Am I to be classed as immoral because I advocate small families for the working class while Mr. Roosevelt can go up and down the length of the land shouting and urging these women to have large families and is neither arrested nor molested but considered by all society as highly moral?

But I ask you which is the more moral—to urge this class of women to have only those children she desires and can care for, or to delude her into breeding thoughtlessly. Which is America’s definition of morality?

You will agree with me that a woman should be free.

Yet no adult woman who is ignorant of the means to prevent conception can call herself free.

No woman can call herself free who cannot choose the time to be a mother or not as she sees fit. This should be woman’s first demand.

Our present laws force woman into one of two ways: Celibacy, with its nervous results, or abortion. All modern physicians testify that both these conditions are harmful; that celibacy is the cause of many nervous complaints, while abortion is a disgrace to a civilized community. Physicians claim that early marriage with knowledge to control birth would do away with both. For this would enable two young people to live and work together until such time as they could care for a family. I found that young people desire early marriage, and would marry early were it not for the dread of a large family to support. Why will not society countenance and advance this idea? Because it is still afraid of the untried and the unknown.

I saw that fortunes were being spent in establishing baby nurseries, where new babies are brought and cared for while the mothers toil in sweatshops during the day. I saw that society with its well-intentioned palliatives was in this respect like the quack, who cures a cancer by burning off the top while the deadly disease continues to spread underneath. I never felt this more strongly than I did three years ago, after the death of the patient in my last nursing case.

This patient was the wife of a struggling working man—the mother of three children—who was suffering from the results of a self-attempted abortion. I found her in a very serious condition, and for three weeks both the attending physician and myself labored night and day to bring her out of the Valley of the Shadow of Death. We finally succeeded in restoring her to her family.

I remember well the day I was leaving. The physician, too, was making his last call. As the doctor put out his hand to say “Good-bye,” I saw the patient had something to say to him, but was shy and timid about saying it. I started to leave the room, but she called me back and said:

“Please don’t go. How can both of you leave me without telling me what I can do to avoid another illness such as I have just passed through?”