
By Margaret Sanger
To Alice Drysdale Vickery - Whose prophetic vision of liberated womanhood has been an inspiration
INTRODUCTION
THE PIVOT OF CIVILIZATION
CHAPTER I: A New Truth Emerges
CHAPTER II: Conscripted Motherhood
CHAPTER III: "Children Troop Down From Heaven...."
CHAPTER IV: The Fertility of the Feeble-Minded
CHAPTER V: The Cruelty of Charity
CHAPTER VI: Neglected Factors of the World Problem
In this compelling essay, Sanger argues that birth control is far more than a medical issue; it is a decisive factor in the evolution of a truly progressive society. She frames the debate as a clash between two fundamentally different visions of civilization—one rooted in longstanding tradition and authority, the other driven by new ideas of personal freedom and social responsibility. By weaving historical examples with contemporary arguments, she invites listeners to examine how our collective attitudes toward reproduction reflect deeper intellectual and moral divides.
The work moves beyond simple advocacy, probing the ways in which ideas about family, gender, and public policy shape the very fabric of culture. Sanger’s clear, measured prose encourages reflection on the responsibilities that accompany scientific advancement, and on how the choices we make today may become the cornerstone of tomorrow’s civilization. Listeners will find a thought‑provoking blend of history, philosophy, and social critique that remains strikingly relevant.
Language
en
Duration
~5 hours (322K characters)
Publisher of text edition
Project Gutenberg
Credits
Produced by An Anonymous Volunteer, Dan Muller, and David Widger
Release date
2006-02-22
Rights
Public domain in the USA.
Subjects

1879–1966
A fierce and influential voice in the fight for birth control, this American nurse and writer helped push reproductive health into public debate. Her work changed access to contraception in the United States, even as her legacy remains deeply debated.
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