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Reproductive Ethics in Clinical Practice
 Reproductive Ethics
in Clinical Practice
Preventing, Initiating, and Managing
Pregnancy and Delivery
Essays Inspired by the MacLean Center for Clinical
Medical Ethics Lecture Series

Edited by
J U L I E C HO R , M D, M P H
Assistant Professor, Obstetrics and Gynecology,
Pritzker School of Medicine, The University of Chicago
Assistant Director, MacLean Center for Clinical Medical Ethics,
The University of Chicago

KAT I E WAT S O N , J D
Associate Professor, Medical Social Sciences, Medical Education,
and Obstetrics and Gynecology, Feinberg School of Medicine,
Northwestern University

1
 3
Oxford University Press is a department of the University of Oxford. It furthers
the University’s objective of excellence in research, scholarship, and education
by publishing worldwide. Oxford is a registered trade mark of Oxford University
Press in the UK and certain other countries.

Published in the United States of America by Oxford University Press

198 Madison Avenue, New York, NY 10016, United States of America.

© Oxford University Press 2021

All rights reserved. No part of this publication may be reproduced, stored in

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address above.

You must not circulate this work in any other form

and you must impose this same condition on any acquirer.

Library of Congress Cataloging-​in-​Publication Data

Names: Chor, Julie, editor. | Watson, Katie, editor.
Title: Reproductive ethics in clinical practice /​editors, Julie Chor,
Katie Watson.
Description: New York, NY : Oxford University Press, [2021] | Includes
bibliographical references and index.
Identifiers: LCCN 2021008369 (print) | LCCN 2021008370 (ebook) | ISBN
9780190873028 (hardback) | ISBN 9780190873011 (paperback) | ISBN
9780190873059 (epub) | ISBN 9780190873035
Subjects: MESH: Reproductive Medicine—​ethics | Essay
Classification: LCC RG133.5 (print) | LCC RG133.5 (ebook) | NLM WQ 9 |
DDC 176/​.2—​dc23
LC record available at https://​lccn.loc.gov/​2021008369

DOI: 10.1093/​med/​9780190873028.001.0001

This material is not intended to be, and should not be considered, a substitute for medical or other professional
advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances.
And, while this material is designed to offer accurate information with respect to the subject matter covered and
to be current as of the time it was written, research and knowledge about medical and health issues is constantly
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1 3 5 7 9 8 6 4 2
Paperback printed by Marquis, Canada
Hardback printed by Bridgeport National Bindery, Inc., United States of America
 Deepest gratitude to the Charlie Boys for their constant love and support.
—​JC

For my grandmothers, both nurses, for modeling women at work and caring
for others as a profession.
—​KW
 Contents

Acknowledgments  xi
About the Authors  xiii

Introduction  1
Julie Chor MD, MPH and Katie Watson JD

SE C T IO N I C O N T R AC E P T IO N A N D A B O RT IO N
E T H IC S : P R EV E N T I N G P R E G NA N C Y A N D B I RT H
Overview: Contraception and Abortion Ethics  9
Katie Watson JD and Julie Chor MD, MPH
1. Why Reproductive Justice Matters to Reproductive Ethics  17
Melissa Gilliam MD, MPH and Dorothy Roberts JD
2. Religiously Affiliated Healthcare Institutions:
An Ethical Analysis of What They Mean for Patients,
Clinicians, and Our Health System  29
Lori Freedman PhD and Debra Stulberg MD, MAPP
3. Contemporary Challenges to Providing Confidential
Reproductive Healthcare to Minors  44
Amber Truehart MD, MSc, Lee Hasselbacher JD, and
Julie Chor MD, MPH
4. Contraception and Abortion in the United States:
A Brief Legal History  62
David A. Strauss JD

SE C T IO N I I A S SI ST E D R E P R O D U C T IO N
E T H IC S : I N I T IAT I N G P R E G NA N C Y
Overview: Assisted Reproduction Ethics  79
Katie Watson JD and Julie Chor MD, MPH
5. The Reproduction of Stratified (Assisted) Reproduction:
Epidemiology, History, and Ideology in Infertility Care  84
Lisa H. Harris MD, PhD
viii Contents

6.  Preimplantation Genetics: Liabilities and Limitations  98

Valerie Gutmann Koch JD
7.  Who Are Your Patients, and What Happens When They
Disagree? Conflicts in Treating Multiple Parties Engaging
in Third-​Party Reproduction  110
Heather E. Ross JD
8.   Ethical Issues in Oocyte Donation  123
Susan C. Klock PhD
9.   Oncofertility: Ethics and Hope after Cancer  136
Bruno Ramalho de Carvalho MD, MSc, MBA, Jhenifer Kliemchen
Rodrigues BSc, MSc, PhD, and Teresa K. Woodruff PhD
10. Accessing Reproductive Technology in France: Strengths
and Limits of a Model that Privileges “Just Reproduction”
above Respect for Autonomy  151
Laurence Brunet MLS and Véronique Fournier MD, PhD

SE C T IO N I I I O B ST E T R IC E T H IC S : M A NAG I N G
P R E G NA N C Y A N D D E L I V E RY
Overview: Obstetric Ethics  165
Julie Chor MD, MPH and Katie Watson JD
11. Refusing to Force Treatment: Reconciling the Law
and Ethics of Post-​Viability Treatment Refusals and
Post-​Viability Abortion Prohibitions  170
Katie Watson JD
12. Professional Ethics in Obstetric Practice, Innovation,
and Research  197
Frank A. Chervenak MD, MMM and
Laurence B. McCullough PhD
13.  Doing Harm: When Healthcare Providers Report Their
Pregnant Patients to the Police and Other Authorities  212
Jeanne Flavin PhD and Lynn M. Paltrow JD
 Contents ix

14. Prenatal Counseling for Maternal–​Fetal Surgery:

Potential Biases, Competing Interests, and Undue Practice
Variation in the World of Fetal Care  232
Stephen D. Brown MD
15. Ethical Issues in Academic Global Reproductive Health  247
Kayte Spector-​Bagdady JD, MBE and
Timothy R. B. Johnson MD, AM
 Acknowledgments

Julie Chor and Katie Watson thank the MacLean Center for Clinical Medical
Ethics at the University of Chicago and Dr. Mark Siegler, Director of the
MacLean Center, for their support of the production of this book, for the
year-​long lecture series that served as the foundation for this volume, and for
the Fellowship training that first taught us to think deeply about the ethical
complexity and impact of patient–​healthcare professional interactions.
 About the Authors

Stephen D. Brown, MD, is a pediatric radiologist at Boston Children’s

Hospital and immediate past Director of the Hospital’s Institute for
Professionalism and Ethical Practice. He is Associate Professor of Radiology
at Harvard Medical School, where he serves on the core faculty in the medical
student Medical Ethics and Professionalism curriculum and as a Capstone
Seminar faculty member in the MBE program. Dr. Brown attended the
University of Pennsylvania School of Medicine, completed a diagnostic ra-
diology residency at Massachusetts General Hospital, and fellowships in pe-
diatric radiology and pediatric interventional radiology at Boston Children’s
Hospital. He also completed the 2003–​ 2004 Harvard Medical School
Fellowship in Bioethics, where the ideas for his book chapter were conceived,
with empirical work subsequently funded through a Boston Children’s
Hospital Faculty Career Development Award, the American Roentgen Ray
Society Leonard Berlin Scholarship in Medical Professionalism, and grants
from the Kornfeld Program in Bioethics and Patient Care, the Greenwall
Foundation, and the Harvard University Milton Fund.

Laurence Brunet, MLS, is a legal scholar and research associate of the

Institut des sciences juridique et philosophique de la Sorbonne (UMR
8103) at the Université de Paris I. While lecturing on Fundamental Rights
and Personal Law at the Institut d'Etudes Judiciaires of the Université de
Paris XI, she also is a legal counsel at the Centre de Référence des Maladies
Rares du Développement Génital (DEVGEN) of the Kremlin Bicêtre
Hospital. Her research focuses on the interactions between family law and
advances in scientific and medical research, with special emphasis on new
family configurations, children born of surrogacy, and the status of trans-
gender individuals.

Frank A. Chervenak, MD, MMM, is Professor and Chair of Obstetrics

and Gynecology, Lenox Hill Hospital and Chair and Associate Dean for
International Medicine at the Zucker School of Medicine at Hofstra/​
Northwell in New York. He is a member of the US National Academy of
xiv About the Authors

Medicine and has received honorary doctorates at 11 medical universities

throughout the world. He has collaborated for 38 years with Dr. Laurence
B. McCullough on ethics in obstetrics and gynecology, resulting in 286 peer-​
reviewed papers and three books. The most recent of these, co-​authored with
Dr. John H. Coverdale (Professor of Psychiatry and Medical Ethics, Baylor
College of Medicine), Professional Ethics in Obstetrics and Gynecology, was
published by Cambridge University Press in 2020.

Julie Chor, MD, MPH, is an Assistant Professor of Obstetrics and

Gynecology and an Assistant Director of the MacLean Center for Clinical
Medical Ethics at the University of Chicago. After completing medical school
at the University of Chicago's Pritzker School of Medicine, Dr. Chor com-
pleted her Obstetrics and Gynecology residency, Fellowship in Complex
Family Planning, and MPH at the University of Illinois at Chicago. Her ac-
ademic and clinical work focus on understanding and addressing barriers
that adolescents and young adults face in seeking and obtaining reproductive
health care. Dr. Chor also serves as a member of the American College of
Obstetricians and Gynecologists' Committee on Ethics.

Bruno Ramalho de Carvalho, MD, MSc, MBA, is a board-​certified spe-

cialist in gynecology and human assisted reproduction. After completing
medical school at the Federal University of Uberlândia, Minas Gerais, Brazil,
Dr. Bruno completed his obstetrics and gynecology, and assisted reproduc-
tion residency and MSc at the University of São Paulo in Ribeirão Preto,
São Paulo, Brazil. His work focuses on providing reproductive health as-
sistance, with special interest on fertility preservation, either for medical
or social reasons. He also serves as a member of the Brazilian Federation of
Gynecology and Obstetrics Associations’ National Specialty Commission on
Human Reproduction and as a member of the clinical staff of Hospital Sírio-​
Libanês in Brasília, Federal District, Brazil.

Jeanne Flavin, PhD, is Professor of Sociology at Fordham University

in New York City. She received a 2013 Sociologists for Women in Society
award for social action and a 2009 Fulbright research award to study women,
family, and crime in South Africa. Her publications include the award-​
winning Our Bodies, Our Crimes: Policing Women's Reproduction in America
(New York University Press, 2009) and the co-​edited volume, Race, Gender,
and Punishment: From Colonialism to the War on Terror (Rutgers University
 About the Authors xv

Press, 2007). Her current research, undertaken in partnership with National

Advocates for Pregnant Women, documents the assaults on the person-
hood of pregnant people, including women whose poverty, race, and/​or
mental health make them vulnerable targets for arrest and prosecution on
the basis of their actions or inactions during pregnancy, and other abuses of
state power.

Véronique Fournier, MD, PhD, founded the first clinical ethics service sup-
port in France in 2002 and directed it for 18 years. She conceived this service
after having been delegated by the French Minister of Health to investigate
the field of clinical ethics in the United States and having spent 1 year in the
MacLean Centre for Clinical Medical Ethics (Chicago) as a fellow in Mark
Siegler’s intensive training clinical ethics program. Her position led her to
work on, among others, the ethical issues raised by concrete access to repro-
ductive technologies on the clinical ground and to confront the way they
were faced in France as opposed to the United States. In 2009, she published
Le bazar bioéthique (The Bioethics Bazaar; Editions Robert Laffont, Paris) to
alert readers to the difficulties encountered by couples who are not perfectly
compliant with the norms of public morality in accessing such technologies,
difficulties partly due to the illiberalism of the legislative framework to which
the bioethics field is subject in France.

Lori Freedman, PhD, is Associate Professor of Obstetrics, Gynecology,

and Reproductive Sciences at the University of California, San Francisco.
She conducts qualitative research within the Advancing New Standards in
Reproductive Health (ANSIRH) program. Dr. Freedman completed her so-
ciology doctorate at the University of California, Davis, in 2008. She became
a Greenwall Faculty Scholar in Bioethics in 2014 and an Emerging Leader
in Health and Medicine at the National Academy of Medicine in 2017.
Dr. Freedman investigates how reproductive healthcare is shaped by our
medical institutions and social structures.

Melissa Gilliam, MD, MPH, is the Ellen H. Block Distinguished Service

Professor of Health Justice and Vice Provost at the University of Chicago.
Dr. Gilliam is the founder and director of the Center for Interdisciplinary
Inquiry and Innovation in Sexual and Reproductive Health (Ci3), an in-
terdisciplinary research center at the University of Chicago addressing the
health of adolescents using technology, design, and narrative. She is also a
xvi About the Authors

member of the National Academy of Medicine. Her clinical focus is in pedi-

atric and adolescent gynecology.

Valerie Gutmann Koch, JD, is Assistant Professor and Co-​Director of the

Health Law and Policy Institute at the University of Houston Law Center
and Director of Law and Ethics at the MacLean Center for Clinical Medical
Ethics at the University of Chicago. After receiving her law degree at Harvard
Law School, Professor Koch was the Special Advisor and Senior Attorney
to the New York State Task Force on Life and the Law, the state’s bioethics
commission. She has served as the Chair of the ABA’s Special Committee on
Bioethics and the Law and as Co-​Chair of the Law Affinity Group for the
American Society for Bioethics and the Humanities.

Lisa H. Harris, MD, PhD, is the F. Wallace and Janet Jeffries Collegiate
Professor of Reproductive Health, Professor of Obstetrics and Gynecology,
and Professor of Women’s Studies at University of Michigan. After com-
pleting college and medical school at Harvard University, Dr. Harris com-
pleted obstetrics and gynecology residency at the University of California,
San Francisco, and a PhD in American culture and women’s studies at the
University of Michigan. Her clinical work encompasses abortion, mis-
carriage, and birth care. She is known for interdisciplinary approaches to
scholarship, including work on abortion stigma, experiences of abortion
caregivers, conscience in reproductive healthcare, women’s preferences for
miscarriage management, and the social construction of assisted repro-
ductive technologies. She serves as Associate Chair of her department and
directs the University of Michigan’s Fellowship in Complex Family Planning.

Lee Hasselbacher, JD, is Senior Policy Researcher at the Center for

Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health
(Ci3) at the University of Chicago. Lee leads Ci3’s reproductive health policy
research, collecting data and translating research to inform policy debates
and legislation. Her research covers topics such as access to contraception
and abortion, health insurance, religious refusals in healthcare, and con-
sent and confidentiality for young people. Lee is a graduate of Northwestern
Pritzker School of Law, where she focused on law and social policy, and the
University of Wisconsin-​Madison.
 About the Authors xvii

Timothy R. B. Johnson, MD, AM, FACOG, is Arthur F. Thurnau Professor

of Obstetrics and Gynecology and Gender and Women’s Studies and a
member of the Center for Bioethics and Social Sciences in Medicine at the
University of Michigan. His academic and clinical interests include fetal as-
sessment, prenatal care, medical education and human resource capacity
building, global women’s health, reproductive justice, global health ethics,
and assessment and prevention of sexual harassment in academic medi-
cine. He has long been involved in international medical education and re-
search, notably in Ghana, and is honorary Fellow of the West African College
of Surgeons, the Ghana College of Physicians and Surgeons, and the Royal
College of Obstetricians and Gynaecologists (London). He has received
the Distinguished Service Award of the American College of Obstetricians
and Gynecologists (ACOG), the Distinguished Merit Award of FIGO
(International Federation of Gynecology and Obstetrics), and is an elected
member of the US National Academy of Medicine.

Jhenifer Kliemchen Rodrigues, BSc, MSc, PhD, is Technical and

Administrative Director at In Vitro Embriologia Clínica e Consultoria
and Professor/​Researcher at the Federal University, Minas Gerais, Brazil.
Dr. Rodriques received her MS and PhD in biology of reproduction at the
University of São Paulo and subsequently completed a postdoctoral fel-
lowship in oncofertility at Oregon Health and Science University and a
postdoctoral degree in molecular medicine at Federal University of Minas
Gerais. She was a doctoral thesis winner of the CAPES Thesis Award, 2015
Edition, in the area of Medicine III and has published several scientific ar-
ticles in this area. Dr. Rodriques is also a founding member of the Latin
America Oncofertility Network and is a member of several medical socie-
ties, including the Brazilian Society for Reproductive Assistance (SBRA), the
Brazilian Society for Human Reproduction (SBRH), Pronucleo, American
Society for Reproductive Medicine (ASRM), and the European Society
of Human Reproduction and Embryology (ESRHE). She has more than
16 years of experience in clinical embryology, research, and technical con-
sultancy in reproductive medicine, having received merit certification in
laboratory directorship, clinical embryology, and andrology by the Latin
American Network for Assisted Reproduction (REDLARA).
xviii About the Authors

Susan C. Klock, PhD, is a clinical psychologist specializing in the psycho-

logical aspects of assisted reproduction. She is Professor of Obstetrics and
Gynecology and Psychiatry at Northwestern University’s Feinberg School of
Medicine. She provides consultation and counseling to individuals under-
going assisted reproduction treatment. She is past Chair of the Mental Health
Professional Group of the American Society for Reproductive Medicine.
Her program of research focuses on the psychosocial aspects of third-​party
reproduction. She has authored more than 50 peer-​reviewed and invited
publications regarding the psychological aspects of assisted reproduction
and is current Specialty Editor for Mental Health, Ethics, and Sexuality for
Fertility and Sterility.

Laurence B. McCullough, PhD, is Professor of Obstetrics and Gynecology,

Zucker School of Medicine at Hofstra/​Northwell at Lenox Hill Hospital
in New York City and Distinguished Emeritus Professor in the Center for
Medical Ethics and Health Policy, Baylor College of Medicine, Houston,
Texas. After completing his doctorate in philosophy at the University of
Texas at Austin, he was a Post-​Doctoral Fellow at the Hastings Center. He has
collaborated for 38 years with Dr. Frank A. Chervenak on ethics in obstet-
rics and gynecology, resulting in 286 peer-​reviewed papers and three books.
The most recent of these, co-​authored with Dr. John H. Coverdale (Professor
of Psychiatry and Medical Ethics, Baylor College of Medicine), Professional
Ethics in Obstetrics and Gynecology, was published by Cambridge University
Press in 2020.

Lynn M. Paltrow, JD, is the Founder and Executive Director of National

Advocates for Pregnant Women. She is a graduate of Cornell University
and New York University School of Law. Ms. Paltrow combines legal advo-
cacy with grassroots and national organizing and policy work to secure the
human and civil rights, health, and welfare of all people, focusing particu-
larly on pregnant and parenting women and those who are most likely to
be targeted for arrest and state control: women of color, low-​income white
women, and drug-​using women. She has worked on numerous cases chal-
lenging restrictions on the right to choose abortion as well as cases opposing
the prosecution of pregnant women seeking to continue their pregnancies
to term. She is a frequent guest lecturer and writer for popular press, law
reviews, and peer-​reviewed journals.
 About the Authors xix

Dorothy Roberts, JD, is the fourteenth Penn Integrates Knowledge Professor

and George A. Weiss University Professor at the University of Pennsylvania,
with joint appointments in the departments of Africana Studies and
Sociology and the Law School, where she is the inaugural Raymond Pace
and Sadie Tanner Mossell Alexander Professor of Civil Rights. She is also
Founding Director of the Penn Program on Race, Science, and Society.
Roberts has written and lectured extensively on law, public policy, and so-
cial justice issues related to reproductive freedom, child welfare, and bio-
ethics. She is author of Killing the Black Body: Race, Reproduction, and the
Meaning of Liberty (Pantheon, 1997/​2017), Shattered Bonds: The Color of
Child Welfare (Civitas, 2001), and Fatal Invention: How Science, Politics, and
Big Business Re-​create Race in the Twenty-​First Century (New Press, 2011),
and more than 100 scholarly articles and book chapters, as well as being
co-​editor of six books. Recent recognitions of her work include a 2019 elec-
tion as a College of Physicians of Philadelphia Fellow, a 2017 election to the
National Academy of Medicine, a 2016 Society of Family Planning Lifetime
Achievement Award, a 2015 American Psychiatric Association Solomon
Carter Fuller Award, and a 2011 election as a Hastings Center Fellow.

Heather E. Ross, JD, co-​founded the law firm of Ross & Zuckerman, LLP,
in 2005 to focus solely on legal issues surrounding assisted reproductive
technology. Ms. Ross is a past chair to the Legal Professional Group of the
American Society of Reproductive Medicine. She is also a member of the
Academy of Adoption and Assisted Reproduction Attorneys, a professional
member of Resolve, Family Equality Council, the LGBT Bar, and a com-
mittee member of the American Bar Association’s Assisted Reproductive
Technology Committee. Ms. Ross has represented thousands of clients in
gamete donation, embryo donation, and gestational surrogacy arrangements.
She is a frequent lecturer and writer in the area of assisted reproductive tech-
nology (ART) law and has presented numerous CLE courses to attorneys,
medical professionals, and law students practicing in this field. Heather is
also a Village Trustee in her hometown of Northbrook, Illinois, where she
lives with her spouse, and 3 teenage girls—​all of whom are the successful out-
come of ART.

Kayte Spector-​Bagdady, JD, MBe, is Associate Director at the Center

for Bioethics and Social Sciences in Medicine and Assistant Professor of
Another random document with
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The Project Gutenberg eBook of Uncle
Wiggily's silk hat
This ebook is for the use of anyone anywhere in the United
States and most other parts of the world at no cost and with
almost no restrictions whatsoever. You may copy it, give it away
or re-use it under the terms of the Project Gutenberg License
included with this ebook or online at www.gutenberg.org. If you
are not located in the United States, you will have to check the
laws of the country where you are located before using this
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Title: Uncle Wiggily's silk hat

or, A tall silk hat may be stylish and also useful; and
How Uncle Wiggily brought home company without
telling Nurse Jane; also How Uncle Wiggily tried to
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Author: Howard Roger Garis

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Release date: January 3, 2024 [eBook #72607]

Language: English

Original publication: New York: Charles E. Graham & Co, 1919

Credits: Richard Tonsing, David Edwards, Southern Illinois

University, and the Online Distributed Proofreading
Team at https://www.pgdp.net (This file was produced
from images generously made available by The
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*** START OF THE PROJECT GUTENBERG EBOOK UNCLE

WIGGILY'S SILK HAT ***
Transcriber’s Note:
New original cover art included with this eBook is
granted to the public domain.
 UNCLE WIGGILY’S SILK HAT

or

A TALL SILK HAT MAY BE STYLISH AND

ALSO USEFUL

and

HOW UNCLE WIGGILY BROUGHT HOME

COMPANY WITHOUT TELLING NURSE

JANE

also
HOW UNCLE WIGGILY TRIED TO MAKE

SALT WATER TAFFY

TEXT BY
HOWARD R. GARIS
Author of THREE LITTLE TRIPPERTROTS and BED TIME
STORIES

PICTURED BY
LANG CAMPBELL
NEWARK, N. J.
CHARLES E. GRAHAM & CO.
NEW YORK
IF YOU LIKE THIS FUNNY LITTLE PICTURE
BOOK ABOUT THE
BUNNY RABBIT GENTLEMAN YOU MAY BE
GLAD
TO KNOW THERE ARE OTHERS.

So if the spoon holder doesn’t go down cellar and take the coal shovel
away from the gas stove, you may read

1 UNCLE WIGGILY’S AUTO SLED.

2 UNCLE WIGGILY’S SNOW MAN.
3 UNCLE WIGGILY’S HOLIDAYS.
4 UNCLE WIGGILY’S APPLE ROAST.
5 UNCLE WIGGILY’S PICNIC.
6 UNCLE WIGGILY’S FISHING TRIP.
7 UNCLE WIGGILY’S JUNE BUG FRIENDS.
8 UNCLE WIGGILY’S VISIT TO THE FARM.
9 UNCLE WIGGILY’S SILK HAT.
10 UNCLE WIGGILY, INDIAN HUNTER.
11 UNCLE WIGGILY’S ICE CREAM PARTY.
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13 UNCLE WIGGILY ON THE FLYING RUG.
14 UNCLE WIGGILY AT THE BEACH.
15 UNCLE WIGGILY AND THE PIRATES.
16 UNCLE WIGGILY’S FUNNY AUTO.
17 UNCLE WIGGILY ON ROLLER SKATES.
18 UNCLE WIGGILY GOES SWIMMING.
Every book has three stories, including the title story.

Made in U. S. A.

Copyright 1919 McClure Newspaper Syndicate. Trade mark

registered.
Copyright 1920, 1922, 1924 Charles E. Graham & Co., Newark, N. J.,
and New York.
 UNCLE WIGGILY’S SILK HAT
or
A TALL SILK HAT MAY BE STYLISH AND
ALSO USEFUL

One day Uncle Wiggily, dressed in his best, started out to look
for an adventure. The rabbit met Uncle Butter, the goat gentleman,
who never cared much for style. “Why do you wear a tall silk hat,
Uncle Wiggily?” the goat gentleman asked. “What’s the use of being
so fancy?” Uncle Wiggily twinkled his pink nose. “A tall silk hat may
stylish be, and also useful, as you shall see,” he answered.

Just as Uncle Wiggily told the goat gentleman that tall silk hats
were useful, along came Susie Littletail the rabbit girl. “Oh, boo hoo!”
sobbed Susie. “There’s a hole in the pail and all the milk is running
out!” Uncle Wiggily took off his nice shiny hat and said: “Never
mind, Susie! I’ll save the milk for you!” Uncle Butter gave a loud
bleat. “Mr. Longears!” cried the goat, “what are you doing?”
 “I am going to save Susie’s milk, that’s what I’m going to do,”
answered the rabbit gentleman. He placed his tall silk hat on the
ground, and into his hat he poured the milk from the leaky pail.
“There you are, Susie!” cried jolly Uncle Wiggily. “Only a little of your
milk ran out. I’ll take the rest home for you, and then Uncle Butter
and I are going to have a boat ride on the duck pond.”
 After taking the milk home for Susie, and drying out his hat at
Mrs. Littletail’s fire, Uncle Wiggily started off again with Uncle
Butter. They reached the duck pond where a monkey doodle
gentleman let them get in his boat to have a ride. All of a sudden,
when they were a long way from shore, the monkey stopped rowing
and cried: “Oh, we are sinking! There’s a leak in the boat and I can’t
dip out the water!”
 “What’s that?” cried the bunny gentleman. “A leak in the boat!”
The monkey sorrowfully said there was. “What can we use to dip out
the water while we row to shore?” asked Uncle Butter. “Why, my tall
silk hat, of course!” laughed Uncle Wiggily. “If it holds milk it will
hold water.” So he bailed out the boat while the goat and monkey
rowed to shore, and Jackie Bow Wow watched them.
 Uncle Wiggily’s hat was so useful dipping the water out of the
leaking boat that it did not sink, and the bunny and goat were soon
safely on shore. But there they found more trouble. Jackie Bow
Wow’s bag of sugar had burst, and the sweet grains were running out
on the ground. “Oh, Uncle Wiggily! What shall I do?” asked the
puppy dog boy. “Mother will scold me for spilling her cake sugar!”
 “Quick, Uncle Butter!” cried the rabbit gentleman, as he saw
what had happened. “You hold up the bag of sugar and I’ll catch the
grains in my hat. We’ll save most of it!” So the goat gentleman held
the bag, which Jackie handed him, and Uncle Wiggily thrust his hat
under the stream of sugar. The wind and hot sun had soon dried the
bunny’s hat so the sugar wouldn’t be sticky. Everything was fine!
 Uncle Wiggily took his hat full of sugar to Jackie’s house for the
little doggie boy, and Mrs. Bow Wow, the dog lady, thanked the
bunny. “I never knew how useful a tall silk hat could be,” she said.
“Nor I,” agreed Uncle Butter. “I rather made fun of Uncle Wiggily,
but I never will again.” Then the two animal gentlemen went to call
on Mrs. Twistytail, the pig lady, who had been picking flowers.
 “Oh, I am so glad to see you gentlemen!” grunted Mrs. Twistytail
as Uncle Wiggily and Uncle Butter came up the steps. “I wish I had a
vase in which to put these blossoms.” Uncle Wiggily took off his hat.
“Use this,” he said. “Fill it with water and put the blossoms in. It’s a
regular vase!” Mrs. Twistytail said it was. Uncle Butter suddenly ran
away. “I’m going to buy me a tall silk hat!” he called back.

And if the wash tub doesn’t try to ride to the moving pictures on the
back of the clothes horse and make a smile come on the face of the
clock, the next pictures and story will tell how
 UNCLE WIGGILY BROUGHT HOME
COMPANY WITHOUT TELLING NURSE
JANE. MISS FUZZY WUZZY WAS SO
SURPRISED, BUT MR. HEDGEHOG HELPED
A LOT.

One day, when Uncle Wiggily was out walking in the woods, he
met Mr. Hedgehog Porcupine. “Ah, good morning, Mr. Hedgehog,”
said the bunny uncle, with a low and polite bow of his tall silk hat.
“You are looking quite happy, and not at all fretful to-day.” Mr.
Hedgehog also made a polite bow. “No, I am not fretful, and my
stickery quills are not sticking up just now,” the Porcupine said. “Will