Margaret Sanger: an autobiography.
Part 40
Most particularly I wanted to investigate what had been done for women and children in Russia, to learn whether they had been given the rights and liberties due them in any humanitarian civilization. Grant, Rose, as she was known to me, and I went one day to the Institute for the Protection of Motherhood and Childhood, a vast establishment stretching over several miles, with model clinics, nurseries, milk centers, and educational laboratories. I was overwhelmed in contemplating the undertaking. There was no doubt that the Government was exerting itself strenuously to teach the rudiments of hygiene to an enormous population that had previously known nothing of it. Russia was also aiming to free women from the two bonds that enslaved them most—the nursery and the kitchen. All over the country were crèches connected with the places they worked.
Children were the priceless possessions of Russia. Their time was planned for them from birth to the age of sixteen, when they were paid to go to college, if they so desired. No longer were they a drain or burden to their families. Not only were teachers or parents forbidden to inflict corporal punishment, but children might even report their parents for being vindictive, ill-humored, disorderly, and in many cases they did so.
In one divorce dispute as to custody of the offspring, the father argued that the mother was bad. The Judge asked, “Of what does her badness consist?”
“She is nervous and loses her temper.”
The Judge agreed she was not fit for motherhood.
Furthermore, Russia was investing in future generations by building a healthy race. If there were any scarcity of milk the children were supplied first, the hospitals second, members of the Communist party third, industrial groups fourth, professional classes fifth, and old people over fifty had to scrape along on what they could get, unless they were parents of Communists or closely associated with them.
I was eager also to find out what had been done about the study carried on by Professor Tushnov, of the Institute for Experimental Medicine, on so-called spermatoxin, a substance which, it had been rumored, produced temporary sterility in women. I made an appointment with him, but a shock awaited me. He had tried out his spermatoxin on thirty women, twenty-two of whom had been made immune for from four to five months, but now all laboratory workers had been taken from pure research and set at utilitarian tasks such as the practical effects of various vocations on women’s health. Nothing concerning immunization to conception could be published in Soviet Russia, no information could be given out under penalty of arrest, and, moreover, nothing could appear in a foreign paper which had not already been printed in Russia.
Intourist, the Government tourist bureau, and Voks, the All-Union Society for Cultural Relations with Foreign Countries, had asked me when I had first arrived whom I wished to see and where I wished to go, and had offered to call up people on my list and arrange for visits, a service which had saved me much trouble and expense. In spite of this co-operative attitude, I was suspicious that much was being hidden from us. Before I had left America I had heard I could see only what Russia presented for window-dressing, and with this in mind I was on the alert.
Both Grant and I wondered how the hospitals built under the Tsars compared with recent ones. When I asked to be taken to a certain one, I was assured it was too far away, and anyhow it was being renovated; there was nobody there. I said to myself, “Aha! here is one of the forbidden sights. Whoever heard of a hospital equipped to handle thousands of patients being utterly empty? They are not going to let us see this because it might speak in favor of the old in contrast to the new.”
Politely but firmly I insisted. Again I was told there were so many other interesting things it would be a pity to waste my time going to see it. I found it difficult to say anything further without giving offense. Then Grant encountered a young American nurse from the Presbyterian Hospital in New York who spoke Russian; she also wanted to visit hospitals. We engaged a car of our own and drove a good fifteen miles out of the city over horrible roads, winding and dusty and badly paved, and even pushing on as rapidly as we could we did not get there until late in the afternoon. To our dismay we discovered not a patient, doctor, or nurse in the place, only plasterers, painters, carpenters, and cleaners, pulling down and refurbishing. We had lost half a day and were a little ashamed of our lack of faith.
The night came to take the train for Moscow. Nobody called “All aboard!” in Russia. Trains went right off underneath you when you had one foot on the platform and one on the step. They just moved and moved fast. But we clambered on and soon the leather seats were made into our beds; they were so slippery that we kept falling out.
Once at Moscow, we who were coming second-class, according to Marxian procedure, received the worst rooms at the hotel; those who traveled third had the best. I could not applaud the one selected for me. It was directly over the laundry, and the smells of cooking and suds floated through the window. I refused to stay and was accommodated on the top floor where the servants had once lived.
Moscow was as different from Leningrad as New York City from a sleepy Pennsylvania town. The people walked more quickly and seemed to be going somewhere, not simply wandering listlessly. Bedlam existed at the hotels, but by now we were beginning to learn that the Russians were so concerned with their own efficiency that they had no time to do anything. To be in a hurry merely complicated matters. I could wait, but for energetic Rose it was torture. To all specific requests they replied, “It cannot be. It cannot be.” She had her own methods of coping with this, saying she did not wish to hear the word, “impossible”; she had no intention of asking the impossible. Then when they procrastinated with, “a little later,” she countered, “In America we say, ‘now!’”
Her triumph over dilatoriness came on Health Day. Since health was almost a god in Russia, all activities ceased on that occasion and the populace of Moscow came together on Red Square. The spectacle was to start at two in the afternoon, but before it was light you could hear the songs of men, women, and children moving towards their appointed stations.
Out of our party only thirty were privileged to receive tickets, and their names were posted. Mrs. Clyde and I were on the list, but not Grant or Rose. The previous day the numbers were cut to twenty; that morning there were but sixteen, and feeling ran high. “Why haven’t I a ticket?”
Fortunately for me I had been invited to lunch by Ambassador William C. Bullitt, who entertained lavishly and was helpful to traveling Americans. When I had met him back in New England, I had never thought of him as an ambassador, nor as a man skilled in dealing with the great problems that required strategy, diplomacy, political sagacity, and a prime knowledge of economics and history. I considered him rather as amusing, an excellent dinner host, and one to whom you could go when in difficulty, sure that he would get you out. Perhaps this was what Russia wanted at that time more than anything else. No doubt he was then somewhat disappointed at the turn relations between Russia and the United States had taken. Russians on the whole admired him; they had not forgotten that, although he was not counted a proletarian or in the category of Jack Reed, he had lifted the cudgels for them in the early days when friends were needed.
The Ambassador’s little daughter Ann, aged ten, officiated at the head of the table, apparently enjoying herself. The house in which they were living while the new Embassy was being built had an architecture quite befitting what I imagined the style of Russia should be—a bit of the Kremlin, a bit of a mosque, and a bit of an Indian palace.
On the way to the Square after luncheon a wave of people surged between the rest of the diplomatic party and myself, but I kept saying “diplomatique,” and was bowed through to the grandstand.
Meanwhile Rose had been devoting her whole attention to tickets—and there were no tickets. The lucky holders lined up and filed off under a leader. Rose, the ever resourceful, donned a red bandanna and said to the “forgotten men” in the party, “We’ll make our own battalion.” She handed out slips of paper about the size of the tickets and then started, Grant and the Harvard professors following her through the blare of music and the tramping troops and the pageantry of blue trunks and white shirts, orange trunks and cerise shirts.
Whenever anyone stopped Rose she pointed ahead and repeated my open sesame, “diplomatique,” and they let her by until she reached the last barrier. There the guard was suspicious of her password and challenged her. Then she spied another group coming up, dashed over to the leader, and exclaimed, “Quick, please explain that our interpreter has gone on with our tickets!”
The woman looked unbelieving, but still others arrived at that moment, and the Russian system collapsed under pressure. In they all piled, and Rose turned to her unknown benefactress, “You don’t know how grateful I am to you for getting us in.”
The reply was, “You don’t know how grateful I am to you for getting us in! I’m a tourist too, and we have no tickets either.”
Nobody seeing Moscow that day could have thought it a somber place. It was alive with song, happy faces, bright attire. The parade of a hundred thousand or more was one of the most marvelous spectacles for color, form, cadence, geometrical precision that I had ever seen human beings accomplish. Men and women were representing all sorts of games and sports—swimming, shooting, tennis, flying. There was nothing tawdry. Each company held aloft beautifully designed placards as it passed Stalin, who stood on top of Lenin’s tomb. The Dictator looked much like his pictures, with his heavy black mustache resembling the wings of a bird of prey.
All day long and everywhere you heard the _Internationale_, over and over and over again. Each band struck up as it approached the Tomb and kept playing as it swung on. Always the stirring song from those coming up, those far away—overtones, undertones, thrilling, insistent, now loud in your ears, now dimly echoing in the distance, a rhythmic motif symbolizing the onward march of Young Russia.
_Chapter Thirty-six_
FAITH IS A FINE INVENTION
“_There is a great difference between traveling to see countries and to see people._”
JEAN-JACQUES ROUSSEAU
“Tovarish —— wishes to see you,” came a call from the hotel desk. For a moment I could not place the name, and the face had changed so completely that I could but faintly trace a resemblance to the boy I had seen before. He reminded me I had known him in Seattle as one who had assisted in getting up birth control meetings. When the Wobblies were being arrested in the United States he had hired out as a stoker on a boat, and gradually made his way to Russia, where he thought he could help to usher in the new society.
Here was one person who had not had the best of the bargain. He was shabbily dressed and looked dilapidated, evidently having seen hard times, and had a beaten expression in his eyes. Yet, disillusioned as he was, he had not come to complain. Since it was four in the afternoon, the lunch hour in Russia, I asked him to join me in the dining room, conducted like a large commons. The waiters seemed disgruntled, unhappy, inept and knew very little about service; they glanced scornfully at the man who sat down beside me. The one lively note was the orchestra, which threw itself into marches and wild and spirited Caucasian or Slavic folk dances while we ate.
My guest said this was the best meal he had had since leaving America. “Why don’t you come back?” I asked.
“I couldn’t get in.”
“Would you if you could?”
“Just give me a chance!”
I suppose it was inevitable that in such a social upheaval many suffered. I called upon Dr. Peter Tutyshkin, who had tried to attend our 1925 Conference in New York, but had arrived too late. As was the case with most professional men of his years, he had been of the old aristocracy. He and his wife and two daughters, both physicians, had owned a beautiful home. Now the thousands of volumes of what had formerly comprised his fine medical and scientific library had been taken away, and he and his wife slept and ate in the room which had contained them. He was margined and rationed to the last degree, and I could feel his humiliation at having so little food that he could not offer us a cup of tea.
While we were in Moscow, the Eddy party and the select six whom Louis Fischer was piloting, crossed our path. Fischer, a Russian living in Moscow and writing for the _Nation_, published in the United States, invited Grant and me to go along with them to meet the Secretary of the Commissariat of Public Health, Dr. Kaminsky. We went up a wide open stairway like that of a courthouse and into a spacious room with high windows running from floor to ceiling in French fashion and a huge banquet table laden with the invariable afternoon tea.
Dr. Kaminsky addressed us. “Our worst heritage from the Old Regime was in the field of medicine. The main task before us is to unite science and practice. Our medicine is a form of social insurance, our medical policy based on prevention. We are not interested in profit, only service.”
The Russians had been kind and had grasped very quickly any improvement suggested to them, even accepting criticism with great tolerance. Aware of this, when Dr. Kaminsky paused for questions, Grant inquired about doctors entering private practice.
“As Russia builds up public health work,” was the answer, “more doctors will be able to find room for private practice if they so desire.”
Sherwood Eddy slipped me a note. “Here’s your opportunity to bring up birth control.”
I took my cue. “Has Russia a population policy? Has she formulated any program for the rate of increase of her people?”
The audience stirred as though I had hurled a grenade. The interpreter leaped to his feet and shrieked, “Malthusianism! We will not have Malthusianism here! We do not need it. Do you think or imply that Soviet Russia has to advance Malthusian ideas? We can have all the children we want and Russia can do with twice the population she now has.” He went on and on.
After waiting a few moments for the air to clear, I continued, “I have asked Dr. Kaminsky a simple question which I will repeat. I said nothing about Malthusianism. But I should like to know whether Russia has a population policy. She has had five- and even ten-year plans for agriculture and manufacture and everything she is making. But what has she done about the most important issue today—population, its growth and distribution?”
Fischer was whispering to Dr. Kaminsky, evidently telling him what I wanted to know. The doctor replied, “If I understood correctly, you are asking if there is any policy from the biological or economic point of view.”
“I am asking whether Russia, in planning her industries, has any plan also as to the eventual control of families. I know you have much freedom for women and a fine technique for abortions. To us that is extremely significant, because after a woman has been aborted she returns to the same conditions and becomes pregnant again. Four hundred thousand abortions a year indicate women do not want to have so many children; in my opinion it is a cruel method of dealing with the problem because abortion, no matter how well done, is a terrific nervous strain and an exhausting physical hardship.”
Dr. Kaminsky’s answer was not encouraging. “There is no question as to the increase of population. There is no policy as to the question of biological restrictions; on the contrary there is a policy of increasing the population. For six years we have had a great shortage, not only of skilled workers, but of labor in general.”
Obviously, I was not a particularly welcome visitor.
By chance I was fortunate enough to encounter again Dr. Marthe Ruben-Wolf, who with her husband and children had escaped from Nazi Germany and was then at the head of a Moscow abortorium. Because of her wide experience in Germany, where clinics had been under municipal guidance, she was one of the few Communists who was sane on the subject of population. She very kindly helped me with some of my interviews.
Any woman in Russia who requested it was entitled to abortion on application to a doctor. She was told of the dangers, warned it might result in sterility, charged about two dollars and a half. We talked to about fifty patients who had already been there three days. None had temperatures. They were very jolly and going home that afternoon to rest for another week or two. Then they would go back to work with no deduction in wages. Though some of these women had had five abortions in two years and one had had eight, they could not sing too highly the praises of their country for allowing the operations. When I asked whether they would not prefer to have some information as to how to avoid further ones by protecting themselves from pregnancy, each and all replied, “We have no such thing. We hear of it, but we have nothing. Russia is too poor. We hope she will soon get it.”
In only one place did I see a clinic in the sense that we use the word here, and that was in Moscow where Dr. Kabanova had sixty women the afternoon we viewed it. Great credit is also due Madame Lebedova who organized the original establishment of the Institutes for the Protection of Motherhood and Childhood, laid down the principles to be followed, and persisted until they had been embodied in a definite program.
Dr. Abram B. Genss, assistant director, was in charge of contraceptive supplies and the administration of birth control, such as it was. He was antagonistic, disagreeable, unpleasant, shouting “Malthusianism” into my ears more times in one hour than I had heard it before in twenty years. The methods in the Moscow clinic were antiquated, and I suggested sending a physician to instruct them, but my proposal was not acceptable.
I considered Russia’s situation very serious. Her population was a matter of mathematics; it had increased some fifty million since the downfall of the Empire. Unless she looked ahead and educated her people in the problems which arose out of population, within two generations she would find herself with the same differential birth rate then existing in England and the United States. It would, however, have much more tragic consequences since it would lower the augmentation of the capable, skilled, shock troops of industry, the idealists and active, selfless workers, and would multiply from the bottom unskilled, ignorant, dull-witted workers, the superstitious element which even the greatest efforts of a Soviet dictatorship running at top speed could not pull up and out of their evolutional environment.
I really began to see Russia under another guise after we stepped on the train from Moscow to Gorky, the former Nizhni Novgorod. Around the big, city hotels vendors had been trying to dispose of soft, warm sables and gold-embroidered altar pieces evidently reft from churches, asking good prices for them. But now the peasant women offered tea cozies, wooden boxes, carved and painted, dolls, leather, brass, knickknacks for the tourist, quite unlike anything obtainable elsewhere in Europe, and always, of course, Russian blouses.
The side-wheel steamer _Kommunistka_, small but comfortable, was waiting to carry us down the Volga to Stalingrad. Our party occupied practically all available cabins, but hundreds of Russians were jammed on the decks. At some points the river was a mile wide as it slid between flat landscapes, limitless as far as the eye could reach. Often we overtook rafts of logs, some at least a quarter of a mile long, each bearing a diminutive house where the captain and his family lived. You could see the children scampering back and forth and the crew pushing it leisurely into the current.
We were four days in transit, passing many villages and a few towns—Kazan, Samara, and Saratov. I do not remember the cities clearly. Some places are indelible in your mind; others amount to very little. If you are searching for something and do not find it, the scene vanishes.
At every stop men and women accompanied by children and baskets of belongings were collected in hundreds. They had come a week or more early to make sure of catching the boat, spending the nights on the ground, subsisting on a loaf of bread, a tomato, or a cucumber. Their children were taken care of in the station crèche, bathed, dressed in fresh clothing, taught, directed in play, delivered to the parents just before the _Kommunistka_ landed.
Then came the mad scramble. It was like the old days on Ellis Island when the peasants from Europe arrived, thousands of them, carrying huge bundles on their heads, shoving and rushing and jabbering in strange tongues, attempting to squeeze in. You wondered how so many people could ever get on board. They had no comforts, no room to sleep such as we. They appeared stark and hungry, while we had marvelous food, in fact too much of it. Any American planning to lose weight in Russia was badly disappointed.
Stalingrad, near the mouth of the Volga, was Russia’s greatest industrial city. Here I saw a hotel which was going up in front and falling down behind with about equal rapidity; the building material was lying in the streets. In the one in which we lodged we had to dodge spigots. Plumbing had been laid on all over the country, but the stream from any tap never by any chance landed where it was intended to. You approached cautiously, not knowing whether it would get you in the eye, in the nose, or shoot over your shoulder and hit your suitcase. The bathroom had no lock, and the attendant insisted it was his job to help patrons take a bath. I pushed on one side of the door; he on the other. I won.
At Stalingrad, as everywhere I had been before, I was looking for Russian contraceptive methods, but having been discouraged both by Dr. Kaminsky and Dr. Genss, I went at it rather carefully. When I visited the impressive new hospital I asked the superintendent, who was a gynecologist and spoke good English, whether he gave contraceptive advice.
“I do not, but we have a department of consultation.”
“May I see it?” I had already surveyed about fifteen such, where I had found nothing save exhibits on the wall.
“It’s just across the road.”
“Will you go with me?” I asked. “Elsewhere it’s been hard to get information.”
He agreed readily. As we entered, an attendant was displaying lengthy diagrams to some tourists being shepherded through, and telling them birth control was taught in hospitals throughout Russia. Someone I knew came up to me. “This is wonderful, Mrs. Sanger, the people are being taught birth control by the Government.”
The posters were there to prove this, but the consultation room itself was locked. “Who is in charge here?” demanded the superintendent. “I’ve been sending patients over. Who takes care of them?”
“I do sometimes,” a woman assistant volunteered. She let us into the room. There were the same cases I had seen everywhere, probably untouched since 1925, the articles within moldy and cracked.
“What do you use?” I asked.
“We have nothing. We’ve asked and asked Moscow, but we get nothing.”
The superintendent was much embarrassed; he inquired how long it had been since supplies had come.
“Two years.”
“Why?”
“We don’t know.”
“Well, what about the patients I send over here?”
“We just tell them to go home and wait. We have nothing for them.”