But there is more to be said than this. We must dismiss altogether the

statement so often made that a falling birth-rate means "an old and

dying community." The Germans have for years been making this remark

contemptuously regarding the French. But to-day they have to recognise

a vitality in the French which they had not expected, while in recent

years, also, their own birth-rate has been falling more rapidly than

that of France. Nor is it true that a falling birth-rate means a

falling population; the French birth-rate has long been steadily

falling, yet the French population has been steadily increasing all the

time, though less rapidly than it would had not the death-rate been

abnormally high. It is not the number of babies born that counts, but

the net result in surviving children. An enormous number of babies are

born in China; but an enormous number die while still babies. So that

it is better to have a few babies of good quality than a large number

of indifferent quality, for the falling birth-rate is more than

compensated by the falling death-rate. That is what we are attaining in

England, and, as we know, our steadily falling birth-rate results in a

steadily growing population.

There is still more to be said. Small families and a falling birth-rate

are not merely no evil, they are a positive good. They are a gain for

humanity. They represent an evolutionary rise in Nature and a higher

stage in civilisation. We are here in the presence of great fundamental

principles of progress which have been working through life from the

beginning.

At the beginning of life on the earth reproduction ran riot. Of one

minute organism it is estimated that, if its reproduction were not

checked by death or destruction, in thirty days it would form a mass a

million times larger than the sun. The conger-eel lays fifteen million

eggs, and if they all grew up, and reproduced themselves on the same

scale, in two years the whole sea would become a wriggling mass of

fish. As we approach the higher forms of life reproduction gradually

dies down. The animals nearest to man produce few offspring, but they

surround them with parental care, until they are able to lead

independent lives with a fair chance of surviving. The whole process

may be regarded as a mechanism for slowly subordinating quantity to

quality, and so promoting the evolution of life to ever higher stages.

This process, which is plain to see on the largest scale throughout

living nature, may be more minutely studied, as it acts within a

narrower range, in the human species. Here we statistically formulate

it in the terms of birth-rate and death-rate; by the mutual relationship

of the two courses of the birth-rate and the death-rate we are able to

estimate the evolutionary rank of a nation, and the degree in which it

has succeeded in subordinating the primitive standard of quantity to

the higher and later standard of quality.

It is especially in Europe that we can investigate this relationship by

the help of statistics which in some cases extend for nearly a century

back. We can trace the various phases through which each nation passes,

the effects of prosperity, the influence of education and sanitary

improvement, the general complex development of civilisation, in each

case moving forward, though not regularly and steadily, to higher

stages by means of a falling birth-rate, which is to some extent

compensated by a falling death-rate, the two rates nearly always

running parallel, so that a temporary rise in the birth-rate is usually

accompanied by a rise in the death-rate, by a return, that is to say,

towards the conditions which we find at the beginning of animal life,

and a steady fall in the birth-rate is always accompanied by a fall in

the death-rate.

The modern phase of this movement, soon after which our precise

knowledge begins, may be said to date from the industrial expansion,

due to the introduction of machinery, which Professor Marshall places

in England about the year 1760. That represents the beginning of an era

in which all civilised and semi-civilised countries are still living.

For the earlier centuries we lack precise data, but we are able to form

certain probable conclusions. The population of a country in those ages

seems to have grown very slowly and sometimes even to have retrograded.

At the end of the sixteenth century the population of England and Wales

is estimated at five millions and at the end of the seventeenth at six

millions--only 20 per cent. increase during the century--although

during the nineteenth century the population nearly quadrupled. This

very gradual increase of the population seems to have been by no means

due to a very low birth-rate, but to a very high death-rate. Throughout

the Middle Ages a succession of virulent plagues and pestilences

devastated Europe. Small-pox, which may be considered the latest of

these, used to sweep off large masses of the youthful population in the

eighteenth century. The result was a certain stability and a certain

well-being in the population as a whole, these conditions being,

however, maintained in a manner that was terribly wasteful and

distressing.

The industrial revolution introduced a new era which began to show its

features clearly in the early nineteenth century. On the one hand, a

new motive had arisen to favour a more rapid increase of population.

Small children could tend machinery and thereby earn wages to increase

the family takings. This led to an immediate result in increased

population and increased prosperity. But, on the other hand, the rapid

increase of population always tended to outrun the rapid increase of

prosperity, and the more so since the rise of sanitary science began to

drive back the invasions of the grosser and more destructive infectious

diseases which had hitherto kept the population down. The result was

that new forms of disease, distress, and destitution arose; the old

stability was lost, and the new prosperity produced unrest in place of

well-being. The social consciousness was still too immature to deal

collectively with the difficulties and frictions which the industrial

era introduced, and the individualism which under former conditions had

operated wholesomely now acted perniciously to crush the souls and

bodies of the workers, whether men, women, or children.

As we know, the increase of knowledge and the growth of the social

consciousness have slowly acted wholesomely during the past century to

remedy the first evil results of the industrial revolution. The

artificial and abnormal increase of the population has been checked

because it is no longer permissible in most countries to stunt the

minds and bodies of small children by placing them in factories. An

elaborate system of factory legislation was devised, and is still ever

drawing fresh groups of workers within its protective meshes. Sanitary

science began to develop and to exert an enormous influence on the

health of nations. At the same time the supreme importance of popular

education was realised. The total result was that the nature of

"prosperity" began to be transformed; instead of being, as it had been

at the beginning of the industrial era, a direct appeal to the

gratification of gross appetites and reckless lusts, it became an

indirect stimulus to higher gratifications and more remote aspirations.

Foresight became a dominating motive even in the general population,

and a man's anxiety for the welfare of his family was no longer

forgotten in the pleasure of the moment. The social state again became

more stable, and mere "prosperity" was transformed into civilisation.

This is the state of things now in progress in all industrial

countries, though it has reached varying levels of development among

different peoples.

It is thus clear that the birth-rate combined with the death-rate

constitutes a delicate instrument for the measurement of civilisation,

and that the record of their combined curves registers the upward or

downward course of every nation. The curves, as we know, tend to be

parallel, and when they are not parallel we are in the presence of a

rare and abnormal state of things which is usually temporary or

transitional.

It is instructive from this point of view to study the various nations

of Europe, for here we find a large number of small nations, each with

its own statistical system, confined within a small space and living

under fairly uniform conditions. Let us take the latest official

figures (which are usually for 1913) and attempt to measure the

civilisation of European countries on this basis. Beginning with the

lowest birth-rate, and therefore in gradually descending rank of

superiority, we find that the European countries stand in the following

order: France, Belgium, Ireland, Sweden, the United Kingdom,

Switzerland, Norway, Scotland, Denmark, Holland, the German Empire,

Prussia, Finland, Spain, Austria, Italy, Hungary, Serbia, Bulgaria,

Roumania, Russia. If we take the death-rate similarly, beginning with

the lowest rate and gradually proceeding to the highest, we find the

following order: Holland, Denmark, Norway, Sweden, Switzerland, the

United Kingdom, Belgium, Scotland, Prussia, the German Empire, Finland,

Ireland, France, Italy, Austria, Serbia, Spain, Bulgaria, Hungary,

Roumania, Russia.

Now we cannot accept the birth-rates and death-rates of the various

countries exactly at their face value. Temporary conditions, as well as

the special composition of a population, not to mention peculiarities

of registration, exert a disturbing effect. Roughly and on the whole,

however, the figures are acceptable. It is instructive to find how

closely the two rates agree. The agreement is, indeed, greater at the

bottom than at the top; the eight countries which constitute the lowest

group as regards birth-rate are the identical eight countries which

furnish the heaviest death-rates. That was to be expected; a very high

birth-rate seems fatally to involve a very high death-rate. But a very

low birth-rate (as we see in the cases of France and Ireland) is not

invariably associated with a very low death-rate, though it is never

associated with a high death-rate. This seems to indicate that those

qualities in a highly civilised nation which restrain the production of

offspring do not always or at once produce the eugenic racial qualities

possessed by hardier peoples living under simpler conditions. But with

these reservations it is not difficult to combine the two lists in a

fairly concordant order of descending rank. Most readers will agree,

that taking the European populations in bulk, without regard to the

production of genius (for men of genius are always a very minute

fraction of a nation), the European populations which they are

accustomed to regard as standing at the head in the general diffusion

of character, intelligence, education, and well-being, are all included

in the first twelve or thirteen nations, which are the same in both

lists though they do not follow the same order. These peoples, as

peoples--that is, without regard to their size, their political

importance, or their production of genius--represent the highest level

of democratic civilisation in Europe.

It is scarcely necessary to add that various countries outside Europe

equal or excel them; the death-rate of the United States, so far as

statistics show, is the same as that of Sweden; that of Ontario, still

better, is the same as Denmark; while the death-rate of the Australian

Commonwealth, with a medium birth-rate, is lower than that of any

European country, and New Zealand holds the world's championship in

this field with the lowest death-rate of all. On the other hand, some

extra-European countries compare less favourably with Europe; Japan,

with a rather high birth-rate, has the same high death-rate as Spain,

and Chile, with a still higher birth-rate, has a higher death-rate than

Russia. So it is that among human peoples we find the same laws

prevailing as among animals, and the higher nations of the world differ

from those which are less highly evolved precisely as the elephant

differs from the herring, though within a narrower range, that is to

say, by producing fewer offspring and taking better care of them.

The whole of this evolutionary process, we have to remember, is a

natural process. It has been going on from the beginning of the living

world. But at a certain stage in the higher development of man, without

ceasing to be natural, it becomes conscious and deliberate. It is then

that we have what may properly be termed _Birth Control_. That is to

say, that a process which had before been working slowly through the

ages, attaining every new forward step with waste and pain, is

henceforth carried out voluntarily, in the light of the high human

qualities of reason and foresight and self-restraint. The rise of birth

control may be said to correspond with the rise of social and sanitary

science in the first half of the nineteenth century, and to be indeed

an essential part of that movement. It is firmly established in all the

most progressive and enlightened countries of Europe, notably in France

and in England; in Germany, where formerly the birth-rate was very

high, birth control has developed with extraordinary rapidity during

the present century. In Holland its principle and practice are freely

taught by physicians and nurses to the mothers of the people, with the

result that there is in Holland no longer any necessity for unwanted

babies, and this small country possesses the proud privilege of the

lowest death-rate in Europe. In the free and enlightened democratic

communities on the other side of the globe, in Australia and New

Zealand, the same principles and practice are generally accepted, with

the same beneficent results. On the other hand, in the more backward

and ignorant countries of Europe, birth control is still little known,

and death and disease flourish. This is the case in those eight

countries which come at the bottom of both our lists.

Even in the more progressive countries, however, birth control has not

been established without a struggle, which has frequently ended in a

hypocritical compromise, its principles being publicly ignored or

denied and its practice privately accepted. For, at the great and

vitally important point in human progress which birth control

represents, we really see the conflict of two moralities. The morality

of the ancient world is here confronted by the morality of the new

world. The old morality, knowing nothing of science and the process of

Nature as worked out in the evolution of life, based itself on the

early chapters of Genesis, in which the children of Noah are

represented as entering an empty earth which it is their business to

populate diligently. So it came about that for this morality, still

innocent of eugenics, recklessness was almost a virtue. Children were

given by God; if they died or were afflicted by congenital disease, it

was the dispensation of God, and, whatever imprudence the parents might

commit, the pathetic faith still ruled that "God will provide." But in

the new morality it is realised that in these matters Divine action can

only be made manifest in human action, that is to say through the

operation of our own enlightened reason and resolved will. Prudence,

foresight, self-restraint--virtues which the old morality looked down

on with benevolent contempt--assume a position of the first importance.

In the eyes of the new morality the ideal woman is no longer the meek

drudge condemned to endless and often ineffectual child-bearing, but

the free and instructed woman, able to look before and after, trained

in a sense of responsibility alike to herself and to the race, and

determined to have no children but the best. Such were the two

moralities which came into conflict during the nineteenth century. They

were irreconcilable and each firmly rooted, one in ancient religion and

tradition, the other in progressive science and reason. Nothing was

possible in such a clash of opposing ideas but a feeble and confused

compromise such as we still find prevailing in various countries of Old

Europe. It was not a satisfactory solution, however inevitable, and

especially unsatisfactory by the consequent obscurantism which placed

difficulties in the way of spreading a knowledge of the methods of

birth control among the masses of the population. For the result has

been that while the more enlightened and educated have exercised a

control over the size of their families, the poorer and more

ignorant--who should have been offered every facility and encouragement

to follow in the same path--have been left, through a conspiracy of

secrecy, to carry on helplessly the bad customs of their forefathers.

This social neglect has had the result that the superior family stocks

have been hampered by the recklessness of the inferior stocks.

We may see these two moralities in conflict to-day in America. Up till

recently America had meekly accepted at Old Europe's hands the

traditional prescription of our Mediterranean book of Genesis, with its

fascinating old-world fragrance of Mount Ararat. On the surface, the

ancient morality had been complacently, almost unquestionably, accepted

in America, even to the extent of permitting a vast extension of

abortion--a criminal practice which ever flourishes where birth-control

is neglected. But to-day we suddenly see a new movement in the United

States. In a flash, America has awakened to the true significance of

the issue. With that direct vision of hers, that swift practicality of

action, and, above all, that sense of the democratic nature of all

social progress, we see her resolutely beginning to face this great

problem. In her own vigorous native tongue we hear her demanding: "What

in the thunder is all the secrecy about, anyhow?" And we cannot doubt

that America's own answer to that demand will be of immense

significance to the whole world.

Thus it is that as we get to the root of the matter the whole question

becomes clear. We see that there is really no standing ground in any

country for the panic-monger who bemoans the fall of the birth-rate and

storms against small families. The falling birth-rate is a world-wide

phenomenon in all countries that are striving toward a higher

civilisation along lines which Nature laid down from the beginning. We

cannot stop it if we would, and if we could we should merely be

impeding civilisation. It is a movement that rights itself and tends to

reach a just balance. It has not yet reached that balance with us in

this country. That may be seen by anyone who has read the letters from

mothers lately published under the title of _Maternity_ by the Women's

Co-operative Guild; there is still far more misery caused by having too

many babies than by having too few; a bonus on babies would be a

misfortune, alike for the parents and the State--whether bestowed at

birth as proposed in New Zealand, or at the age of twelve months as

proposed in France, or fourteen years as proposed in England--unless it

were confined to children who were not merely alive at the appointed

age, but able to pass examination as having reached a definitely high

standard. The falling birth-rate, which, it must be remembered, is

affecting all civilised countries, should be a matter for joy rather

than for grief.

But we need not therefore fold our hands and do nothing. There is still

much to be effected for the protection of Motherhood and the better

care of children. We cannot, and should not, attempt to increase the

number of children. But we may well attempt to work for their better

quality. There we shall be on very safe ground. More knowledge is

necessary so that all would-be parents may know how they may best

become parents and how they may, if necessary, best avoid it.

Procreation by the unfit should be, if not prohibited by law, at all

events so discouraged by public opinion that to attempt it would be

counted disgraceful. Much greater public provision is necessary for the

care of mothers during the months before, as well as during the period

after, the child's birth. The system of Schools for Mothers needs to be

universalised and systematically carried out. Along such lines as these

we may hope to increase the happiness of the people and the strength of

the State. We need not worry over the falling birth-rate.

[1] Those who wish to study the latest restatements of opinions in

England may be recommended to read the Report of the Commission of

Inquiry into Great Britain's falling birth-rate, appointed in 1913 by

the National Council of Public Morals, under the title of _The

Declining Birth-rate: Its Causes and Effects_, 1916.

XVIII

BIRTH CONTROL

I.

REPRODUCTION AND THE BIRTH-RATE

The study of the questions relating to sex, so actively carried on

during recent years, has become more and more concentrated on to the

practical problems of marriage and the family. That was inevitable. It

is only reasonable that, with our growing scientific knowledge of the

mysteries of sex, we should seek to apply that knowledge to those

questions of life which we must ever regard as central. How can we add

to the stability or to the flexibility of marriage? How can we most

judiciously regulate the size of our families?

At the outset, however, we cannot too deeply impress upon our minds the

fact that these questions are not new in the world. If we try to find

an answer to them by confining our attention to the phenomena presented

by our own species, at our own particular moment of civilisation, it is

very likely indeed that we may fall into crude, superficial, even

mischievous conclusions.

The fact is that these questions, which are agitating us to-day, have

agitated the world ever since it has been a world of life at all. The

difference is that whereas we seek to deal with them consciously,

voluntarily, and deliberately, throughout by far the greater part of

the world's life they have been dealt with unconsciously, by methods of

trial and error, of perpetual experiment, which has often proved

costly, but has all the more clearly brought out the real course of

natural progress. We cannot solve problems so ancient and deeply rooted

as those of sex by merely rational methods which are only of yesterday.

To be of value our rational methods must be the revelation in

deliberate consciousness of unconscious methods which go far back into

the remote past. Our conscious, deliberate, and purposive methods,

carried out on the plane of reason, will not be sound unless they are a

continuation of those methods which have already, in the slow evolution

of life, been found sound and progressive on the plane of instinct.

This must be borne in mind by those people--always to be found among

us, though not always on the side of social advance--who desire their

own line of conduct in matters of sex to be so closely in accord with

natural and Divine law that to question it would be impious.

A medical friend of my own, when once in the dentist's chair under the

influence of nitrous oxide anaesthesia (a condition, as William James

showed, which frequently leads us to believe we are solving the

problems of the universe), imagined himself facing the Almighty and

insistently demanding the real object of the existence of the world.

And the Almighty's answer came in one word: "Reproduction." My friend

is a man of philosophic mind, and the solution of the mystery of the

world's purpose thus presented to him in vision may perhaps serve as a

simple and ultimate statement of the object of life. From the very

outset the great object of Nature to our human eyes seems to be

primarily reproduction, in the long run, indeed, an effort after

economy of method in the attainment of an ever greater perfection, but

primarily reproduction. This tendency to reproduction is indeed so

fundamental, it is impressed on vital organisation with so great a

violence of emphasis, that we may regard the course of evolution as

much more an effort to slow down reproduction than to furnish it with

any new facilities.

Essays in War-Time: Further Studies in the Task of Social Hygiene · 第 12 / 15 段