Organized charity is thus confronted with the problem of feeble-mindedness and mental defect. But just as the State has so far neglected the problem of mental defect until this takes the form of criminal delinquency, so the tendency of our philanthropic and charitable agencies has been to pay no attention to the problem until it has expressed itself in terms of pauperism and delinquency. Such "benevolence" is not merely ineffectual; it is positively injurious to the community and the future of the race.
But there is a special type of philanthropy or benevolence, now widely advertised and advocated, both as a federal program and as worthy of private endowment, which strikes me as being more insidiously injurious than any other. This concerns itself directly with the function of maternity, and aims to supply GRATIS medical and nursing facilities to slum mothers. Such women are to be visited by nurses and to receive instruction in the "hygiene of pregnancy"; to be guided in making arrangements for confinements; to be invited to come to the doctor's clinics for examination and supervision. They are, we are informed, to "receive adequate care during pregnancy, at confinement, and for one month afterward." Thus are mothers and babies to be saved. "Childbearing is to be made safe." The work of the maternity centers in the various American cities in which they have already been established and in which they are supported by private contributions and endowment, it is hardly necessary to point out, is carried on among the poor and more docile sections of the city, among mothers least able, through poverty and ignorance, to afford the care and attention necessary for successful maternity. Now, as the findings of Tredgold and Karl Pearson and the British Eugenists so conclusively show, and as the infant mortality reports so thoroughly substantiate, a high rate of fecundity is always associated with the direst poverty, irresponsibility, mental defect, feeble-mindedness, and other transmissible taints. The effect of maternity endowments and maternity centers supported by private philanthropy would have, perhaps already have had, exactly the most dysgenic tendency. The new government program would facilitate the function of maternity among the very classes in which the absolute necessity is to discourage it.
Such "benevolence" is not merely superficial and near-sighted. It conceals a stupid cruelty, because it is not courageous enough to face unpleasant facts. Aside from the question of the unfitness of many women to become mothers, aside from the very definite deterioration in the human stock that such programs would inevitably hasten, we may question its value even to the normal though unfortunate mother. For it is never the intention of such philanthropy to give the poor over-burdened and often undernourished mother of the slum the opportunity to make the choice herself, to decide whether she wishes time after to time to bring children into the world. It merely says "Increase and multiply: We are prepared to help you do this." Whereas the great majority of mothers realize the grave responsibility they face in keeping alive and rearing the children they have already brought into the world, the maternity center would teach them how to have more. The poor woman is taught how to have her seventh child, when what she wants to know is how to avoid bringing into the world her eighth.
Such philanthropy, as Dean Inge has so unanswerably pointed out, is kind only to be cruel, and unwittingly promotes precisely the results most deprecated. It encourages the healthier and more normal sections of the world to shoulder the burden of unthinking and indiscriminate fecundity of others; which brings with it, as I think the reader must agree, a dead weight of human waste. Instead of decreasing and aiming to eliminate the stocks that are most detrimental to the future of the race and the world, it tends to render them to a menacing degree dominant.
On the other hand, the program is an indication of a suddenly awakened public recognition of the shocking conditions surrounding pregnancy, maternity, and infant welfare prevailing at the very heart of our boasted civilization. So terrible, so unbelievable, are these conditions of child-bearing, degraded far below the level of primitive and barbarian tribes, nay, even below the plane of brutes, that many high-minded people, confronted with such revolting and disgraceful facts, lost that calmness of vision and impartiality of judgment so necessary in any serious consideration of this vital problem. Their "hearts" are touched; they become hysterical; they demand immediate action; and enthusiastically and generously they support the first superficial program that is advanced. Immediate action may sometimes be worse than no action at all. The "warm heart" needs the balance of the cool head. Much harm has been done in the world by those too-good-hearted folk who have always demanded that "something be done at once."
They do not stop to consider that the very first thing to be done is to subject the whole situation to the deepest and most rigorous thinking. As the late Walter Bagehot wrote in a significant but too often forgotten passage:
"The most melancholy of human reflections, perhaps, is that on the whole it is a question whether the benevolence of mankind does more good or harm. Great good, no doubt, philanthropy does, but then it also does great evil. It augments so much vice, it multiplies so much suffering, it brings to life such great populations to suffer and to be vicious, that it is open to argument whether it be or be not an evil to the world, and this is entirely because excellent people fancy they can do much by rapid action, and that they will most benefit the world when they most relieve their own feelings; that as soon as an evil is seen, `something' ought to be done to stay and prevent it. One may incline to hope that the balance of good over evil is in favor of benevolence; one can hardly bear to think that it is not so; but anyhow it is certain that there is a most heavy debt of evil, and that this burden might almost all have been spared us if philanthropists as well as others had not inherited from their barbarous forefathers a wild passion for instant action."
It is customary, I believe, to defend philanthropy and charity upon the basis of the sanctity of human life. Yet recent events in the world reveal a curious contradiction in this respect. Human life is held sacred, as a general Christian principle, until war is declared, when humanity indulges in a universal debauch of bloodshed and barbarism, inventing poison gases and every type of diabolic suggestion to facilitate killing and starvation. Blockades are enforced to weaken and starve civilian populations—women and children. This accomplished, the pendulum of mob passion swings back to the opposite extreme, and the compensatory emotions express themselves in hysterical fashion. Philanthropy and charity are then unleashed. We begin to hold human life sacred again. We try to save the lives of the people we formerly sought to weaken by devastation, disease and starvation. We indulge in "drives," in campaigns of relief, in a general orgy of international charity.
We are thus witnessing to-day the inauguration of a vast system of international charity. As in our more limited communities and cities, where self-sustaining and self-reliant sections of the population are forced to shoulder the burden of the reckless and irresponsible, so in the great world community the more prosperous and incidentally less populous nations are asked to relieve and succor those countries which are either the victims of the wide-spread havoc of war, of militaristic statesmanship, or of the age-long tradition of reckless propagation and its consequent over-population.
The people of the United States have recently been called upon to exercise their traditional generosity not merely to aid the European Relief Council in its efforts to keep alive three million, five hundred thousand starving children in Central Europe, but in addition to contribute to that enormous fund to save the thirty million Chinese who find themselves at the verge of starvation, owing to one of those recurrent famines which strike often at that densely populated and inert country, where procreative recklessness is encouraged as a matter of duty. The results of this international charity have not justified the effort nor repaid the generosity to which it appealed. In the first place, no effort was made to prevent the recurrence of the disaster; in the second place, philanthropy of this type attempts to sweep back the tide of miseries created by unrestricted propagation, with the feeble broom of sentiment. As one of the most observant and impartial of authorities on the Far East, J. O. P. Bland, has pointed out: "So long as China maintains a birth-rate that is estimated at fifty-five per thousand or more, the only possible alternative to these visitations would be emigration and this would have to be on such a scale as would speedily overrun and overfill the habitable globe. Neither humanitarian schemes, international charities nor philanthropies can prevent widespread disaster to a people which habitually breeds up to and beyond the maximum limits of its food supply." Upon this point, it is interesting to add, Mr. Frank A. Vanderlip has likewise pointed out the inefficacy and misdirection of this type of international charity.(1)