Eugenic practice for the immediate future is the third part of our program. Must we wait until more data are collected, more facts uncovered, before we undertake any definite proposals for eugenic procedure? Although this is the most difficult aspect of the subject, largely through lack of a sufficiently broad fact-basis, yet we are certainly in possession of enough information to make plain a few necessary steps. Most of the concrete proposals directed toward the reduction of the undesirables and the increase of the desirables have been visionary, impractical, or too limited in their view-point. Above all, they have been open to the objection that they have gone too far in the direction of that zone which separates the two classes. It should be said again that most of these proposals have been those of the amateur enthusiast, not of the seriously scientific Eugenist; they have grown out of that common habit of "getting far from the facts and philosophizing about them."
As Pearson points out, we must start from three fundamental biological ideas. First, "That the relative weight of nature and nurture must not a priori be assumed but must be scientifically measured; and thus far our experience is that nature dominates nurture, and that inheritance is more vital than environment." Second, "That there exists no demonstrable inheritance of acquired characters. Environment modifies the bodily characters of the existing generation, but does not [often] modify the germ plasms from which the next generation springs. At most, environment can provide a selection of which germ plasms among the many provided shall be potential and which shall remain latent." Third, "That all human qualities are inherited in a marked and probably equal degree." "If these ideas represent the substantial truth, you will see how the whole function of the eugenist is theoretically simplified. He cannot hope by nurture and by education to create new germinal types. He can only hope by selective environment to obtain the types most conducive to racial welfare and to national progress. If we see this point clearly and grasp it to the full, what a flood of light it sheds on half the schemes for the amelioration of the people.... The widely prevalent notion that bettered environment and improved education mean a progressive evolution of humanity is found to be without any satisfactory scientific basis. Improved conditions of life mean better health for the existing population; greater educational facilities mean greater capacity for finding and using existing ability; they do not connote that the next generation will be either physically or mentally better than its parents. Selection of parentage is the sole effective process known to science by which a race can continuously progress. The rise and fall of nations are in truth summed up in the maintenance or cessation of that process of selection. Where the battle is to the capable and thrifty, where the dull and idle have no chance to propagate their kind, there the nation will progress, even if the land be sterile, the environment unfriendly and educational facilities small."
As a concrete example of a most commendable eugenic practice we should mention the sterilization of certain classes of criminal and insane as it is now practiced in the States of Indiana and Connecticut. For the last four years (since March, 1907) the laws of Indiana have permitted the performance of the operation of vasectomy upon "confirmed criminals, idiots, rapists, and imbeciles" after rigid scrutiny of all the mental and physical conditions of the individual case and upon the concurrent judgment of three competent and impartial persons. The title and significant parts of the text of this law are as follows:
An Act, entitled, An Act to prevent procreation of confirmed criminals, idiots, imbeciles, and rapists—providing that superintendents, or boards of managers, of institutions where such persons are confined shall have the authority, and are empowered to appoint a committee of experts, consisting of two physicians, to examine into the mental condition of such inmates.
Whereas, Heredity plays a most important part in the transmission of crime, idiocy, and imbecility;
Therefore, Be it enacted by the General Assembly of the State of Indiana, That on and after the passage of this act it shall be compulsory for each and every institution in the State, entrusted with the care of confirmed criminals, idiots, rapists, and imbeciles, to appoint upon its staff, in addition to the regular institutional physician, two (2) skilled surgeons of recognized ability, whose duty it shall be, in conjunction with the chief physician of the institution, to examine the mental and physical condition of such inmates as are recommended by the institutional physician and board of managers. If, in the judgment of this committee of experts and the board of managers, procreation is inadvisable, and there is no probability of improvement of the mental and physical condition of the inmate, it shall be lawful for the surgeons to perform such operation for the prevention of procreation as shall be decided safest and most effective. But this operation shall not be performed except in cases that have been pronounced unimprovable: Provided, That in no case shall the consultation fee be more than three (3) dollars to each expert, to be paid out of the funds appropriated for the maintenance of such institution.
This operation of vasectomy, sometimes known as "Rentoul's operation," consists, in the male, in the removal of a small portion of each sperm duct; the individual is thus rendered sterile in a completely effective and permanent way. At the same time there are none of the harmful effects, either physical or mental, such as usually follow the better known forms of sterilization which are in reality asexualization rather than sterilization. Vasectomy is a simple "office" operation occupying only a few minutes and requiring at the most the application of only a local anæsthetic, such as cocaine; and there are no disturbing nor even inconvenient after effects. In the female the corresponding operation of oöphorotomy consists in removing a small portion of each Fallopian tube. In Indiana nearly a thousand persons have already been successfully treated, many upon their own request—a circumstance entirely unforeseen. Similar laws have been passed in Oregon and Connecticut, and are being carefully considered in several other States.
In order that the exact nature of such proposals may be better known generally we may give here also the text of the Connecticut law which is somewhat more inclusive and more flexible than that of Indiana. The Connecticut Statute, enacted in August, 1909, is as follows:
An Act, concerning operations for the Prevention of Procreation.—Be it enacted by the Senate and House of Representatives in General Assembly convened: