Without exception he found that at the end of such experiments, although both groups had improved, the superior individuals were farther ahead than ever, that equality of opportunity and training had widened rather than narrowed the gap between the two classes. Others who have made special studies on the causes of individual differences have come to the same conclusion; namely, that individuals differ widely by original nature and that similarity in conditions of nurture and training will not avail in deleting these differences. Galton and others, from extensive studies based on English sources, have shown that notable achievements have run in certain families to a degree that is Professor Karl Pearson has done more perhaps than any other individual toward attempting actually to measure the relative strength of heredity and environment. Numerous statistical measurements lead him to conclude that it is a conservative estimate to regard heredity as at least five or ten times as important as environment in the development of the individual. A vigorous defense by him of this position will be found in Biometrika for April, 1914. Inter-Racial Marriage.—Some of the dangers of racial deterioration which threaten us because of our laxity regarding immigration have already been indicated. It is high time that we give this whole “Let any one who doubts the evil of the mixture of races and who is inclined from mistaken philanthropy to break down all barriers between them come to Brazil. He can not deny the deterioration consequent upon the amalgamation of races, more wide-spread here than in any other country in the world, and which is rapidly effacing the best qualities of the white man, the Indian, and the negro, leaving a mongrel nondescript type deficient in physical and mental energy.” Of the American mulatto one not infrequently meets with the assertion that he is on the average inferior mentally, morally and physically to either the white or the negro race. Thus Doctor J. B. Taylor[17] states There is certainly not one iota of evidence that the crossing of any two widely different human races will yield superior offspring in any respect and there are many indications that such intermixture lowers the average of the population. Our evidence derived from plant and animal breeding is also against pronounced crosses. The inferiority of the mongrel is universally recognized. No sane farmer, for example, would seek to improve his Jerseys or his Herefords by crossing one with the other. It is true that in pure breeds of plants and animals we sometimes venture on a cross to introduce some new desirable character but we follow up such mixture by a rigid selection in which is eliminated all but the rare individuals having the desired characteristics, and we continue this elimination generation after generation to fix our characters again. It is obvious that no such selection as this would be possible among the progeny of human crosses. It clearly becomes our duty then to determine as accurately as possible the degree of non-relationship between races it is inadvisable to transcend in War.—The deteriorating effect of war on national physique and vigor has been so frequently cited by eugenists[18] and is so obvious as scarcely to require further comment. It should be pointed out, however, that where, as is the case at present in Great Britain, armies are assembled from volunteers, instead of by conscription, there is the greatest danger from the eugenic standpoint, since not only physical but moral qualities are involved. For it is the brave, the generous, the individual with a high sense of duty who goes forward to the slaughter leaving the cowardly, the selfish or the indifferent to father the race. With the awful deadliness of modern warfare upon exhibition before our very eyes to-day, the extreme seriousness of such selective action must be evident to every thoughtful person. Human Conservation.—We talk much in recent years of conservation; but what are our forests and frontiers, our minerals and our waterways, compared with our national health and life-blood? No farmer would think of setting aside a diseased or physically defective animal for breeding purposes, yet the same man together with the majority of mankind is wholly oblivious to similar faults when it comes to the mating of human beings. But is it not as important to look to fitness in man as in Poland China hogs or Holstein cows? Certainly the various strains are as From the expenditure of comparatively small sums in studying the inheritance of various qualities in wheat, corn and other grain, improvements based on the laws of genetics have been secured which are enormously increasing our agricultural output and thereby adding to our national wealth. But if it costs relatively little to discover and conserve millions of dollars’ worth of hereditary qualities in our plants and animals, what are we to think of ourselves, an intelligent people who, knowing that “every good tree bringeth forth good fruit, but a corrupt tree bringeth forth evil fruit,” still go on placidly permitting the production of defectives and delinquents? Can we continue to drink the sluggish blood of the pauper and the imbecile into our veins and hope to escape unscathed? We are all familiar with the fate of Babylon, Assyria, Persia, Egypt and Rome. Why not America? Certainly we have no pledge of special immunity from Divine Powers. If so, what then is the meaning of our 366 hospitals for insane which cost us annually $21,000,000; our 63 institutions for feeble-minded costing us over $5,000,000; our 1,300 prisons maintained at a cost of more than $13,000,000; our 1,500 hospitals whose annual maintenance requires at least $30,000,000; our 115 schools or homes for deaf and dumb; our 2,500 almshouses with an annual expense account of $20,000,000 and our 1,200 refuge homes costing annually several millions of dollars more? To say that we spend annually over $100,000,000 on the Kindness in the Long Run.—There is no one I think who will not admit that the sympathy and charity of the human heart are its noblest virtues. But we must face the problem of what is kindness in the long run. Havelock Ellis well says, “The superficially sympathetic man flings a coin to the beggar; the more deeply sympathetic man builds an almshouse for him so that he need no longer beg; but perhaps the most radically sympathetic of all is the man who arranges that the beggar shall not be born.” What shall we do? The Problem Has Two Phases.—For an intelligent consideration of the problem one must recognize at the outset that it has two distinct phases; namely, (1) a selective union of the fittest, or in other words, a conscious attempt to breed a superior race; and (2) the elimination of the obviously unfit by preventing their reproduction, with the purpose of purifying the present race. It is evident at a glance that these are two essentially distinct problems although the practise of either method could result in racial improvement. The first is sometimes spoken of as positive or constructive eugenics, the second as negative or restrictive eugenics. Constructive Eugenics Must Be Based on Education.—As to the first phase, direct selection for superiority, the campaign must, in the very nature of things, be one of education. With the necessary knowledge of the facts in mind, the awakening Inferior Increasing More Rapidly Than Superior Stocks.—Modern eugenists, although realizing that the constructive phase is of great importance, are making no attempt to map out any fixed mode of procedure for it beyond pointing out the desirability of larger families among the better classes. The need for individuals of superior physical, mental and moral qualities to multiply is so obvious as scarcely to require comment. Yet the fact is that judging from all appearances these are the very ones who have the lowest birth-rate. Eugenics is mainly concerned with the relative rates of increase of the various classes, not with mere fertility in itself. And the actual increase must be measured in terms of the extent to which birth-rate exceeds death-rate. If a high birth-rate is accompanied by a high death-rate then it is not especially significant in increasing a given class as a whole. All available evidence points to the fact that to-day the lower strata of society are far outbreeding the middle and higher, with an almost negligible difference in death-rate, and just in the measure that these lower An Unselected Population May Contain Much Valuable Material.—In evaluating these lower strata a matter of very great importance is whether the population is a selected or an unselected one. If the population has been long resident in a given region and has had fairly good opportunity for education then we will find in the lower reaches a larger percentage of sedimentation made up of the worthless and inferior stocks. If, however, a continual fomentation and geographical shifting of the population is in progress as in parts of America, or if adequate educational opportunities are lacking, as in some parts of Russia, the poor and less well-to-do classes may contain, no one can tell how much, relatively valuable stock. Forel remarks on this point as follows: “If we compare the nature of delinquents, abandoned children, vagabonds, etc., in a country where little or nothing has been done for the people (Russia, Galicia, Vienna, etc.), with that of the same individuals in Switzerland, for example, where much has already been done for the poor, we find this result: In Switzerland, these individuals are nearly all tainted with alcoholism, or pathological heredity; they consist of alcoholics, incorrigibles, and congenital decadents, and education can do little for them because nearly all those who have a better hereditary foundation have been able to earn their living by honest work. In Russia, Galicia, and even in Vienna, we are, on the The Lack of Criteria for Judging Fitness.—Barring the untold hordes of actual defectives who have gravitated into this lower stratum, there are few positive criteria by which we can measure the real fitness of the remainder. Before we can set out on a campaign of positive eugenics we must have some standard by which to steer, and it would be a rash advocate indeed who would assert that class distinction alone, or even success as measured by public opinion to-day should be our whole criterion of fitness. Shall we measure fitness in terms of how successfully one can acquire worldly goods, or in other words, by the property test, or what shall be our standard? The College Graduate.—Many of our modern critiques of the birth-rate situation make much of the fact that our college graduates as a group are scarcely reproducing themselves. According to Davenport, Bryn Mawr College between 1888 and 1913 has graduated 1,193 bachelors of arts, but these women have produced up to January, 1913, only 263 girls to take their place in the next generation. He also points out that statistics on some of the graduate classes of Harvard of twenty years ago or earlier show that they are little more than maintaining themselves; thus one class of 328 graduates twenty years later had produced 195 sons, and in another case a class of 278 individuals had produced, twenty-five years later, 141 sons. Relatively similar statistics can be cited for other eastern colleges. When one first learns of the declining birth-rate among college women and men he feels appalled, but immediately the question flashes up, if this is the superior stock, and up to date it has died out or is dying out rapidly, whence then this ever augmenting rush of young folk who fairly deluge our universities and colleges to-day? Does it not rather point to the fact that in our own country at least, the man who will Native Ability, Independence and Energy Eugenically Desirable.—Although we can not sift out with certainty the superior from the inferior in our normal population by the property test or the educational standard alone, it is undoubtedly true that, on the whole, native ability, independence and energy are present to a higher degree in our well-to-do and prosperous families than in the stocks which merely hold Four Children to Each Marriage Required to Maintain a Stock.—It is estimated that under present conditions an average of at least four children should be born to each marriage if a stock is to maintain its numbers undiminished. Some of our most valuable strains are falling far short of this average. In a statistical table on the relative fertility of different stocks, prepared by Pearson, we find the mentally defective, criminal, deaf-mute and degenerate stocks heading the list with averages ranging from five to seven children per family, while the American graduate (based on Harvard statistics) and the English intellectual types average less than two children per marriage. While the death-rate is higher in the undesirable classes mentioned, it is by no means enough higher to compensate for the difference in birth-rates. Thus while certain very desirable types are not maintaining themselves genetically, other extremely undesirable ones are rapidly more than replacing themselves. Investigations made by Heron in London show that this condition as regards English desirables did Factors Contributing to Low Birth-Rate in Desirable Strains.—Most students of the subject believe that the fecundity of much of the best blood in our country has reached such a low ebb as to threaten the whole fabric of our commonwealth. How to correct this is the pressing problem to which no one has found a solution. However much one may deplore it the fact remains that always in the history of the civilized world with the rise of material conditions in any class of a population there has come an accompanying limitation of child-birth. Explain this as we may in modern times—whether as an awakened individualism which looks only to the immediate interest of the individual as against the ultimate interest of the race, or a desire for luxuries or for a better opportunity for smaller numbers of children, or as a determined effort of the wage earner to better his conditions, or to the feminist movement with its accompaniment of a greater personal freedom of married women and the recognition of the fact that marriage and child-bearing are often bars to employment, or to general increasing pressure of economic burdens—in brief whatever the cause or causes, there is no denying the fact of a diminishing birth-rate among our abler men and women. Moreover, no amount of coaxing, cajoling or dire prophecy seems to avail in altering the conditions. Various partial remedies, many of them of questionable practicability, have been proposed, but so far there has been no far-reaching effort The Educated Public Must Be Made to Realize the Situation.—It seems probable that the most success will be met with through the slow and unspectacular methods of education. The necessity of the situation must be driven home so that it becomes part and parcel of the collective intelligence of the educated public. Different ideals of life will have to be established in the young. If knowledge of the facts of heredity is thoroughly disseminated among the people and ideals regarding parenthood are fostered, then much will have been accomplished by the psychic power of suggestion alone toward the end desired. Utilization of Family Pride as a Basis for Constructive Eugenics.—There are few more powerful incentives to make the best of one’s abilities, or few greater deterrents from vice than family pride; and The Tendency for Like to Marry Like.—Even now there is a decided though unconscious tendency for like to marry like and thus create particular strains. We have lines, for instance, which produce notably families of scholars, others which yield mainly statesmen, and still other strains of inventors, of financiers, of naval men, of soldiers, and of actors respectively. And there is little doubt that people, with the facts of inheritance of ability once before them, will be led to act more or less in accordance with their knowledge. On the other hand, due apparently to the same unconscious tendency for like to marry like, we find produced criminalistic, feeble-minded, deaf-mute and tubercular stocks. The first type of family is often termed aristogenic and the second or defective type, cacogenic. Choosing a Marriage Mate Means Choosing a Parent.—Although marriages, as all young folks know, are made in Heaven, it is interesting to see what a vast number of these foreordained matches coincide with propinquity in college, in church, or in the same social set. Moreover, children are born here on earth. The one thing of all things that the eugenist desires is for these young folk to get a clear-eyed vision of the fact that in choosing a marriage mate they are also choosing the future father or mother of their children with all that this implies. Good Traits No Less Than Bad Ones Inherited.—An inspection of such charts as those shown in Figs. 37, 38 and 39, pp. 313, 314, 316—and an abundance of such encouraging records may now be found—reassures us in our convictions that good traits are no less inheritable than bad ones. And what any healthy, mentally well-endowed person may be depriving the world of if he or she declines to enter into a fruitful marriage can not be better exemplified than in the following excerpt from Davenport: “Many a man at the opening of his life work vows, as Judge John Lowell of the middle of the eighteenth century did, as he was being graduated from Harvard Fig. 37 Pedigree of family with artistic (dark upper section), literary (dark right section) and musical (dark left section) ability (from Davenport). The Elimination of the Grossly Unfit Urgent.—But even if, under present conditions of partial knowledge and lack of an adequate standard, the constructive phase of eugenics must be left in the main to the awakening conscience of the individual as humanity improves in general enlightenment, the second phase, Fig. 38 Inheritance of ability (from Kellicott after Whetham). 1. Laws restricting marriage. 2. Systems of mating with the purpose of covering up and gradually diluting out defective traits. 3. Segregation during the reproductive period. 4. Sterilization. 5. Education in the principles of eugenics. Inefficacy of Laws Which Forbid Marriage of Mental Defectives.—The utter inefficacy of the first proposition, namely the enactment of laws restricting marriage, at least as regards the socially unfit whose condition is based on impaired mentality, has been demonstrated time and again. If they are forbidden marriage, they merely have children without getting married. Most states have laws to prevent the marriage of such individuals but these laws are almost wholly ineffective in preventing procreation on their part. We might as well recognize once for all that in such cases nothing short of close custodial care or sterilization will accomplish the end desired. As to the second proposition, systems of mating with the purpose of covering up and gradually diluting out defective traits, this has been shown to be possible with certain types of defectives. Whether it is desirable or not is a different question. Fig. 39 Inheritance of ability (chart condensed and incomplete) in three markedly able families (from Kellicott after Whetham): 1, Charles Darwin; 2, his cousin, Francis Galton, founder of the modern eugenic movement. Systems of Mating Impracticable in the Main.—By systems of mating, it should be said, is not meant the arbitrary marrying of two individuals willy-nilly, but rather it is the prevention from marriage of two individuals having similar defects. In general the facts at our command indicate that in the majority of cases the offspring from a marriage of an insane, feeble-minded or epileptic person with a normal individual free from all neuropathic taints are normal or at most show but slight effects of the taint. But what normal individual would knowingly marry into such a stock? With few exceptions such traits where inheritable are apparently negative, that is, not represented by some positive abnormal factor but due to the lack of some element or elements necessary to the proper working of the normal brain. In the offspring of such a union the necessary missing factors are supplied by the Corrective Mating Presupposes Knowledge of Eugenics.—But such a scheme of corrective mating presupposes a relatively high degree of intelligence and judgment on the part of the participants, and this is just what we do not have and in the nature In certain cases of insanity and in other than neuropathic defects one can see how the system might be inaugurated with greater prospects of success, but even then a knowledge of the principles of eugenics would be necessary to the participants, or in other words we could only accomplish our end through our fifth proposition, education. Segregation Has Many Advocates.—As to the third proposition, segregation during the reproductive period, this seems to have a larger number of advocates than any other coercive measure. While on theoretical grounds it is plausible enough, when we face the actual putting of the method into practise we are confronted by the fact that tremendous sums of money would be required to sequestrate and maintain colonies or industrial refuges. When one realizes that no state now provides for more than a small minority of its defectives, and knowing also of the pressure that must be brought to bear on legislatures to secure sufficient funds to provide for these cases of extremest urgency, one can not E. R. Johnstone, the superintendent of a large training school for feeble-minded in New Jersey, points out that no state in the Union is providing for many more than one-tenth of her feeble-minded and epileptics. If his estimate is true, to place in institutions, treat and train all its feeble-minded and epileptics would even now almost swamp any state treasury. But what will it be in the future if we permit this unrestricted nine-tenths to go on and multiply their kind? Leaving out of account the enormous sums spent in private charities even now from one-fifth to one-seventh the total public expenditures of almost any one of our states is going to maintain its defectives, dependents and criminals. From the 1912 report of the secretary of state, in the state of Wisconsin, for instance, I learn that of the total expenses for 1912, sixteen per cent. was for charitable and penal institutions. The situation is even worse in some other states. Think of it! Think what a large total of expense it becomes! And the expense is far secondary from the humanitarian standpoint to the misery involved. In the Survey of May 24, 1913, we find Mr. Hastings H. Hart, Director of the Department of Child Helping of the Russell Sage Foundation, proposing very specifically “a working program for the extinction of the defective delinquent,” which involves segregation during the reproductive period. He gives the number of feeble-minded under public care as 20,000 in institutions for the feeble-minded, 16,000 in almshouses, 5,000 in hospitals for the insane, and 26,000 in prisons Between this estimate that one-third of our feeble-minded are in institutions and Doctor Johnstone’s that we are not providing for many more than one-tenth of our feeble-minded and epileptic, there is a wide discrepancy, but I know of no accurate data[20] whereby the matter can be settled definitely. One point of difference may be that Doctor Johnstone specifically includes epileptics and another may be one of definition of feeble-minded. However, supposing that we could get them all into institutions, institutional care at present by no means also implies prevention of propagation. It is not an unusual history of feeble-minded women in our county poor-houses that they alternate between periods of housework in some family and periods of residence in the almshouse, the return to the latter being only too often to bear an additional child. Not a few students of the problem, however, advocate a rigid segregation as the only reasonable preventive measure, no matter what the expense. They point out that the cost is mounting up higher each year and that we are only increasing it ultimately by procrastination. They urge, moreover, that when counting But what assurance have we that we can prevent the production of defectives by segregation? In reply may be cited a recent experiment on an extensive scale. Cretinism is a condition due to disease of the thyroid glands. It is characterized by goiter, marked deformities and imbecility. It is hereditary and has been very prevalent in certain valleys of southern Switzerland and northern Italy. Cretin mated with cretin and consequently a large new supply was constantly produced. In recent years in certain communities the sexes have been segregated (see Eugenic Review, 1910, Jordan) with the result that in such places cretinism has about disappeared. Coming now to the fourth solution proposed, namely, sterilization,[21] let us consider some of its alleged advantages and disadvantages. Even should later developments show that a mistake had been made, in all probability the matter could be remedied by a second operation in which the cut ends of the ducts can be reunited. This has been accomplished experimentally in dogs, and furthermore, in men rendered sterile by occlusion of the duct through inflammatory diseases, the sterility has been remedied by removing the blocked area and reuniting the ends of the duct on either side. In women the corresponding operation—a section of the oviduct—is termed salpingectomy. Here, however, the operation is a more serious one as it usually involves opening the abdominal cavity and the accompanying hazard of infection, a danger sufficiently great As a Eugenic Measure.—Sterilization as a eugenic measure has many advocates and perhaps more opponents; and among the latter, it must be said, are many competent and thoughtful students of the subject who recognize existing conditions and deplore their continuance as much as any one. They maintain that while we may have to come to it as a last resort, we are yet too ignorant of the actual effects of the operation, or are too little informed on the inheritability of the specific traits we are trying to eradicate, to launch forth on so radical a program. We must not forget that when we put sterilization into effect we are going to have to deal with individual cases, not general averages. To What Conditions Applicable.—And just here, it seems to me, is the crux of the situation. When confronted by the defective individual, in a practical case, just what criteria are we going to use to determine whether this particular individual should be sterilized or not? Nearly all of the twelve states which have sterilization laws specify insanity, feeble-mindedness, epilepsy and criminality. In Insanity.—When it comes to insanity I strongly suspect that those who have the selection of the examining board will have difficulty in finding an alienist who is willing to take the responsibility of deciding on just which insane individuals shall be operated on and which not. For among the insane there are so many kinds and degrees of mental unsoundness, Certainly the one fact which stands out conspicuously when we face most concrete cases, is that at present we need more urgently than sterilization laws for the insane, exhaustive studies of the inheritability Yet on the other hand one of the most disquieting facts that confronts us to-day is the large number of patients who are on parole from our hospitals for the insane, subject to recall. What shall we do with them? Shall we submit them to the tremendous hardship of still remaining under custodial care although to all intents and purposes sane, or shall we make their release contingent upon their submission to vasectomy or salpingectomy? In a few cases such as Huntington’s chorea (Figs. 26, 27, pp. 114, 115) we can proceed with a fair degree of assurance, for we know that this dreadful malady is transmitted as a positive trait and that in all probability half of the children of an afflicted individual will inherit the defect. Such patients, if they ever rally sufficiently temporarily to leave the hospital, or where encountered outside the hospital should certainly be restrained from procreation. It is questionable if even their children, though apparently normal, should be allowed to have offspring, for usually the disorder does not manifest itself until middle life and then it is too late to try to prevent its transmission since the affected individual has already probably married and had children. But Huntington’s chorea is a comparatively rare form of insanity, and one of only a few about which our knowledge as regards its transmissibility is fairly satisfactory. In Feeble-Mindedness.—When we come to institutions for the feeble-minded, however, there seems to be much more unanimity of opinion among physicians According to Goddard the feeble-minded woman is about three times as likely to find a mate as a feeble-minded man, hence it would seem to be of much greater importance to sterilize the woman than the man. Again it might be urged with much justification, that even though sterilized, the feeble-minded individual because of lack of self-control will transgress sexually and will thus certainly become a menace to society in the spread of venereal diseases. If Mr. Hart’s estimate is anywhere near correct, that there are 60,000 feeble-minded women in the United States of child-bearing age, and that 13,000 are already in custody, then the task of getting all women of this class into custody is not so insurmountable as would at first appear. In Cases of Epilepsy.—As to epilepsy, I find a very decided difference of opinion among physicians. As to criminal types, here again we face the difficulty of deciding any particular case. Let us suppose that twenty-five per cent. of criminals are mental defectives, how shall we sift them out from the seventy-five per cent. who are supposed to be eugenically normal? Doubtless in many of the twenty-five per cent. class, the indications of defective mentality are sufficiently evident to prevent mistakes, but a considerable number of uncertain status must also remain near the border-line. Sterilization Laws.—Although twelve of our states already have sterilization laws, only two, Indiana and California, seem to have made any active attempt to enforce them. The situation is too new yet in Wisconsin, Michigan and Pennsylvania for these states to have shown what they intend to do. Although the Indiana law says, “it shall be compulsory for each and every institution” to maintain the practise, it has fallen into disuse since 1911, presumably because the governor believed the law unconstitutional. It is of interest to see the motive underlying the law in various states. In the majority it is purely eugenic. In Connecticut it is mainly eugenic though partly In Washington and Nevada the object is purely punitive, the persons specified being habitual criminals and persons adjudged guilty of carnal abuse of female persons under ten years of age, or of rape. In these states also the court orders the operation instead of leaving it to the decision of a board of medical experts. Social Dangers in Vasectomy.—It has been urged against vasectomy that it will work untold harm because it relieves of the responsibility of a probable parentage. This argument does not appeal to one as very weighty as far as the imbecile or other degenerate is concerned, because one of the very traits characteristic of such individuals is lack of any sense of responsibility. By this same token, however, we have a very good argument for sequestration as against sterilization, for the degenerate, even though sterilized, will not be restrained sexually and will be likely to disseminate venereal diseases or commit rape. Furthermore, there will be the temptation to sterilize and liberate certain types that would otherwise have been kept permanently in custody. Our Present Knowledge Insufficient.—When all is said and done, after we take into account the meagerness of our present knowledge on the subject, it is not to be wondered at that many thoughtful There is little doubt that in theory the feeble-minded and similar defectives should be sent to institutions and kept there, but the important practical question is, can this be done? We can have no final answer until it is tried. While the initial expense would undoubtedly be great, if we could keep our defectives from propagation for a single generation we could very materially lessen their numbers and in succeeding generations the expenses of their care would rapidly diminish. The one crying need that stands out most prominently in this whole field is that of careful investigation of individual cases and specific types of malady, together with an accurate census of conditions as a whole. Our knowledge of individual malign heredities is too meager to carry us very far at present. When we have found after adequate investigation in just which specific types of defects heredity is an important factor—and we shall undoubtedly find it to be one in many cases—then we can proceed confidently with sterilization, if it will prove to be more practical and desirable than sequestration. Sterilization Laws on Trial.—It will be of great interest and instruction to see how extensively, in the Certain married degenerate types would seem to be the ones most urgently demanding attention. Having already begotten several defective children and with nothing else in prospect but the production of the same kind, it is difficult to see from any standpoint why a vasectomy on the male would not be a merciful act. There are not a few such families where the father is periodically in the hands of the law and yet not in permanent restraint. Once in custody his release could be made contingent on vasectomy. An Educated Public Sentiment the Most Valuable Eugenic Agent.—Coming now to the last proposition, education of the public in the principles of eugenics, this is the method calculated to be of more far-reaching service than any other, in the negative as well Of greatest importance in preventing undesirable marriages, as far as people of normal intelligence is concerned, will be the sentiment of disapproval which will arise on the part of society itself when it becomes really convinced that certain marriages are inimical to social welfare. Public opinion is, in fact, one of the most potent influences in marital affairs, simply because refusal to abide by the dictates of the community means social ostracism. That social disapproval of certain unions can become a very real factor in preventing such marriage is evinced on all sides by the numerous barriers to marriage already in existence based on race, religious sect or social status. Even in our much vaunted democracies one is looked down on who marries “beneath” his or her social set. This sentiment of taboo, so readily and often so senselessly cultivated in our present human society, will inevitably spring up in consequence of a wide-spread knowledge of the facts of human heredity. It is to such a growth, to the establishment of a disapproval which is the product of its own sentiments rather than to legislative enactments, that society must look for the greatest furtherance of the eugenic program. Necessary as legal restraint is in certain cases, it The Question of Personal Liberty.—It must be admitted that there is a reluctance on the part of many even thoughtful individuals to the application of methods which savor in any way of restraint. An objection not infrequently urged by such persons against the application of certain eugenic principles is that they demand an unwarranted curtailment of personal liberty. To those who hoist the flag of personal liberty, it may fairly be asked, how much personal liberty does the syphilitic accord his doomed and suffering wife and children, or how much personal liberty is the portion of the offspring of feeble-minded parents? Or, what quota of personal liberty will accrue to the ill-fated descendants of the epileptic, the habitual drunkard or criminal, the gross moral pervert, the congenially deaf and dumb, or to even the progeny which may result from the union of two well-established tubercular strains? We do not hesitate to send the pick of our stalwart healthy manhood to war to be slaughtered by the thousands and tens of thousands when an affront is offered to an abstraction which we term our national honor, and, sublimely unconscious of the irony of it all, we throw ourselves into a well-nigh hysterical frenzy of protest when it is proposed to stop the breeding of defectives by infringing to a certain extent on their personal liberties. Society has already found it necessary to suppress Education of Women in Eugenics Needed.—One of the most crying needs of the present is the awakening and educating of women to the significance of the known facts. For they are perhaps the greatest sufferers, and once informed, as a mere matter of safety if for no other reason, they will see the necessity of demanding a clean bill of health on the part of their prospective mates. Furthermore in the last analysis woman is the decisive factor in race betterment, for it is she who says the final yea or nay which decides marriage and thus determines in large measure the qualities which will be possessed by her children. Above all, young women must come to realize that the fast or dissipated young man, no matter how interestingly or romantically he may be depicted by the writer of fiction, is in reality unsound physically, and is an actual and serious danger to his future wife and children. Much Yet to Be Done.—But plain as is our duty regarding the application of facts already known, when Just at present it is of the utmost importance to secure more trustworthy statistics in order that we may intelligently go about instituting suitable restrictive measures for undesirable human strains. We must know the exact number and kinds of feeble-minded, epileptic and insane in our population, and we must have more insight into the personal status and pedigrees of our delinquents and criminals. For purposes of rational procedure such information is indispensable. Much can be done by hospitals, “homes” and penal institutions by determining and recording more accurately all obtainable facts regarding the ancestry of their charges. Moreover, in such states as Wisconsin, where the state hospitals for the insane have each an “after-care-agent,” the duties of such officers might well include the collection of more adequate data regarding the hereditary aspects of their patient’s condition. And lastly, if in every census, whether state or national, it were made an important part of the work to secure accurate vital statistics, particularly as they pertain to human heredity, the contribution toward enabling us ultimately to purge A Working Program.—And now after reviewing at some length various aspects of man’s hereditary and congenital endowment, the important question arises as to whether it is possible, with the knowledge at present available, to go ahead with a practical program which will insure to the child of the future its right of rights, that of being well-born. When one considers the matter it is evident that much can be done at once. Most of the needs set forth in the preceding paragraph can clearly be met in a fair degree by instituting the procedures indicated. One of the obvious duties in a restrictive way that confronts us right at the start is the care and control of the feeble-minded and of the defective delinquent in such a way as to prevent procreation. Much help can be given also through intelligent agitation for the establishment of colonies for epileptics and the higher grades of feeble-minded which can be made in considerable measure self-supporting. A given colony must, of course, be for one sex alone. Much can be done, furthermore, by putting into operation, both in and out of institutions, effective systems of registering births and deaths together with accompanying facts which may prove of eugenical significance. Again, we should more surely identify and exclude undesirable immigrants and also undertake thoroughgoing investigations to determine which races we can not profitably assimilate into our own blood. Physicians should pay more attention to the hereditary Wholly apart from the field of heredity though in a realm intimately concerned with the birthright of the child, much practical good can be accomplished by pondering the facts and the fictions of prenatal influence and in the light of the knowledge thus gained, seeing that while foolish and unnecessary worries are abolished, the conditions of health, nutrition and occupation surrounding the expectant mother are the best obtainable. It is the sacred duty of every individual, moreover, to see that the maximal possibilities of his own germ-plasm are not lowered by vicious or unwholesome living. As individuals we can cultivate a greater sense of responsibility regarding marriage and parenthood in those for whose training we are responsible. We can study this whole subject conscientiously, keep pace with new knowledge and see that other people are likewise informed. In showing an enlightened interest in the ideals of eugenics and a sympathetic approval of wholesome marriages, a sentiment toward parenthood will gradually arise which will make it seem more desirable to many worthy people than it does at As has been suggested by various students of eugenics, it is even at present perhaps not infeasible for earnest individuals to start in a quiet way local centers for the keeping and filing of accurate records of their family traits for the future use of their descendants. Such groups, voluntary though they be, would soon acquire a degree of distinction that would make other people of good endowments wish to join in and go on record as eugenically desirable. Lastly, it should not be forgotten that good traits are inherited as certainly as bad ones. Moreover, in the realm of human conduct, even though the fundamental features of behavior are based on an inherited organization, man is not always driven by an inexorable linkage of inherited neutral units into only one line of conduct, since more or less capacity for alternative action is also inherited. It is the personal duty Why go on alleviating various kinds of misery that might equally well be prevented? When one squarely faces the issue, surely the absurdity of our present practises can not but be evident to even the most thoughtless. Which Shall It Be?—As a matter of social evolution, human homes originated in the necessity of an abiding place for the nurture and training of the young past their first period of helplessness. Well in the foreground of the mental picture which arises when we hear the very word home, are children. What shall the home of the future be with regard to its most important assets, the children? Shall we as a people continue to be confronted at every turn by the dull countenance of the imbecile, the inevitable product of a bad parental mating; or the feeble body and the clouded intellect of the child sprung from a parentage of polluted blood; or the furtive cunning of the born criminal, the will-less mind of the bred degenerate, or the shiftless spawn of the pauper? Or shall it be a type with laughing face, with bounding muscles, with The answer is in our own hands. The fate of many future generations is ours to determine and we are false to our trusteeship if we evade the responsibility clearly laid before us. How conscientiously we heed known facts, how actively we acquaint ourselves with new facts, and how effectively we execute the obvious duties demanded by these facts, will give us the answer. THE END |