He further asserts that the progressive extension of these indications beyond the scope of medicine has often been driven by political reasons, part of which are related to the eugenics movement.
Lebih lanjut ia menegaskan bahwa perluasan secara bertahap indikasi-indikasi ini di luar ruang lingkup kedokteran sering kali digerakkan oleh alasan-alasan politik, sebagian darinya berhubungan dengan gerakan eugenika.