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Page 41
The unfit are subject to no moral law in the matter of procreation. They
can be taught nothing, and they will practise nothing. Like the lower
animals they obey their instincts and gratify their desires as they
arise.
It has been seriously suggested that the poor should be systematically
taught Neo-Malthusian methods for the limitation of their offspring.
The best among the poor might practise them, the worst certainly would
not, and the limitation among the best would only stimulate the
fertility of the worst. This is the most innocent and harmless of the
numerous suggestions made by reformers for controlling the fecundity of
the poor.
Of surgical methods, castration of males, Oophorectomy or the removal of
the ovaries in women, and vasectomy, or the section of the cords of the
testicles, have all been suggested.
Annual castration of a certain number of the children of the popular
classes was not long ago seriously proposed by Weinhold.
Boies, in his "Prisoners and Paupers," declares that surgical
interference is the only method of dealing with the criminal, and
preventing him from reproducing his kind. He says:--"These organs have
no function in the human organism except the creation and gratification
of desire and the reproduction of the species. Their loss has no effect
upon the health, longevity, or abilities of the individual of adult
years. The removal of them therefore by destroying desire would actually
diminish the wants of nature and increase the enjoyments of life for
paupers. A want removed is equivalent to a want supplied. In other
words, such removal would be a positive benefit to the abnormal rather
than a deprivation, rather a kindness than an injury. This operation
bestowed upon the abnormal inmates of our prisons, reformatories, jails,
asylums, and public institutions, would entirely eradicate those
unspeakable evil practices which are so terribly prevalent, debasing,
destructive, and uncontrolled in them. It would confer upon the inmates
health and strength, for weakness and impotence, satisfaction and
comfort for discontent and insatiable desire."
An�sthetics have ensured that these operations may be performed without
the slightest suspicion of pain, and with careful sympathetic surgery,
pain may be absent throughout the whole of convalescence. Antiseptics
have made it possible to perform these operations with practically no
risk to life.
Though castration and Oophorectomy can be performed with safety and
without pain, they are absolutely unjustifiable operations, if done to
produce sterility.
Every incision and every stitch in surgery, beyond the necessities of
the case, are objectionable, and to remove an organ, when the section of
its duct is sufficient is to say the least of it, bad surgery.
Vasectomy is the resection of a portion of the duct of the testicles,
followed by ligature of the ends. No doubt ligature alone would be
sufficient for the purpose, but up to the present, a piece of the duct
has been removed, when this operation has been found necessary in the
treatment of disease.
This duct is the secretory tube of the testicle, so that when it is
occluded, the secretion is dammed back, and degeneration and atrophy of
the organ are induced. It soon wastes, and becomes as functionless as
though it were removed.
This operation can be performed in a Surgery with the aid of a little
Cocaine, and the patient may walk to his home, sterilized for the rest
of his natural life, after the complete loss of any accumulated fluid.
Of these two operations for the sterilization of men, vasectomy is
preferable. The major operation for the purpose of inducing artificial
sterility should never for a moment be considered.
But vasectomy, though surgically simple, and a less violation of
sentiment than castration, cannot be justified except in exceptional
cases.
Neither of these operations makes the subjects of them altogether or at
once impotent, certainly not for years. It sterilizes and partly unsexes
them and in the end completely so.
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