The complex problems now confronting America as the result of the practice of reckless procreation are fast threatening to grow beyond human control. Everywhere we see poverty and large families going hand in hand. Those least fit to carry on the race are increasing most rapidly. People who cannot support their own offspring are encouraged by Church and State to produce large families. (…) Funds that should be used to raise the standard of our civilization are diverted to the maintenance of those who should never have been born.

Margaret Sanger, c. 1921