Science
Overlooked No More: Katharine McCormick, Force Behind the Birth Control Pill
This article is part of Overlooked, a series of obituaries about remarkable people whose deaths, beginning in 1851, went unreported in The Times.
Katharine Dexter McCormick, who was born to a life of wealth, which she compounded through marriage, could have sat back and simply enjoyed the many advantages that flowed her way. Instead, she put her considerable fortune — matched by her considerable willfulness — into making life better for women.
An activist, philanthropist and benefactor, McCormick used her wealth strategically, most notably to underwrite the basic research that led to the development of the birth control pill in the late 1950s.
Before then, contraception in the United States was extremely limited, with bans on diaphragms and condoms. The advent of the pill made it easier for women to plan when and whether to have children, and it fueled the explosive sexual revolution of the 1960s. Today, the pill, despite some side effects, is the most widely used form of reversible contraception in the United States.
McCormick’s interest in birth control began in the 1910s, when she learned of Margaret Sanger, the feminist leader who had been jailed for opening the nation’s first birth control clinic. She shared Sanger’s fervent belief that women should be able to chart their own biological destinies.
The two met in 1917 and soon hatched an elaborate scheme to smuggle diaphragms into the United States.
Diaphragms had been banned under the Comstock Act of 1873, which made it a federal crime to send or deliver through the mail “obscene, lewd or lascivious” material — including pornography, contraceptives and items used for abortions. (The law, which still prohibits mailing items related to abortions, has received renewed attention since the federal right to abortion was overturned in 2022.)
McCormick, who was fluent in French and German, traveled to Europe, where diaphragms were in common use. She had studied biology at the Massachusetts Institute of Technology and was able to pose as a scientist in meetings with diaphragm manufacturers. “She purchased hundreds of the devices and hired local seamstresses to sew them into dresses, evening gowns and coats,” according to a 2011 article in M.I.T. Technology Review. “Then she had the garments wrapped and packed neatly into trunks for shipment.”
She and her steamer trunks made it through customs. If the authorities had stopped her, the article said, they would have found “nothing but slightly puffy dresses in the possession of a bossy socialite, a woman oozing such self-importance and tipping her porters so grandly that no one suspected a thing.”
From 1922 to 1925, McCormick smuggled more than 1,000 diaphragms into Sanger’s clinics.
After her husband died in 1947, she inherited a considerable amount of money, and she asked Sanger for advice on how to put it to use advancing research into contraception. In 1953, Sanger introduced her to Gregory Goodwin Pincus and Min-Chueh Chang, researchers at the Worcester Foundation for Experimental Biology in Massachusetts, who were trying to develop a safe, reliable oral contraceptive.
She was excited by their work and provided almost all the funding — $2 million (about $23 million today) — required to develop the pill. She even moved to Worcester to monitor and encourage their research. Pincus’s wife, Elizabeth, described McCormick as a warrior: “Little old woman she was not. She was a grenadier.”
The Food and Drug Administration approved the pill for birth control in 1960.
Katharine Moore Dexter was born into an affluent, socially activist family on Aug. 27, 1875, in Dexter, Mich., west of Detroit. The town was named for her grandfather, Samuel W. Dexter, who founded it in 1824 and maintained an Underground Railroad stop in his home, where Katharine was born; her great-grandfather, Samuel Dexter, was Treasury secretary under President John Adams.
Katharine and her older brother, Samuel T. Dexter, grew up in Chicago. Their mother, Josephine (Moore) Dexter, was a Boston Brahmin who supported women’s rights. Their father, Wirt Dexter, was a high-powered lawyer who served as president of the Chicago Bar Association and as a director of the Chicago, Burlington & Quincy Railroad. He also headed the relief committee after the Great Chicago Fire of 1871 and was a major real estate developer.
He died when Katharine was 14. A few years later, her brother died of meningitis while attending Harvard Law School. Those early deaths pointed her toward a career in medicine.
She attended M.I.T. and majored in biology, rare achievements for a woman of that era. She arrived with a mind of her own, and successfully challenged a rule that female students had to wear hats at all times, arguing that they posed a fire hazard in the science labs. She graduated in 1904 and planned to attend medical school.
But by then, she had started dating the dashing Stanley Robert McCormick, whom she had known in Chicago and who was an heir to an immense fortune built on a mechanical harvesting machine that his father had invented. As a young lawyer, he helped negotiate a merger that made his family a major owner of International Harvester; by 1909, it was the fourth largest industrial company in America, measured in assets.
McCormick persuaded Katharine to marry him instead of going to medical school. They wed at her mother’s château in Switzerland and settled in Brookline, Mass.
But even before they married, he had showed signs of mental instability, and he began experiencing violent, paranoid delusions. He was hospitalized with what was later determined to be schizophrenia, and remained under psychiatric care — mostly at Riven Rock, the McCormick family estate in Montecito, Calif. — until his death. She never divorced him and never remarried. They had no children.
Katharine McCormick spent decades mired in personal, medical and legal disputes with her husband’s siblings. They battled over his treatment, his guardianship and eventually his estate, as detailed in a 2007 article in Prologue Magazine, a publication of the National Archives. She was his sole beneficiary, inheriting about $40 million ($563 million in today’s dollars). Combined with the $10 million (more than $222 million today) she had inherited from her mother, that made her one of the wealthiest women in America.
As her husband’s illness consumed her personal life, McCormick threw herself into social causes. She contributed financially to the suffrage movement, gave speeches and rose in leadership to become treasurer and vice president of the National American Woman Suffrage Association. After women won the right to vote in 1920, the association evolved into the League of Women Voters; McCormick became its vice president.
In 1927, she established the Neuroendocrine Research Foundation at Harvard Medical School, believing that a malfunctioning adrenal gland was responsible for her husband’s schizophrenia. She provided funding for two decades and acquired an expertise in endocrinology that later informed her interest in the development of an oral contraceptive.
After the F.D.A. approved the pill, McCormick turned her attention to funding the first on-campus residence for women at M.I.T. When she studied there, women had no housing, one of several factors that discouraged them from applying. “I believe if we can get them properly housed,” she said, “that the best scientific education in our country will be open to them permanently.”
McCormick Hall, named for her husband, opened on the institute’s Cambridge campus in 1963. At the time, women made up about 3 percent of the school’s undergraduates; today, they make up about 50 percent.
By the time she died of a stroke on Dec. 28, 1967, at her home in Boston, McCormick had played a major role in expanding opportunities for women in the 20th century. She was 92.
Apart from a short article in The Boston Globe, her death drew little notice. The later obituaries of the birth-control researchers she had supported did not mention her role in their achievement.
In her will, she left $5 million to the Planned Parenthood Federation (more than $46 million today) and $1 million to Pincus’s laboratories (more than $9 million today). Earlier, she had donated her inherited property in Switzerland to the U.S. government for use by its diplomatic mission in Geneva. She left most of the rest of her estate to M.I.T.
Science
A push to end a fractured approach to post-fire contamination removal
The patchwork efforts to identify and safely remove contamination left by the 2025 Eaton and Palisades fires has been akin to the Wild West.
Experts have given conflicting guidance on best practices. Shortly after the fires, the federal government suddenly refused to adhere to California’s decades-old post-fire soil-testing policy; California later considered following suit.
Meanwhile, insurance companies have resisted remediation practices widely recommended by scientists for still-standing homes.
A new bill introduced this week by state Assemblymember John Harabedian (D-Pasadena) aims to change that by creating statewide science-based standards for the testing and removal of contamination deposited by wildfires — specifically within still-standing homes, workplaces and schools, and in the soil around those structures.
“In a state where we’ve had a number of different wildfires that have happened in urban and suburban areas, I was shocked that we didn’t have a black-and-white standard and protocol that would lay out a uniform post-fire safety standard for when a home is habitable again,” Harabedian said.
The bill, AB 1642, would task the state’s Department of Toxic Substances Control with creating standards by July 1, 2027. The standards would only serve as guidance — not requirements — but even that would be helpful, advocates say.
“Guidance, advisories — those are extremely helpful for families that are trying to return home safely,” said Nicole Maccalla, who leads data science efforts with Eaton Fire Residents United, a grassroots organization addressing contamination in still-standing homes. “Right now, there’s nothing … which means that insurance companies are the decision-makers. And they don’t necessarily prioritize human health. They’re running a business.”
Maccalla supports tasking DTSC with determining what levels of contamination pose an unacceptable health risk, though she does want the state to convene independent experts including physicians, exposure scientists and remediation professionals to address the best testing procedures and cleanup techniques.
Harabedian said the details are still being worked out.
“What’s clear from my standpoint, is, let’s let the public health experts and the science and the scientists actually dictate what the proper standards and protocol is,” Harabedian said. “Not bureaucrats and definitely not insurance companies.”
For many residents with still-standing homes that were blanketed in toxic soot and ash, clear guidance on how to restore their homes to safe conditions would be a much welcome relief.
Insurance companies, environmental health academics, and professionals focused on addressing indoor environmental hazards have all disagreed on the necessary steps to restore homes, creating confusion for survivors.
Insurance companies and survivors have routinely fought over who is responsible for the costs of contamination testing. Residents have also said their insurers have pushed back on paying for the replacement of assets like mattresses that can absorb contamination, and any restoration work beyond a deep clean, such as replacing contaminated wall insulation.
Scientists and remediation professionals have clashed over which contaminants homeowners ought to test for after a fire. Just last week, researchers hotly debated the thoroughness of the contamination testing at Palisades Charter High School’s campus. The school district decided it was safe for students to return; in-person classes began Tuesday.
Harabedian hopes the new guidelines could solidify the state’s long-standing policy to conduct comprehensive, post-fire soil testing.
Not long after the federal government refused to adhere to the state’s soil testing policy, Nancy Ward, the former director of the California Governor’s Office of Emergency Services, had privately contemplated ending state funding for post-fire soil testing as well, according to an internal memo obtained by The Times.
“That debate, internally, should have never happened,” Harabedian said. “Obviously, if we have statewide standards that say, ‘This is what you do in this situation,’ then there is no debate.”
Science
Expiration of federal health insurance subsidies: What to know in California
Thousands of middle-class Californians who depend on the state-run health insurance marketplace face premiums that are thousands of dollars higher than last year because enhanced federal subsidies that began during the COVID-19 pandemic have expired.
Despite fears that more people would go without coverage with the end of the extra benefits, the number enrolling in Covered California has held steady so far, according to state data.
But that may change.
Jessica Altman, executive director of Covered California, said that she believes the number of people dropping their coverage could increase as they receive bills with their new higher premiums in the mail this month. She said better data on enrollment will be available in the spring.
Altman said that even though the extra benefits ended Dec. 31, 92% of enrollees continue to receive government subsidies to help pay for their health insurance. Nearly half qualify for health insurance that costs $10 or less per month. And 17% of Californians renewing their Covered California policies will pay nothing for premiums if they keep their current plan.
The deadline to sign up for 2026 benefits is Saturday.
Here’s help in sorting out what the expiration of the enhanced subsidies for insurance provided under the Affordable Care Act, often called Obamacare, means in the Golden State.
What expired?
In 2021, Congress voted to temporarily to boost the amount of subsidies Americans could receive for an ACA plan. The law also expanded the program to families who had more money. Before the vote, only Americans with incomes below 400% of the federal poverty level — currently $62,600 a year for a single person or $128,600 for a family of four — were eligible for ACA subsidies. The 2021 vote eliminated the income cap and limited the cost of premiums for those higher-earning families to no more than 8.5% of their income.
How could costs change this year for those enrolled in Covered California?
Anyone with income above 400% of the federal poverty level no longer receives subsidies. And many below that level won’t receive as much assistance as they had been receiving since 2021. At the same time, fast-rising health costs boosted the average Covered California premium this year by more than 10.3%, deepening the burden on families.
How much would the net monthly premium for a Los Angeles couple with two children and a household income of $90,000 rise?
The family’s net premium for the benchmark Silver plan would jump to $699 a month this year from $414 a month last year, according to Covered California. That’s an increase of 69%, costing the family an additional $3,420 this year.
Who else could face substantially higher health bills?
People who retired before the Medicare-qualifying age of 65, believing that the enhanced subsidies were permanent, will be especially hit hard. Those with incomes above 400% of the federal poverty level could now be facing thousands of dollars in additional health insurance costs.
How did enrollment in Covered California change after the enhanced subsidies expired on Dec. 31?
As of Jan. 17, 1,906,033 Californians had enrolled for 2026 insurance. That’s less than 1% lower than the 1,921,840 who had enrolled by this time last year.
Who depends on Covered California?
Enrollees are mostly those who don’t have access to an employer’s health insurance plan and don’t qualify for Medi-Cal, the government-paid insurance for lower-income people and those who are disabled.
An analysis by KFF, a nonprofit that provides health policy information, found that nearly half the adults enrolled in an ACA plan are small-business owners or their employees, or are self-employed. Occupations using the health insurance exchanges where they can buy an ACA plan include realtors, farmers, chiropractors and musicians, the analysis found.
What is the underlying problem?
Healthcare spending has been increasing faster than overall inflation for years. The nation now spends more than $15,000 per person on healthcare each year. Medical spending today represents about 18% of the U.S. economy, which means that almost one out of every five dollars spent in the U.S. goes toward healthcare. In 1960, health spending was just 5% of the economy.
What has California done to help people who are paying more?
The state government allocated $190 million this year to provide subsidies for those earning up to 165% of the federal poverty level. This money will help keep monthly premiums consistent with 2025 levels for those with an annual income of up to $23,475 for an individual or $48,225 for a family of four, according to Covered California.
Where can I sign up?
People can find out whether they qualify for financial help and see their coverage options at the website CoveredCA.com.
What if I decide to go without health insurance?
People without insurance could face medical bills of tens of thousands of dollars if they become sick or get injured. And under California state law, those without coverage face an annual penalty of at least $900 for each adult and $450 for each child.
Science
Department of Education finds San Jose State violated Title IX regarding transgender volleyball player
The U.S. Department of Education has given San José State 10 days to comply with a list of demands after finding that the university violated Title IX concerning a transgender volleyball player in 2024.
A federal investigation was launched into San José State a year ago after controversy over a transgender player marred the 2024 volleyball season. Four Mountain West Conference teams — Boise State, Wyoming, Utah State and Nevada-Reno — each chose to forfeit or cancel two conference matches to San José State. Boise State also forfeited its conference tournament semifinal match to the Spartans.
The transgender player, Blaire Fleming, was on the San José State roster for three seasons after transferring from Coastal Carolina, although opponents protested the player’s participation only in 2024.
In a news release Wednesday, the Education Department warned that San José State risks “imminent enforcement action” if it doesn’t voluntarily resolve the violations by taking the following actions, not all of which pertain solely to sports:
1) Issue a public statement that SJSU will adopt biology-based definitions of the words “male” and “female” and acknowledge that the sex of a human — male or female — is unchangeable.
2) Specify that SJSU will follow Title IX by separating sports and intimate facilities based on biological sex.
3) State that SJSU will not delegate its obligation to comply with Title IX to any external association or entity and will not contract with any entity that discriminates on the basis of sex.
4) Restore to female athletes all individual athletic records and titles misappropriated by male athletes competing in women’s categories, and issue a personalized letter of apology on behalf of SJSU to each female athlete for allowing her participation in athletics to be marred by sex discrimination.
5) Send a personalized apology to every woman who played in SJSU’s women’s indoor volleyball from 2022 to 2024, beach volleyball in 2023, and to any woman on a team that forfeited rather than compete against SJSU while a male student was on the roster — expressing sincere regret for placing female athletes in that position.
“SJSU caused significant harm to female athletes by allowing a male to compete on the women’s volleyball team — creating unfairness in competition, compromising safety, and denying women equal opportunities in athletics, including scholarships and playing time,” Kimberly Richey, Education Department assistant secretary for civil rights, said.
“Even worse, when female athletes spoke out, SJSU retaliated — ignoring sex-discrimination claims while subjecting one female SJSU athlete to a Title IX complaint for allegedly ‘misgendering’ the male athlete competing on a women’s team. This is unacceptable.”
San José State responded with a statement acknowledging that the Education Department had informed the university of its investigation and findings.
“The University is in the process of reviewing the Department’s findings and proposed resolution agreement,” the statement said. “We remain committed to providing a safe, respectful, and inclusive educational environment for all students while complying with applicable laws and regulations.”
In a New York Times profile, Fleming said she learned about transgender identity when she was in eighth grade. “It was a lightbulb moment,” she said. “I felt this huge relief and a weight off my shoulders. It made so much sense.”
With the support of her mother and stepfather, Fleming worked with a therapist and a doctor and started to socially and medically transition, according to the Times. When she joined the high school girls’ volleyball team, her coaches and teammates knew she was transgender and accepted her.
Fleming’s first two years at San José State were uneventful, but in 2024 co-captain Brooke Slusser joined lawsuits against the NCAA, the Mountain West Conference and representatives of San José State after alleging she shared hotel rooms and locker rooms with Fleming without being told she is transgender.
The Education Department also determined that Fleming and a Colorado State player conspired to spike Slusser in the face, although a Mountain West investigation found “insufficient evidence to corroborate the allegations of misconduct.” Slusser was not spiked in the face during the match.
President Trump signed an executive order a year ago designed to ban transgender athletes from competing on girls’ and women’s sports teams. The order stated that educational institutions and athletic associations may not ignore “fundamental biological truths between the two sexes.” The NCAA responded by banning transgender athletes.
The order, titled “Keeping Men Out of Women’s Sports,” gives federal agencies, including the Justice and Education departments, wide latitude to ensure entities that receive federal funding abide by Title IX in alignment with the Trump administration’s view, which interprets a person’s sex as the gender they were assigned at birth.
San José State has been in the federal government’s crosshairs ever since. If the university does not comply voluntarily to the actions listed by the government, it could face a Justice Department lawsuit and risk losing federal funding.
“We will not relent until SJSU is held to account for these abuses and commits to upholding Title IX to protect future athletes from the same indignities,” Richey said.
San José State was found in violation of Title IX in an unrelated case in 2021 and paid $1.6 million to more than a dozen female athletes after the Department of Justice found that the university failed to properly handle the students’ allegations of sexual abuse by a former athletic trainer.
The federal investigation found that San José State did not take adequate action in response to the athletes’ reports and retaliated against two employees who raised repeated concerns about Scott Shaw, the former director of sports medicine. Shaw was sentenced to 24 months in prison for unlawfully touching female student-athletes under the guise of providing medical treatment.
The current findings against San José State came two weeks after federal investigators announced that the California Community College Athletic Assn. and four other state colleges and school districts are the targets of a probe over whether their transgender participation policies violate Title IX.
The investigation targets a California Community College Athletic Assn. rule that allows transgender and nonbinary students to participate on women’s sports teams if the students have completed “at least one calendar year of testosterone suppression.”
Also, the Education Department’s Office of Civil Rights has launched 18 Title IX investigations into school districts across the United States on the heels of the Supreme Court hearing oral arguments on efforts to protect women’s and girls’ sports.
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