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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

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