A Tribute to Mary Lindsay

By Alexander Sanger

Mary Lindsay, former board chair of Planned Parenthood of New York City and hence my one-time boss, died on October 4, 2020 at age 100.

Not just indominable, she was unfailingly kind, thoughtful and gracious. As a leader at PPNYC, she was universally respected by her colleagues on the board and the staff. Being a nurse, she cared deeply about how we treated our clients and would walk through the clinics with an eagle eye open and her mouth shut, saving her comments for when we were alone. She knew the role of the board and that of the staff and would behave and lead accordingly. But for term limits, she would have been PPNYC’s board chair for decades.

Generous to PPNYC, she inspired her fellow board members and friends to be as generous as they could, again leading led by example. She chaired at least two capital campaigns, made the lead gifts and then solicited her friends to join her. She was inspiring for our common vision, and friends could not resist Mary’s call to be a part of building something larger than themselves. “I have learned it is a wonderful thing to have people give their money to something they believe in,” she once said. “I have also learned that if you do not ask for it, someone else is going to, and so you had better get there first.”

And coming from Republican stock, though she had become a Democrat, she was invaluable in lobbying and cajoling politicians and donors from the Republican side of the aisle and insured that the staff be nonpartisan in our communications, when it was so tempting to be otherwise. She joined with P.L. Harrison, Barbara Mosbacher and Barbara Gimbel, of the New York State Republican Family Committee, to lobby in Albany for family planning and abortion rights.

She came to PPNYC from the board of the Margaret Sanger Research Bureau, where she had first volunteered as a nurse and then became board chair after my father stepped down, and where she helped that organization merge into PPNYC. She and my father worked closely together and had immense respect for each other. She worked with PPNYC to incorporate the training of doctors and nurses from around the world in family planning into our clinical practice. This program, called the Margaret Sanger Center, brought the best in family planning training to practitioners serving the most needy women and men in the Third World. Mary loved to travel with PPNYC’s education staff, Peter Purdy, Shirley Oliver and Errol Alexis, to view and evaluate our far flung programs around the world.

Below is the list of the board and advisors of the Margaret Sanger Research Bureau before Mary became chair. 

The MSRB board was a distinguished and powerful group: women like Charlton Phelps, Helen Edey, Emily Workum and Jane Canfield worked alongside the equally powerful men: Alan Guttmacher, M.D., Henry Clay Frick, M.D., Christopher Tietze, M.D. and George Zeidenstein. Mary led them all as board chair, a tribute to her leadership and diplomatic skills, as physicians were not especially known at that time for their high opinion of nurses.
Mary and I travelled to Cairo in 1994 for the UN International Conference on Population and Development where, among other things, we appeared on a panel together on how to advocate for reproductive rights in different cultures. With us on the panel were the Health Minister of the Philippines, Juan Flavier, and from Egypt, Aziza Hussein, a leading women’s rights advocate. I spoke about PPNYC’s subway advertising campaign and Mary spoke about how she lobbied Republicans and Democrats in Albany and Washington. We stunned our fellow panelists with our forthrightness about sex – Juan Flavier had been condemned from the pulpit by Cardinal Sin of the Philippines for his advocacy of condom use to prevent HIV transmission, and Aziza Hussein spoke of how she had to avoid mentioning sex when advocating for family planning in Egypt, instead advocating for child spacing. 

Juan Flavier, Mary, Aziza Hussein, Alex Sanger
Mary speaking in Cairo

On the day after our panel, at Mary’s instigation, she and I, accompanied by Peter Purdy, the PPNYC Vice President for International Affairs and his wife, Susan, along with Peggy Kerry, a PPNYC advisor and sister of Senator John Kerry who was at the Conference, took a dawn horseback ride to the Sphinx and Pyramids. We had the desert to ourselves. No one of the other 20,000 delegates had the imagination or gumption to organize this mad venture. We rode across the desert in a gallop and saw the sun rise over the Pyramids as the day warmed. It was an experience we never forgot. 

Mary is second from left

Mary was most interested in, as she said, “the rights of women and men to make the decision of when and whether to have a child.” She dedicated so much to make that a reality.

She said: “I cannot separate freedom of choice from family planning and abortion. It seems to me that you have got to be able to make your own decision about having a child, or not having a child.  And, if for whatever reason, you become pregnant and you do not want to be, the option to have an abortion should be available.  The same is true of contraception. From the time someone is fertile, that someone should be able to manage their fertility. I think it is as simple as that. That is not only an issue about women, but about the children that are brought into the world that is so important to me.” 


IPPF/WHR Statement on Separation from the Global IPPF – August 5, 2020

For more than 60 years, IPPF/WHR has worked as an independent organization alongside the International Planned Parenthood Federation to secure sexual and reproductive health and rights for women and girls in the Americas and the Caribbean.

We are proud of what we have accomplished together over the decades, but we believe that our movement has reached a crossroads – and that separating from the global Federation is the best way to fulfill our organization’s mission.

More than a year ago, we initiated a process of reflection, rejecting the patriarchal and colonial legacies of the past, and reimagining the WHR through the lens of intersectional feminism. We reinvented our business and funding models to address shortfalls from IPPF’s funding structure, and we reformed our organizational structure to ensure that women and girls are at the center of our new horizontal partner model of cooperation. These reforms positioned us to meet the serious challenges of the COVID-19 global pandemic.

This is a unique historical moment in Latin America and the Caribbean, one in which civil society is openly rejecting patriarchal systems of oppression. IPPF/WHR is excited to embrace and work alongside a new generation of community leaders fighting for equity and social justice.

We are confident that our decision to separate from the global Federation will enable us to better deliver on the kind of change that is needed to support women, girls, and the underserved communities across our region. And we will do so with good governance, transparency and accountability to our donors and to the women and girls we serve.

Today, as an independent organization, we are more committed than ever to securing sexual and reproductive health and rights for all women and girls in Latin America and the Caribbean. We are excited to embark on this new chapter and look forward to working with you as a partner in this journey.

Statement of Solidarity from IPPFWHR



The International Planned Parenthood Federation/Western Hemisphere Region stands in solidarity with activists for racial justice in the United States and throughout the world.

The murders of George Floyd and Breonna Taylor, and so many more victims of police brutality in the United States, are the result of state-sanctioned violence and systematized racial inequality that permeates every aspect of our society, including reproductive health. You can see in the eyes of a pregnant woman in Austin who was shot in the stomach while protesting at police headquarters.  You can see it in the eyes of the woman fearing for her child’s life every time he walks out the front door.

These oppressive forces have generated pain, outrage, and frustration throughout our nation’s history, yet we have found hope in the images of countless activists marching in cities both big and small; in the voices crying out for an end to the senseless murders of and violence against Black bodies.

Make no mistake about it: this is a global fight for racial justice that requires each and every one of us to take action.  This weekend, we also saw an uprising in the favelas in Rio de Janeiro, where hundreds of demonstrators converged to protest crimes committed by police against Black Brazilians.  A week ago a Black youth was killed by police at his home in a favela in Rio de Janeiro, while respecting the social distancing measures with his family. We see the effects of structural racism in the United States and our region day-in and day-out and know we all have a role to play in demanding racial justice, having difficult conversations, and putting pressure on our leaders to act.

Everyone has the right to live in peace and free of violence. Everyone has the right to be treated with humanity and equal dignity. This is the time for change.

Our heart goes out to the family of George Floyd and the countless others in our nation whose loved ones have died at the hands of the forces that claimed to protect them.

The End of Babies?

The End of Babies?

By Alexander Sanger


In its November 17, 2019 edition, The New York Times published a two-page Opinion Essay by Anna Louie Sussman entitled, “The End of Babies”. The gist is that Modern Capitalism is inimical to reproduction: economic, social and environmental factors, and moral ones too, are hostile to having babies. The article compares capitalism and its effects in low-fertility Denmark and China. Late Capitalism, she argues, “has become hostile to reproduction”. The system in such countries, where basic needs are met and there is seemingly limitless freedom, may make children an afterthought or an unwelcome intrusion in a life that offers rewards of a different kind – career, hobbies, holidays. Women often defer childbearing or finally realize they actually want children at an age where they are forced to turn to assisted reproduction.


The story did not look at fertility rates in non-capitalist countries, like Russia or North Korea, where fertility is equally low, or lower.


Nor did the word “biology” appear. There are two paragraphs on men and male attitudes and behaviors, including that one in five men in Denmark and the U.S. will not become a parent. The rest deals with the female experience, including her own, and female advocates for reproductive justice.


I went back to Ms. Sussman’s article when Dr. Sarah E. Hill’s book, How the Pill Changes Everything, arrived on my desk last week. The book examines declining birthrates but from a biological angle. The word, “biology” appears throughout. As do the words “men” and “males”.


The default position, indeed, the primary focus of our work at International Planned Parenthood, is rightly on women and girls, and providing them sexual and reproductive health services and advocacy for reproductive justice. We are a proudly feminist organization. Yet, as my grandmother said 75 years ago when IPPF was founded in Bombay, India, “We won’t get anywhere without the men.” Women, who want children by means other than assisted reproduction, won’t get anywhere without the men either. As Ms. Sussman noted, “Reproduction is the ultimate nod to interdependence. We depend on at least two people to make us possible.”


So, with all the focus in her article on the social, economic, educational, urbanization etc. factors and their effects on female fertility, might human biology and men have something to do with the declining birthrate? Might our Darwinian mating system, which has evolved since the time any life appeared on the planet, not be working? If not, why not? The answer might lie in changes to our biology, not just in the changes in the socio-economic system, or systems. Dr. Hill focuses on this and raises the issue of whether the Pill’s mere existence affects fertility in ways beyond its obvious contraceptive effects.


I wrote in Beyond Choice: Reproductive Freedom in the 21st Century of hormonal contraception’s effect on the Major Histocompatibility Complex. There is evidence, I wrote, about the interference of the Pill with the normal mechanism of sexual selection as reflected in MHC preference. This preference leads males and females to choose mates with differing MHCs, thus leading to a better chance of a successful pregnancy and of their offspring having a better genetic quality and chance of survival. Hormonal contraception, I wrote, appears to interfere with a female’s mating preferences by leading them to choose males with a similar, not dissimilar, MHCs.  This can lead to difficulties in getting and keeping pregnant and in healthy progeny. Furthermore, hormonal contraception also interferes with a male’s mating preferences. Males avoid mating with females who are on hormonal contraception, whether they consciously know it or not. Thus, the Pill interferes with natural mate choice and hence successful reproduction by both males and females. I wrote that more study was needed, but that women and men needed to be aware of these possible unintended consequences of hormonal contraception.


Dr. Hill brings this research up to date, which confirms what I wrote 15 years ago. Dr. Hill states that hormonal contraception affects … ta da…a woman’s hormones and that, in turn, affects everything, including their mate choices, the chances of a successful long-term relationship and the chances of becoming pregnant and having healthy offspring. Women seem to prefer different types of men when on and off the Pill. A woman’s natural hormones, unaffected by the Pill, may guide women to men who have healthy compatible genes. Hormonal contraception, however, may guide women to men who have less compatible genes, thereby making it more difficult to get pregnant and have healthy children. Dr. Hill warns, correctly, that the science has not proved this conclusively and that any conclusions are speculative.


Ms. Sussman does state in her article that, “Chemicals and pollutants seep into our bodies, disrupting our endocrine systems,” but she is not referring to hormonal contraception and its effects on mate choice. She also does not mention the multiple studies surrounding declining sperm count in males and reduced sperm quality.


Dr. Hill points out that the Pill has also been seen to reduce the sex drive of some women. Certainly, celibacy was not one of the intended consequences of this method of contraception. But also, the Pill may make men less interested in having sex with women on the Pill and thus less likely to be chosen as a mate. The Pill appears to reduce the boost in attractiveness that comes with a pre-ovulatory estrogen surge. Hence, the mating system is at risk of being thrown out of whack.


Dr. Hill argues that the pill, by changing women’s biology, has the ability to have cascading effects on everyone and everything a woman encounters, including potential male mates. And when you multiply this type of an effect by the many millions  of women around the world on hormonal contraception, the pill changes the world. (At IPPF, hormonal contraception constitutes about 45% of the methods we distribute: Injectables at 11%, Oral Contraceptives at 11% and Implants at 23%. In addition, some IUDs we distribute contain hormones.)


There is no doubt that the mating system is more than biological. With women achieving more, thanks to contraception, men are achieving relatively less. Men, as an economic matter, are thus less attractive as mates. The mating market is thus bifurcated into two markets – the dating-sex market and the marriage market. The Pill enables the former and has a depressing effect on the latter. In the U.S., for the first time in history, single women out number married women. Hence more single motherhood (and sometimes fatherhood), delayed motherhood and assisted reproduction. The fertility rate of single women is about half that of married women, hence the low overall fertility rate, and, in some countries, a declining population. How much do biology and the hormonal effects of the Pill on women and men contribute to this quandary and this outcome? As Dr. Hill says, this is still undetermined but not outside the realm of biological possibility.


Reproduction is too often seen by commentators as a rational lifestyle choice affected only by socio-economic factors. It is far, far more that. The Unknown Unknowns, to borrow a phrase, are staggering.



Letters to the Editor: The lie that Planned Parenthood’s founder was a virulent racist

Clyde W. Ford wrongly lumps my grandmother, Planned Parenthood founder Margaret Sanger, with far-right immigration opponents.

Her version of eugenics was far different from that described by Ford. It sought to address the manner in which heredity and other biological factors, as well as environmental and cultural ones, affect human health, intelligence and opportunity. My grandmother hoped to locate birth control in a larger program of preventive social medicine to improve the condition of all people.

She spoke out against immigration acts and other measures that promoted racial or ethnic stereotypes. She worked for more than 50 years to provide reproductive autonomy to poor women, including women of color, because she saw it as an essential tool of individual liberation and social justice, not of social control.

Alexander Sanger

New York

The writer chairs the International Planned Parenthood Council.

With thanks to Ellen Chesler — she and I spend too much time rebutting these falsehoods.

Toulmin Foundation Orchestral Grants 2019

The Virginia B. Toulmin Foundation announced its 2019 grants in The Virginia B. Toulmin Foundation’s Orchestra Commissioning Program for Emerging Female Composers.

These grants fund commissions for emerging female composers at selected orchestras nationwide.

The 2019 recipients are:

  • Dallas Symphony Orchestra, Dallas, TX – Composer Angelica Negron
  • Philadelphia Orchestra, Philadelphia, PA – Composer Xi Wang

The 2019 awards are part of a series of annual awards for female composers that the Foundation has made since 2013. Past grants have been made to, among others, the New York Philharmonic for Ashley Fure, Los Angeles Philharmonic for Natacha Diels and Chicago Symphony Orchestra for Amy Beth Kirsten. The Foundation also funds awards to emerging female composers through the Earshot Program, a partnership of the League of American Orchestras, the American Composers Orchestra, American Composers Forum and New Music USA, as well as awards to composers via the Chamber Music Society of Lincoln Center and National Sawdust.

The Foundation has made numerous grants to support commissions for female composers, focusing its grantmaking on a broad diversity of voices that need to be heard. The Foundation makes similar awards to emerging female playwrights and choreographers in the fields of theater, opera, and ballet. The Foundation carries on the principles of its founder, Virginia B. Toulmin, a long-time patron of the arts, who believed in equal access and opportunity for women.

Toulmin Foundation Ballet Grants 2019

The Virginia B. Toulmin Foundation announced its 2019 grants in The Virginia B. Toulmin Foundation’s Ballet Commissioning Program for Emerging Female Choreographers.

These grants fund commissions for emerging female choreographers at selected ballet companies nationwide.

The 2019 recipients are:

  • Boston Ballet, Boston, MA – for Choreographer Lauren Flower
  • Pacific Northwest Ballet, Seattle, WA – for Choreographer Eva Stone
  • Ballet West, Salt Lake City, UT – for Choreographer Jennifer Archibald

These grants are in addition to grants previously awarded in 2019 to New York City Ballet and American Ballet Theater for their new ballets by emerging female choreographers. The 2019 awards are part of a series of annual awards for female choreographers that the Foundation has made since 2013, including to New York City Ballet for Lauren Lovett and Gianna Reisen, Dance Theater of Harlem for Claudia Schreier and Atlanta Ballet for Gemma Bond.

The Foundation has made numerous grants to support commissions for emerging female choreographers, focusing its grantmaking on a broad diversity of voices that need to be heard. The Foundation makes similar awards to emerging female playwrights and composers in the fields of theater, symphonic music and opera. The Foundation carries on the principles of its founder, Virginia B. Toulmin, a long-time patron of the arts, who believed in equal access and opportunity for women.

Toulmin Foundation Ballet School Grants 2019

The Virginia B. Toulmin Foundation announced its 2019 grants in The Virginia B. Toulmin Foundation’s Ballet Schools’ Training Program for Female Student Choreographers.

These grants fund the training of female student choreographers at selected ballet schools nationwide.

The 2019 recipients are:

  • Boston Ballet School, Boston, MA — Student Choreographic Project for the 2019/2020 Academic Year
  • Pacific Northwest Ballet, Seattle, WA – New Voices: Choreography and Process for Young Women in Dance

In past years, the Foundation has supported the schools of both Boston and Pacific Northwest Ballets for their programs to encourage, mentor and train emerging female choreographers among their students. The Foundation has also supported, and continues to support, a similar program at the School of American Ballet in New York City. The Foundation also supports commissions for female choreographers via Dance USA and at the Fall for Dance Festival at New York City Center, the Joyce Theater Ballet Festival and the Vail Dance Festival.

The Foundation has made numerous grants to support commissions for female choreographers, focusing its grant-making on a broad diversity of voices that need to be heard. The Foundation makes similar awards to emerging female playwrights and composers in the fields of theater, symphonic music and opera. The Foundation carries on the principles of its founder, Virginia B. Toulmin, a long-time patron of the arts, who believed in equal access and opportunity for women.

Toulmin Foundation Theater Grants 2019

The Virginia B. Toulmin Foundation Announced 2019 grants For Its Women Playwrights Commissioning Program.

The 2019 recipients are:

Atlantic Theater, New York, NY – Playwright Sanaz Toossi

New York Theater Workshop, New York, NY – Playwright Mfoniso Udofia

Primary Stages, New York, NY – Playwright Sarah Mantell

Rattlestick Playwrights Theater, New York, NY – Playwright Stacey Rose

The Public Theater, New York, NY – Playwright Erika Dickerson-Despenza

The Wilma Theater, Philadelphia, PA – Playwright Mary Tuomanen

Victory Gardens Theater, Chicago, IL – Playwright Masi Asare

The 2019 awards are the seventh in a series of annual awards for female playwrights that the foundation has made since 2013. Past recipients include: The Public Theater for Patricia lone Lloyd for Eve’s Song, Soho Rep for Jackie Sibblies Drury for Fairview and Culture Project for Staceyann Chin for MotherStruck!

The Foundation has made over 50 grants to support commissions for emerging female playwrights, focusing its grantmaking on a broad diversity of voices that need to be heard. The Foundation makes similar awards to emerging female composers and choreographers in the fields of opera, symphonic music and ballet. The Foundation carries on the principles of its founder, Virginia B. Toulmin, a long-time patron of the arts, who believed in equal access and opportunity for women.