I believe that many causes and many temperaments go to the making of drunkards. I have read a story by the late Sir Walter Besant, in which he presents the specific craving as if it were a specific magic curse.
The story was supposed to be morally edifying, but I can imagine this ugly superst.i.tion of the "hereditary craving"--it is really nothing more--acting with absolutely paralyzing effect upon some credulous youngster struggling in the grip of a developing habit. "It"s no good trying,"--that quite infernal phrase!
It may be urged that this attempt to whittle down the "inherited craving" to a habit does not meet Mr. Reid"s argument from the gradual increase of resisting power in races subjected to alcoholic temptation, an increase due to the elimination of all the more susceptible individuals. There can be no denying that those nations that have had fermented drinks longest are the soberest, but that, after all, may be only one aspect of much more extensive operations. The nations that have had fermented drinks the longest are also those that have been civilized the longest. The pa.s.sage of a people from a condition of agricultural dispersal to a more organized civilization means a very extreme change in the conditions of survival, of which the increasing intensity of temptation to alcoholic excess is only one aspect. Gluttony, for example, becomes a much more possible habit, and many other vices tender death for the first time to the men who are gathering in and about towns. The city demands more persistent, more intellectualized and less intense physical desires than the countryside. Moral qualities that were a disadvantage in the dispersed stage become advantageous in the city, and conversely. Rugged independence ceases to be helpful, and an intelligent turn for give and take, for collaboration and bargaining, makes increasingly for survival. Moreover, there grows very slowly an indefinable fabric of traditional home training in restraint that is very hard to separate in a.n.a.lysis from mental heredity. People who have dwelt for many generations in towns are not only more temperate and less explosive in the grosser indulgences, but more _urbane_ altogether. The drunken people are also the "uncivil" peoples and the individualistic peoples. The great prevalence of drunkenness among the upper cla.s.ses two centuries ago can hardly have been bred out in the intervening six or seven generations, and it is also a difficult fact for Mr. Reid that drunkenness has increased in France. In most of the cases cited by Mr. Reid a complex of operating forces could be stated in which the appearance of fermented liquors is only one factor, and a tangle of consequent changes in which a gradually increasing insensibility to the charms of intoxication was only one thread. Drunkenness has no doubt played a large part in eliminating certain types of people from the world, but that it specifically eliminates one specific definable type is an altogether different matter.
Even if we admit Mr. Reid"s conception, this by no means solves the problem. It is quite conceivable that the world could purchase certain sorts of immunity too dearly. If it was a common thing to adorn the parapets of houses in towns with piles of loose bricks, it is certain that a large number of persons not immune to fracture of the skull by falling bricks would be eliminated. A time would no doubt come when those with a specific liability to skull fracture would all be eliminated, and the human cranium would have developed a practical immunity to damage from all sorts of falling substances. But there would have been far more extensive suppressions than would appear in the letter of the agreement.
This no doubt is a caricature of the case, but it will serve to ill.u.s.trate my contention that until we possess a far more subtle and thorough a.n.a.lysis of the drunkard"s physique and mind--if it really is a distinctive type of mind and physique--than we have at present, we have no justification whatever in artificial intervention to increase whatever eliminatory process may at present be going on in this respect.
Even if there is such a specific weakness, it is possible it has a period of maximum intensity, and if that should be only a brief phase in development--let us say at adolescence--it might turn out to be much more to the advantage of humanity to contrive protective legislation over the dangerous years. I argue to establish no view in these matters beyond a view that at present we know very little.
Not only do ignorance and doubt bar our way to anything more than a pious wish to eliminate criminality and drunkenness in a systematic manner, but even the popular belief in ruthless suppression whenever there is "madness in the family" will not stand an intelligent scrutiny.
The man in the street thinks madness is a fixed and definite thing, as distinct from sanity as black is from white. He is always exasperated at the hesitation of doctors when in a judicial capacity he demands: "Is this man mad or isn"t he?" But a very little reading of alienists will dissolve this clear a.s.surance. Here again it seems possible that we have a number of states that we are led to believe are simple because they are gathered together under the generic word "madness," but which may represent a considerable variety of induced and curable and non-inheritable states on the one hand and of innate and incurable and heritable mental disproportions on the other.
The less gifted portion of the educated public was greatly delighted some years ago by a work by Dr. Nordau called _Degeneration_, in which a great number of abnormal people were studied in a pseudo-scientific manner and shown to be abnormal beyond any possibility of dispute.
Mostly the samples selected were men of exceptional artistic and literary power. The book was pretentious and inconsistent--the late Lord Tennyson was quoted, I remember, as a typically "sane" poet in spite of the scope afforded by his melodramatic personal appearance and his morbid pa.s.sion for seclusion--but it did at least serve to show that if we cannot call a man stupid we may almost invariably call him mad with some show of reason. The public read the book for the sake of its abuse, applied the intended conclusion to every success that awakened its envy, and failed altogether to see how absolutely the definition of madness was destroyed. But if madness is indeed simply genius out of hand and genius only madness under adequate control; if imagination is a snare only to the unreasonable and a disordered mind only an excess of intellectual enterprise--and really none of these things can be positively disproved--then just as reasonable as the idea of suppressing the reproduction of madness, is the idea of breeding it! Let us take all these dull, stagnant, respectable people, one might say, who do nothing but conform to whatever rule is established about them and obstruct whatever change is proposed to them, whose chief quality is a sheer incapacity to imagine anything beyond their petty experiences, and let us tell them plainly, "It is time a lunatic married into your family."
Let no one run away from this with the statement that I propose such a thing should be done, but it is, at any rate in the present state of our knowledge, as reasonable a proposal, to make as its quite frequently reiterated converse.
If in any case we are in a position to intervene and definitely forbid increase, it is in the case of certain specific diseases, which I am told are painful and disastrous and inevitably transmitted to the offspring of the person suffering from these diseases. If there are such diseases--and that is a question the medical profession should be able to decide--it is evident that to incur parentage while one suffers from one of them or to transmit them in any avoidable way, is a cruel, disastrous and abominable act. If such a thing is possible it seems to me that in view of the guiding principle laid down in these papers it might well be put at the nadir of crime, and I doubt if any step the State might take to deter and punish the offender, short of torture, would meet with opposition from sane and reasonable men. For my own part I am inclined at times almost to doubt if there are such diseases. If there are, the remedy is so simple and obvious, that I cannot but blame the medical profession for very discreditable silences. I am no believer in the final wisdom of the ma.s.s of mankind, but I do believe enough in the sanity of the English-speaking peoples to be certain that any clear statement and instruction they received from the medical profession, as a whole, in these matters, would be faithfully observed. In the face of the collective silence of this great body of specialists, there is nothing for it but to doubt such diseases exist.
Such a systematic suppression of a specific disease or so is really the utmost that could be done with any confidence at present, so far as the State and collective action go. [Footnote: Since the above was written, a correspondent in Honolulu has called my attention to a short but most suggestive essay by Doctor Harry Campbell in the _Lancet_, 1898, ii., p. 678. He uses, of course, the common medical euphemism of "should not marry" for "should not procreate," and he gives the following as a list of "bars to marriage": pulmonary consumption, organic heart disease, epilepsy, insanity, diabetes, chronic Bright"s disease, and rheumatic fever. I wish I had sufficient medical knowledge to a.n.a.lyze that proposal. He mentions inherited defective eyesight and hearing also, and the "neurotic" quality, with which I have dealt in my text. He adds two other suggestions that appeal to me very strongly. He proposes to bar all "cases of non-accidental disease in which life is saved by the surgeon"s knife," and he instances particularly, strangulated hernia and ovarian cyst. And he also calls attention to apoplectic breakdown and premature senility. All these are suggestions of great value for individual conduct, but none of them have that quality of certainty that justifies collective action.] Until great advances are made in anthropology--and at present there are neither men nor endowments to justify the hope that any such advances will soon be made--that is as much as can be done hopefully for many years in the selective breeding of individuals by the community as a whole. [Footnote: If at any time certainties should replace speculations in the field of inheritance, then I fancy the common-sense of humanity will be found to be in favour of the immediate application of that knowledge to life.] At present almost every citizen in the civilized State respects the rules of the laws of consanguinity, so far as they affect brothers and sisters, with an absolute respect--an enormous triumph of training over instinct, as Dr. Beattie Crozier has pointed out--and if in the future it should be found possible to divide up humanity into groups, some of which could pair with one another only to the disadvantage of the offspring, and some of which had better have no offspring, I believe there would be remarkably little difficulty in enforcing a system of taboos in accordance with such knowledge. Only it would have to be absolutely certain knowledge proved and proved again up to the hilt. If a truth is worth application it is worth hammering home, and we have no right to expect common men to obey conclusions upon which specialists are as yet not lucidly agreed. [Footnote: It has been pointed out to me by my friend, Mr. Graham Wallas, that although the State may not undertake any positive schemes for selective breeding in the present state of our knowledge, it can no more evade a certain reaction upon these things than the individual can evade a practical solution. Although we cannot say of any specific individual that he or she is, or is not, of exceptional reproductive value to the State, we may still be able, he thinks, to point out cla.s.ses which are very probably, as a whole, _good_ reproductive cla.s.ses, and we may be able to promote, or at least to avoid hindering, their increase. He instances the female elementary teacher as being probably, as a type, a more intelligent and more energetic and capable girl than the average of the stratum from which she arises, and he concludes she has a higher reproductive value--a view contrary to my argument in the text that reproductive and personal value are perhaps independent. He tells me that it is the practice of many large school boards in this country to dismiss women teachers on marriage, or to refuse promotion to these when they become mothers, which is, of course, bad for the race if personal and reproductive value are identical. He would have them retain their positions regardless of the check to their efficiency maternity entails. This is a curiously indirect way towards what one might call Galtonism. Practically he proposes to endow mothers in the name of education. For my own part I do not agree with him that this cla.s.s, any more than any other cla.s.s, can be shown to have a high reproductive value--which is the matter under a.n.a.lysis in this paper--though I will admit that an ex-teacher will probably do infinitely more for her children than if she were an illiterate or untrained woman. I can only reiterate my conviction that nothing really effective can be organized in these matters until we are much clearer than we are at present in our ideas about them, and that a public body devoted to education has no business either to impose celibacy, or subsidize families, or experiment at all in these affairs.
Not only in the case of elementary teachers, but in the case of soldiers, sailors, and so on, the State may do much to promote or discourage marriage and offspring, and no doubt it is also true, as Mr.
Wallas insists, that the problems of the foreign immigrant and of racial intermarriage, loom upon us. But since we have no applicable science whatever here, since there is no certainty in any direction that any collective course may not be collectively evil rather than good, there is nothing for it, I hold, but to leave these things to individual experiment, and to concentrate our efforts where there is a clearer hope of effective consequence. Leave things to individual initiative and some of us will, by luck or inspiration, go right; take public action on an insufficient basis of knowledge and there is a clear prospect of collective error. The imminence of these questions argues for nothing except prompt and vigorous research.]
That, however, is only one aspect of this question. There are others from which the New Republican may also approach this problem of the quality of the birth supply.
In relation to personal conduct all these things a.s.sume another colour altogether. Let us be clear upon that point. The state, the community, may only act upon certainties, but the essential fact in individual life is experiment. Individuality is experiment. While in matters of public regulation and control it is wiser not to act at all than to act upon theories and uncertainties; while the State may very well wait for a generation or half a dozen generations until knowledge comes up to these--at present--insoluble problems, the private life _must_ go on now, and go upon probabilities where certainties fail. When we do not know what is indisputably right, then we have to use our judgments to the utmost to do each what seems to him probably right. The New Republican in his private life and in the exercise of his private influence, must do what seems to him best for the race; [Footnote: He would certainly try to discourage this sort of thing. The paragraph is from the _Morning Post_ (Sept., 1902):--
"_Wedded in Silence_.--A deaf and dumb wedding was celebrated at Saffron Walden yesterday, when Frederick James Baish and Emily Lettige King, both deaf and dumb, were married. The bride was attended by deaf and dumb bridesmaids, and upwards of thirty deaf and dumb friends were present. The ceremony was performed by the Rev. A. Payne, of the Deaf and Dumb Church, London."] he must not beget children heedlessly and unwittingly because of his incomplete a.s.surance. It is pretty obviously his duty to examine himself patiently and thoroughly, and if he feels that he is, on the whole, an average or rather more than an average man, then upon the cardinal principle laid down in our first paper, it is his most immediate duty to have children and to equip them fully for the affairs of life. Moreover he will, I think, lose no opportunity of speaking and acting in such a manner as to restore to marriage something of the solemnity and gravity the Victorian era--that age of nasty sentiment, sham delicacy and giggles--has to so large an extent refused to give it.
And though the New Republicans, in the existing lack of real guiding knowledge, will not dare to intervene in specific cases, there is another method of influencing parentage that men of good intent may well bear in mind. To attack a specific type is one thing, to attack a specific quality is another. It may be impossible to set aside selected persons from the population and say to them, "You are cowardly, weak, silly, mischievous people, and if we tolerate you in this world it is on condition that you do not found families." But it may be quite possible to bear in mind that the law and social arrangements may foster and protect the cowardly and the mean, may guard stupidity against the compet.i.tion of enterprise, and may secure honour, power and authority in the hands of the silly and the base; and, by the guiding principle we have set before ourselves, to seek every conceivable alteration of such laws and such social arrangements is no more than the New Republican"s duty. It may be impossible to select and intermarry the selected best of our race, but at any rate we can do a thousand things to equalize the chances and make good and desirable qualities lead swiftly and clearly to ease and honourable increase.
At present it is a shameful and embittering fact that a gifted man from the poorer strata of society must too often buy his personal development at the cost of his posterity; he must either die childless and successful for the children of the stupid to reap what he has sown, or sacrifice his gift--a wretched choice and an evil thing for the world at large. [Footnote: This aspect of New Republican possibilities comes in again at another stage, and at that stage its treatment will be resumed.
The method and possibility of binding up discredit and failure with mean and undesirable qualities, and of setting a premium upon the n.o.bler attributes, is a matter that touches not only upon the quality of births, but upon the general educational quality of the State in which a young citizen develops. It is convenient to hold over any detailed expansions of this, therefore, until we come to the general question, how the laws, inst.i.tutions and customs of to-day go to make or unmake the men of to-morrow.]
So far at least we may go, towards improving the quality of the average birth now, but it is manifestly only a very slow and fractional advance that we shall get by these expedients. The obstacle to any ampler enterprise is ignorance and ignorance alone--not the ignorance of a majority in relation to a minority, but an absolute want of knowledge.
If we knew more we could do more.
Our main attack in this enterprise of improving the birth supply must lie, therefore, through research. If we cannot act ourselves, we may yet hold a light for our children to see. At present, if there is a man specially gifted and specially disposed for such intricate and laborious inquiry, such criticism and experiment as this question demands, the world offers him neither food nor shelter, neither attention nor help; he cannot hope for a t.i.the of such honours as are thrust in profusion upon pork-butchers and brewers, he will be heartily despised by ninety-nine per cent. of the people he encounters, and unless he has some irrelevant income, he will die childless and his line will perish with him, for all the service he may give to the future of mankind.
And as great mental endowments do not, unhappily, necessarily involve a pa.s.sion for obscurity, contempt and extinction, it is probable that under existing conditions such a man will give his mind to some pursuit less bitterly unremunerative and shameful. It is a stupid superst.i.tion that "genius will out" in spite of all discouragement. The fact that great men have risen against crushing disadvantages in the past proves nothing of the sort; this roll-call of survivors does no more than give the measure of the enormous waste of human possibility human stupidity has achieved. Men of exceptional gifts have the same broad needs as common men, food, clothing, honour, attention, and the help of their fellows in self-respect; they may not need them as ends, but they need them by the way, and at present the earnest study of heredity produces none of these bye-products. It lies before the New Republican to tilt the balance in this direction.
There are, no doubt, already a number of unselfish and fortunately placed men who are able to do a certain amount of work in this direction; Professor Cossar Ewart, for example, one of those fine, subtle, unhonoured workers who are the glory of British science and the condemnation of our social order, has done much to clarify the discussion of telegony and prepotency, and there are many such medical men as Mr. Reid who broaden their daily practice by attention to these great issues. One thinks of certain other names. Professors Karl Pearson, Weldon, Lloyd Morgan, J. A. Thomson and Meldola, Dr. Benthall and Messrs. Bateson, Cunningham, Poc.o.c.k, Havelock Ellis, E. A. Fay and Stuart Menteath occur to me, only to remind me how divided their attention has had to be. As many others, perhaps, have slipped my memory now. Not half a hundred altogether in all this wide world of English-speaking men! For one such worker we need fifty if this science of heredity is to grow to practicable proportions. We need a literature, we need a special public and an atmosphere of attention and discussion.
Every man who grasps the New Republican idea brings these needs nearer satisfaction, but if only some day the New Republic could catch the ear of a prince, a little weary of being the costumed doll of grown-up children, the decoy dummy of fashionable tradesmen, or if it could invade and capture the mind of a multi-millionaire, these things might come almost at a stride. This missing science of heredity, this unworked mine of knowledge on the borderland of biology and anthropology, which for all practical purposes is as unworked now as it was in the days of Plato, is, in simple truth, ten times more important to humanity than all the chemistry and physics, all the technical and industrial science that ever has been or ever will be discovered.
So much for the existing possibilities of making the race better by breeding. For the rest of these papers we shall take the births into the world, for the most part, as we find them.
[Mr. Stuart Menteath remarks _apropos_ of this question of the reproduction of exceptional people that it is undesirable to suggest voluntary extinction in any case. If a man, thinking that his family is "tainted," displays so much foresighted patriotism, humility, and lifelong self-denial as to have no children, the presumption is that the loss to humanity by the discontinuance of such a type is greater than the gain. "Conceit in smallest bodies strongest works," and it does not follow that a sense of one"s own excellence justifies one"s utmost fecundity or the reverse. Mr. Vrooman, who, with Mrs. Vrooman, founded Ruskin Hall at Oxford, writes to much the same effect. He argues that people intelligent enough and moral enough to form such resolutions are just the sort of people who ought not to form them. Mr. Stuart Menteath also makes a most admirable suggestion with regard to male and female geniuses who are absorbed in their careers. Although the genius may not have or rear a large family, something might be done to preserve the stock by a.s.sisting his or her brothers and sisters to support and educate their children.]
III. CERTAIN WHOLESALE ASPECTS OF MAN-MAKING
-- 1
With a skin of infinite delicacy that life will harden very speedily, with a discomforted writhing little body, with a weak and wailing outcry that stirs the heart, the creature comes protesting into the world, and unless death win a victory, we and chance and the forces of life in it, make out of that soft helplessness a man. Certain things there are inevitable in that man and unalterable, stamped upon his being long before the moment of his birth, the inherited things, the inherent things, his final and fundamental self. This is his "heredity," his incurable reality, the thing that out of all his being, stands the test of survival and pa.s.ses on to his children. Certain things he must be, certain things he may be, and certain things are for ever beyond his scope. That much his parentage defines for him, that is the natural man.
But, in addition, there is much else to make up the whole adult man as we know him. There is all that he has learnt since his birth, all that he has been taught to do and trained to do, his language, the circle of ideas he has taken to himself, the disproportions that come from unequal exercise and the bias due to circ.u.mambient suggestion. There are a thousand habits and a thousand prejudices, powers undeveloped and skill laboriously acquired. There are scars upon his body, and scars upon his mind. All these are secondary things, things capable of modification and avoidance; they const.i.tute the manufactured man, the artificial man.
And it is chiefly with all this superposed and adherent and artificial portion of a man that this and the following paper will deal. The question of improving the breed, of raising the average human heredity we have discussed and set aside. We are going to draw together now as many things as possible that bear upon the artificial const.i.tuent, the made and controllable const.i.tuent in the mature and fully-developed man.
We are going to consider how it is built up and how it may be built up, we are going to attempt a rough a.n.a.lysis of the whole complex process by which the civilized citizen is evolved from that raw and wailing little creature.
Before his birth, at the very moment when his being becomes possible, the inherent qualities and limitations of a man are settled for good and all, whether he will be a negro or a white man, whether he will be free or not of inherited disease, whether he will be pa.s.sionate or phlegmatic or imaginative or six-fingered or with a snub or aquiline nose. And not only that, but even before his birth the qualities that are not strictly and inevitably inherited are also beginning to be made. The artificial, the avoidable handicap also, may have commenced in the worrying, the overworking or the starving of his mother. In the first few months of his life very slight differences in treatment may have life-long consequences. No doubt there is an extraordinary recuperative power in very young children; if they do not die under neglect or ill-treatment they recover to an extent incomparably greater than any adult could do, but there remains still a wide marginal difference between what they become and what they might have been. With every year of life the recuperative quality diminishes, the initial handicap becomes more irrevocable, the effects of ill-feeding, of unwholesome surroundings, of mental and moral infections, become more inextricably a part of the growing individuality. And so we may well begin our study by considering the circ.u.mstances under which the opening phase, the first five years of life, are most safely and securely pa.s.sed.
Food, warmth, cleanliness and abundant fresh air there must be from the first, and unremitting attention, such attention as only love can sustain. And in addition there must be knowledge. It is a pleasant superst.i.tion that Nature (who in such connections becomes feminine and a.s.sumes a capital N) is to be trusted in these matters. It is a pleasant superst.i.tion to which, some of us, under the agreeable counsels of sentimental novelists, of thoughtless mercenary preachers, and ignorant and indolent doctors, have offered up a child or so. We are persuaded to believe that a mother has an instinctive knowledge of whatever is necessary for a child"s welfare, and the child, until it reaches the knuckle-rapping age at least, an instinctive knowledge of its own requirements. Whatever proceedings are most suggestive of an ideal naked savage leading a "natural" life, are supposed to be not only more advantageous to the child but in some mystical way more moral. The spectacle of an undersized porter-fed mother, for example, nursing a spotted and distressful baby, is exalted at the expense of the clean and simple artificial feeding that is often advisable to-day. Yet the mortality of first-born children should indicate that a modern woman carries no instinctive system of baby management about with her in her brain, even if her savage ancestress had anything of the sort, and both the birth rate and the infantile death rate of such n.o.ble savages as our civilization has any chance of observing, suggest a certain generous carelessness, a certain s.p.a.cious indifference to individual misery, rather than a trustworthy precision of individual guidance about Nature"s way.
This cant of Nature"s trustworthiness is partly a survival of the day of Rousseau and Sturm (of the Reflections), when untravelled men, orthodox and unorthodox alike, in artificial wigs, spouted in unison in this regard; partly it is the half instinctive tactics of the lax and lazy-minded to evade trouble and austerities. The incompetent medical pract.i.tioner, incapable of regimen, repeats this cant even to-day, though he knows full well that, left to Nature, men over-eat themselves almost as readily as dogs, contract a thousand diseases and exhaust their last vitality at fifty, and that half the white women in the world would die with their first children still unborn. He knows, too, that to the details of such precautionary measures as vaccination, for example, instinct is strongly opposed, and that drainage and filterage and the use of soap in washing are manifestly unnatural things. That large, naked, virtuous, pink, Natural Man, drinking pure spring water, eating the fruits of the earth, and living to ninety in the open air is a fantasy; he never was nor will be. The real savage is a nest of parasites within and without, he smells, he rots, he starves. Forty is a great age for him. He is as full of artifice as his civilized brother, only not so wise. As for his moral integrity, let the curious inquirer seek an account of the Tasmanian, or the Australian, or the Polynesian before "sophistication" came.
The very existence and nature of man is an interference with Nature and Nature"s ways, using Nature in this sense of the repudiation of expedients. Man is the tool-using animal, the word-using animal, the animal of artifice and reason, and the only possible "return to Nature" for him--if we scrutinize the phrase--would be a return to the scratching, promiscuous, arboreal simian. To rebel against instinct, to rebel against limitation, to evade, to trip up, and at last to close with and grapple and conquer the forces that dominate him, is the fundamental being of man. And from the very outset of his existence, from the instant of his birth, if the best possible thing is to be made of him, wise contrivance must surround him. The soft, new, living thing must be watched for every sign of discomfort, it must be weighed and measured, it must be thought about, it must be talked to and sung to, skilfully and properly, and presently it must be given things to see and handle that the stirring germ of its mind may not go unsatisfied. From the very beginning, if we are to do our best for a child, there must be forethought and knowledge quite beyond the limit of instinct"s poor equipment.
Now, for a child to have all these needs supplied implies certain other conditions. The constant loving attention is to be got only from a mother or from some well-affected girl or woman. It is not a thing to be hired for money, nor contrivable on any wholesale plan. Possibly there may be ways of cherishing and nursing infants by wholesale that will keep them alive, but at best these are second best ways, and we are seeking the best possible. A very n.o.ble, exceptionally loving and quite indefatigable woman might conceivably direct the development of three or four little children from their birth onward, or, with very good a.s.sistance, even of six or seven at a time, as well as a good mother could do for one, but it would be a very rare and wonderful thing. We must put that aside as an exceptional thing, quite impossible to provide when it is most needed, and we must fall back upon the fact that the child must have a mother or nurse--and it must have that attendant exclusively to itself for the first year or so of life. The mother or nurse must be in health, physically and morally, well fed and contented, and able to give her attention mainly, if not entirely, to the little child. The child must lie warmly in a well-ventilated room, with some one availably in hearing day and night, there must be plentiful warm water to wash it, plenty of wrappings and towellings and so forth for it; it is best to take it often into the open air, and for this, under urban or suburban conditions at any rate, a perambulator is almost necessary. The room must be clean and brightly lit, and prettily and interestingly coloured if we are to get the best results. These things imply a certain standard of prosperity in the circ.u.mstances of the child"s birth. Either the child must be fed in the best way from a mother in health and abundance, or if it is to be bottle fed, there must be the most elaborate provision for sterilizing and warming the milk, and adjusting its composition to the changing powers of the child"s a.s.similation. These conditions imply a house of a certain standard of comfort and equipment, and it is manifest the mother cannot be earning her own living before and about the time of the child"s birth, nor, unless she is going to employ a highly skilled, trustworthy, and probably expensive person as nurse, for some year or so after it. She or the nurse must be of a certain standard of intelligence and education, trained to be observant and keep her temper, and she must speak her language with a good, clear accent. Moreover, behind the mother and readily available, must be a highly-skilled medical man.
Not to have these things means a handicap. Not to have that very watchful feeding and attention at first means a loss of nutrition, a r.e.t.a.r.ding of growth, that will either never be recovered or will be recovered later at the expense of mental development or physical strength. The early handicap may also involve a derangement of the digestion, a liability to stomachic and other troubles, that may last throughout life. Not to have the singing and talking, and the varied interest of coloured objects and toys, means a falling away from the best mental development, and a taciturn nurse, or a nurse with a base accent, means backwardness and needless difficulty with the beginning of speech. Not to be born within reach of abundant changes of clothing and abundant water, means--however industrious and cleanly the instincts of nurse and mother--a lack of the highest possible cleanliness and a lack of health and vitality. And the absence of highly-skilled medical advice, or the attentions of over-worked and under-qualified pract.i.tioners, may convert a transitory crisis or a pa.s.sing ailment into permanent injury or fatal disorder.
It is very doubtful if these most favourable conditions fall to the lot of more than a quarter of the children born to-day even in England, where infant mortality is at its lowest. The rest start handicapped.
They start handicapped, and fail to reach their highest possible development. They are born of mothers preoccupied by the necessity of earning a living or by vain occupations, or already battered and exhausted by immoderate child-bearing; they are born into insanity and ugly or inconvenient homes, their mothers or nurses are ignorant and incapable, there is insufficient food or incompetent advice, there is, if they are town children, nothing for their lungs but vitiated air, and there is not enough sunlight for them. And accordingly they fall away at the very outset from what they might be, and for the most part they never recover their lost start.
Just what this handicap amounts to, so far as it works out in physical consequences, is to be gauged by certain almost cla.s.sical figures, which I have here ventured to present again in graphic form. These figures do not present our total failure, they merely show how far the less fortunate section of the community falls short of the more fortunate.
They are taken from Clifford Allb.u.t.t"s _System of Medicine_ (art.
"Hygiene of Youth," Dr. Clement Dukes). 15,564 boys and young men were measured and weighed to get these figures. The black columns indicate the weight (+9 lbs. of clothes) and height respectively of youths of the town artisan population, for the various ages from ten to twenty-five indicated at the heads of the columns. The white additions to these columns indicate the additional weight and height of the more favoured cla.s.ses at the same ages. Public school-boys, naval and military cadets, medical and university students, were taken to represent the more favoured cla.s.ses. It will be noted that while the growth in height of the lower cla.s.s boy falls short from the very earliest years, the strain of the adolescent period tells upon his weight, and no doubt upon his general stamina, most conspicuously. These figures, it must be borne in mind, deal with the living members of each cla.s.s at the ages given. The mortality, however, in the black or lower cla.s.s is probably far higher than in the upper cla.s.s year by year, and if this could be allowed for it would greatly increase the apparent failure of the lower cla.s.s.
And these matters of height and weight are only coa.r.s.e material deficiencies. They serve to suggest, but they do not serve to gauge, the far graver and sadder loss, the invisible and immeasurable loss through mental and moral qualities undeveloped, through activities warped and crippled and vitality and courage lowered.
Moreover, defective as are these urban artisans, they are, after all, much more "picked" than the youth of the upper cla.s.ses. They are survivors of a much more stringent process of selection than goes on amidst the more hygienic upper and middle-cla.s.s conditions. The opposite three columns represent the mortality of children under five in Rutlandshire, where it is lowest, in the year 1900, in Dorsetshire, a reasonably good county, and in Lancashire, the worst in England, for the same year. Each entire column represents 1,000 births, and the blackened portion represents the proportion of that 1,000 dead before the fifth birthday. Now, unless we are going to a.s.sume that the children born in Lancashire are inherently weaker than the children born in Rutland or Dorset--and there is not the shadow of a reason why we should believe that--we must suppose that at least 161 children out of every 1,000 in Lancashire were killed by the conditions into which they were born.
That excess of blackness in the third column over that in the first represents a holocaust of children, that goes on year by year, a perennial ma.s.sacre of the innocents, out of which no political capital can be made, and which is accordingly outside the sphere of practical politics altogether as things are at present. The same men who spouted infinite mischief because a totally unforeseen and unavoidable epidemic of measles killed some thousands of children in South Africa, who, for some idiotic or wicked vote-catching purpose, attempted to turn that epidemic to the permanent embitterment of Dutch and English, these same men allow thousands and thousands of avoidable deaths of English children close at hand to pa.s.s absolutely unnoticed. The fact that more than 21,000 little children died needlessly in Lancashire in that very same year means nothing to them at all. It cannot be used to embitter race against race, and to hamper that process of world unification which it is their pious purpose to delay.
It does not at all follow that even the Rutland 103 represents the possible minimum of infant mortality. One learns from the Register-General"s returns for 1891 that among the causes of death specified in the three counties of Dorset, Wiltshire, and Hereford, where infant mortality is scarcely half what it is in the three vilest towns in England in this respect, Preston, Leicester, and Blackburn, the number of children killed by injury at birth is three times as great as it is in these same towns. Uncla.s.sified "violence" also accounts for more infant deaths in the country than in towns. This suggests pretty clearly a delayed and uncertain medical attendance and rough conditions, and it points us to still better possibilities. These diagrams and these facts justify together a reasonable hope that the mortality of infants under five throughout England might be brought to less than one-third what it is in child-destroying Lancashire at the present time, to a figure that is well under ninety in the thousand.
A portion of infant and child mortality represents no doubt the lingering and wasteful removal from this world of beings with inherent defects, beings who, for the most part, ought never to have been born, and need not have been born under conditions of greater foresight.
These, however, are the merest small fraction of our infant mortality.
It leaves untouched the fact that a vast mult.i.tude of children of untainted blood and good mental and moral possibilities, as many, perhaps, as 100 in each 1,000 born, die yearly through insufficient food, insufficient good air, and insufficient attention. The plain and simple truth is that they are born needlessly. There are still too many births for our civilisation to look after, we are still unfit to be trusted with a rising birth-rate. [Footnote: It is a digression from the argument of this Paper, but I would like to point out here a very popular misconception about the birth-rate which needs exposure. It is known that the birth-rate is falling in all European countries--a fall which has a very direct relation to a rise in the mean standard of comfort and the average age at marriage--and alarmists foretell a time when nations will be extinguished through this decline. They ascribe it to a certain decay in religious faith, to the advance of science and scepticism, and so forth; it is a part, they say, of a general demoralization. The thing is a popular cant and quite unsupported by facts. The decline in the birth-rate is--so far as England and Wales goes--partly a real decline due to a decline in gross immorality, partly to a real decline due to the later age at which women marry, and partly a statistical decline due to an increased proportion of people too old or too young for child-bearing. Wherever the infant mortality is falling there is an apparent misleading fall in the birth-rate due to the "loading" of the population with children. Here are the sort of figures that are generally given. They are the figures for England and Wales for two typical periods.
Period 1846-1850 33 8 births per 1000 Period 1896-1900 28 0 births per 1000 ---------------------------- 5.8 fall in the birth-rate.
This as it stands is very striking. But if we take the death-rates of these two periods we find that they have fallen also.
Period 1846-1850 23 3 deaths per 1000 Period 1896-1900 17 7 deaths per 1000 ---------------------------- 5.6 fall in the death-rate.
Let us subtract death-rate from birth-rate and that will give the effective rate of increase of the population.
Period 1846-1850 10 5 effective rate of increase Period 1896-1900 10 3 effective rate of increase --------------------------------- .2 fall in the rate of increase.