Organized charity itself is the symptom of a malignant social disease. Those vast, complex, interrelated organizations aiming to control and to diminish the spread of misery and destitution and all the menacing evils that spring out of this sinisterly fertile soil, are the surest sign that our civilization has bred, is breeding and perpetuating constantly increasing numbers of defectives, delinquents and dependents.......to breed out of the race the scourges of transmissible disease, mental defect, poverty, lawlessness, crime … since these classes would be decreasing in number instead of breeding like weeds....such a plan would … reduce the birthrate among the diseased, the sickly, the poverty stricken and anti-social classes, elements unable to provide for themselves, and the burden of which we are all forced to carry
— Margaret Sanger
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