All classes, especially the poor, welcomed the knowledge with open arms, and requests came thick and fast for the League’s assistance to obtain the necessary appliances free of charge. The consequence has been that for the past twelve years the League has labored chiefly among the people of the poorest districts. Dr. J. Rutgers and Madame Hoitsema Rutgers, two other ardent advocates of these principles, have devoted their lives to this work. Dr. Rutgers says that where this knowledge is taught there is a reciprocal action to be observed: “In families where children are carefully procreated, they are reared carefully; and where they are reared carefully, they are carefully procreated.” The Neo-Malthusian League of Holland has over 5,000 men and women in its membership, and more than fifty nurses whom it endorses. THE DISTRICT NURSES. These nurses are trained and instructed by Dr. Rutgers in the proper means and hygienic principles of the methods of Family Limitation. They are established in practice in the various towns and cities throughout Holland. They not only advise women as to the best method to employ to prevent conception, but they also supply them with a well-fitted pessary, and teach them how to adjust, remove, and care for it—all for the small sum of 1½ guilder, or about 60 cents. They work mainly in the agricultural and industrial districts, or are located near them; and their teachings include not only the method of prevention of conception, but instruction in general and sexual hygiene, cleanliness, the uselessness of drugs, and the non-necessity of abortions. In this country, for a nurse to dare to fit a woman with a pessary would be considered a breach of professional rights. In Holland, they know the poor cannot pay the physicians, and this simple adjustment is looked upon by the medical profession much as they view the nurse administering an enema or a douche. I had the pleasure of attending some of the classes where Dr. Rutgers gave this course of instruction. I also attended and assisted in the clinics where women came to be advised, instructed, and fitted. Many of them came for the first time, and though they were unacquainted with any means to be employed, they accepted the instructions in a most natural and intelligent manner. Other women came to be refitted, and many brought the pessary previously used, to ask questions concerning its adjustment. There was a determined social responsibility in the attitude of these peasant women coming into The Hague from the surrounding districts. It seemed like a great awakening. They look upon a new baby in the family much as they look upon the purchase of an automobile or a piano or any other luxury where they have no room to keep it, and no means with which to purchase it or to continue in its upkeep.