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The Pill in Puerto Rico and <strong>the</strong> Mainland United States 169<br />
The Science and Clinical Trials of <strong>the</strong> Pill<br />
In Puerto Rico, <strong>the</strong> road to <strong>the</strong> clinical trials was inaugurated with<br />
<strong>the</strong> founding of <strong>the</strong> Population Association and its transformation into<br />
Pro Familia, groups composed mostly of women that operated within<br />
<strong>the</strong> tradition of feminism that believed strongly in modernization,<br />
technology, and science as a road to social progress. On <strong>the</strong> continent,<br />
<strong>the</strong> project was launched in a similar way: Margaret Sanger, champion<br />
since <strong>the</strong> Progressive Era of technology as <strong>the</strong> means of better contraception,<br />
guided heiress Ka<strong>the</strong>rine Dexter McCormick toward funding<br />
endocrinological research on hormonal contraception. In 1951, at<br />
Sanger’s urging, Gregory Pincus, already known for unconventional,<br />
radical work in reproductive biology (he had lost his appointment at<br />
Harvard University following his well-publicized claim to have induced<br />
par<strong>the</strong>nogenesis in rabbits) began work on hormonal contraceptives<br />
under a small grant from PPFA. In 1953, McCormick took over <strong>the</strong><br />
funding of his work, and even as PPFA lost interest, began to fund<br />
it as extensively as Pincus could fi nd use for <strong>the</strong> money (Reed, 1978,<br />
pp. 340–341). After leaving Harvard, Pincus had struggled for funding<br />
for his Worcester Foundation for Experimental Biology; he worked for<br />
numerous funders, including Searle pharmaceutical, <strong>the</strong> Rockefeller<br />
Foundation, and PPFA—a biological entrepreneur par excellence (Reed,<br />
1978, pp. 343–354; Vaughan, 1970, pp. 26–28). With McCormick’s<br />
interest, however, hormonal contraceptive research became lucrative<br />
as well as an appealing line of work for addressing <strong>the</strong> social problems<br />
of <strong>the</strong> developing world.<br />
For Rock, Pincus, and <strong>the</strong> teams <strong>the</strong>y directed, conducting clinical<br />
trials of <strong>the</strong> Pill in Puerto Rico simply made sense. In <strong>the</strong> popular<br />
press and <strong>the</strong> development literature, Puerto Rico had become a kind<br />
of poster child for overpopulation, which is to say, a classic example<br />
of <strong>the</strong> precise problem <strong>the</strong>ir science was meant to solve. 2 Moreover, as<br />
Gamble had shown in years of research on spermicides, Puerto Rico had<br />
many well-trained physicians and researchers who were experienced in<br />
birth control clinical trials. Perhaps most importantly, Rock, Pincus,<br />
and <strong>the</strong>ir sponsors at Searle found on <strong>the</strong> island many like-minded<br />
people, very concerned about “overpopulation” who were prepared to<br />
go to considerable lengths to secure “strong” contraception. The physicians<br />
and organizations that conducted <strong>the</strong> research and compiled <strong>the</strong><br />
results—Doctors Edris Rice-Wray and Adaline Pendleton Satterthwaite,<br />
<strong>the</strong> Asociación Puertorriqueña Pro Bienestar de la Familia, and Gamble<br />
himself—all articulated <strong>the</strong>ir support for <strong>the</strong> testing of <strong>the</strong> Pill in terms