How Shall We Change the Law?
Margaret Sanger
Introduction
The
Birth Control Review was first published by Margaret Sanger in 1917. In
February 1918, Sanger and Juliet Rublee organized the New York Women's
Publishing Company to finance the Review. The monthly publication was
available throughout the country and had a circulation of about 10,000 by 1922.
In the first years of the Review, Dennett sat on the Board of Directors
of the Publishing Company and contributed a regular column, illustrating the
early possibility for collaboration between Sanger and Dennett despite the
tension between them.
Sanger's use of the editorial column of the Review to gather support for her work and to voice her opposition to the legislative tactics of Dennett, the NBCL, and later the Voluntary Parenthood League (VPL) contributed to the growing tensions. At this time, Section 1145 of the New York State Penal Code allowed physicians to distribute contraceptives in those cases in which it would cure or prevent disease. Sanger's bill, described below, would have included nurses in the provision, but it was ultimately unsuccessful.
APPALLING SITUTATIONS revealed every day
indicate all too plainly that in cases where women's disease is affected by
pregnancy, the medical institutions and clinics of
RECOGNIZING THIS condition of affairs and the tremendous evils to individual women, to children and to the whole social body, various groups and organizations have attempted, in the past four or five years, to secure amendments to the law.
Within the Birth Control movement there have been two distinct opi[ni]ons as to what sort of amendment should be urged. One opinion has favored what has been called the "unlimited bill." This measure would so amend the law as to permit anyone who chose to do so to impart information concerning contraceptives to anyone who wishes it. It would accomplish this end simply by striking the words "prevention of conception" out of Section 1142. The amendment favored by other Birth Control advocates would allow doctors, and possibly mid-wives and nurses, to instruct in the use of contraceptives.
The time has now come to analyze both of these proposed plans and make up our minds finally and definitely which one we should support. In arriving at our conclusion we must consider both what kind of an amendment it is possible to obtain in the present state of public mind, and, most of all, what is "best" for those who are going to apply for the information, once it is made available.
MY INTEREST IN THE proposed amendments is to see American womanhood freed from forced maternity. Which of these bills will best bring about that liberation? How shall this information be given in order that the woman who receives it may be sure of obtaining the results desired? Will this end be served by permitting everyone to give the information regardless of age or condition, physical, mental or economic? Do we desire that everyone, regardless of scientific knowledge, experience or ability, shall have the right to advise as to the use of means preventing conception?
Personally, I object to the so-called "unlimited bill." My objection, however, is not the usual one, that it would increase immorality. I do not believe that a universal knowledge of contraceptives would lead to immorality. On the other hand, I do believe that when instruction in the use of contraceptives is given, it should be given by the kind of persons best suited by training and experience to give it scientifically and accurately. If everyone is permitted to impart information, those who receive it have no guaranty [sic] that it is correct or suitable to the individual's physical requirements. Incorrect, unscientific information may bring good results in some cases, but it is more likely to cause a vast amount of disappointment and anxiety in others.
A BILL WHICH WOULD authorize physicians, nurses and midwives to impart information would meet this need. These classes of persons are equipped with the physiological and other knowledge to make the results of contraceptives dependable.
A second point in favor of the Doctor's and Nurse's bill is that it brings the applicant for contraceptives into direct touch with the person giving the information. This, of course, means direct instruction, and specific information suitable to the individual case. It means that the important factors of health, physiological structure, temperament and economic condition can be considered and their requirements accurately met.
A third point that must not be overlooked is that under such a measure it would be possible to get statistics of cases handled, methods applied, and results obtained. Thus there will be no guesswork as to what methods are the most reliable for certain cases. Thus, too, will those who give instruction improve upon present methods and develop new and superior ones. A system of disseminating information which depends largely upon neighbors, friends and kindly relatives is not likely to give the best results. Neither is it likely to improve present methods and develop more desirable ones. I do not believe it to be more advisable to have an amateur instructor in contraceptives than to rely upon an amateur dentist or surgeon.
THE
LEGISLATIVE BUREAU of
"Sec. 1. Section 1145 of Chapter 88 of the laws of 1909, entitled 'An Act providing for the punishment of crime, constituting Chapter 40 of the Consolidated Laws,' is hereby amended to read as follows:
'1145 Physicians' instruments and information. An article or instrument used or applied by physicians lawfully practicing, or by their direction or prescription, for the cure of [sic] prevention of disease, is not an article of indecent or immoral nature or use, within this article. The supplying of such articles to such physicians or by their direction or prescription is not an offense under this article. The giving by a physician or registered nurse lawfully practicing of information or advice in regard to, or the supplying by any person of any article or medicine for, the prevention of conception, is not violation of any provision of this article.
"2"This Act shall take effect immediately.
WITH THE INCLUSION of midwives among
those authorized to impart the information, I believe that this proposed
amendment would be the best possible at this time. It would permit those in
institutional and private practice and those in public health work to give
freely and without fear of prosecution the information which is sorely needed.
These are my personal opinions, based upon my experience as a nurse and in the
Birth Control movement. I believe, however, that the more these measures are
discussed, the more suggestions are put forward, the better the results
achieved in the end. I would suggest, therefore, that those interested, write
their views to THE BIRTH CONTROL REVIEW.
From “Birth Control Review, 3: 8-9” July 1919,
published in full by womhist.binghamton.edu.