of procreating children are both considerably greater in cases
of long-enduring intimacy than where there are numerous, brief,
frequently-changed sexual relationships. (_d_) It is altogether
exceptional for marriage to exercise a curative influence upon the
progress of a disease, and this probability is one which can never
be counted upon. Once the marriage is contracted, sexual intercourse
and the procreation of children cannot be prevented. (_f_) As regards
persons suffering from tuberculosis and alcoholism, the reverse of
what was stated in objection (_f_) is definitely established. (_h_)
The data available as to the immunising influence of inherited
diseases against the same diseases accidentally acquired (_e.g._
of congenital syphilis against acquired syphilis) are extremely
debatable. They seem, indeed, to show provisionally that such an
immunising effect is non-existent. The question of regeneration is
still obscure, and requires thorough investigation. It is certainly
possible that in some cases intermarriage between the diseased
and the healthy may lead, not to the deterioration, but to the
improvement of the race, owing to the fact that thereby favourable
elements are introduced into the family. The principal argument
against this idea of regeneration is that, from marriages in which
both parties are healthy, healthier offspring unquestionably result,
than from marriages in which one or both parties are diseased. The
resulting postulate is, that the healthy should marry the healthy.
_How to Effect Reforms._--No general rules can be formulated
regarding the marriage of persons suffering from disease. The
majority of diseases are of such a nature that their existence
can be established only by means of direct medical examination.
In most cases, medical examination will not justify the assertion
that the particular person must be altogether forbidden to marry,
but only that this particular person ought not to marry some other
specifically indicated individual; should the question arise
regarding another proposed marriage (that is to say, with a different
individual), then a fresh medical examination will be desirable. For
example, we cannot lay it down as a general rule that the marriage
of persons suffering from tuberculosis must be unconditionally
forbidden; all we are able to say is, that when anyone suffering from
tuberculosis desires to marry, that person ought first to submit to
a thorough medical examination. It is therefore necessary that prior
to marriage there should be a medical examination made by one of a
number of doctors officially appointed for this purpose. As a result
of their examination, these officials will give an opinion, whether
the marriage of the person they have examined with some other person
specifically named is or is not desirable in the interest of the
common weal.
Public-domain text, read in full here on John Shaqi.
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