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 mass 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