The bureau recognized the important role of public libraries in out-of-school learning, identifying the need for governing boards that included "alert, intelligent and purposeful men and women of the laboring
classes" (Sullivan, 1963, pp.
But he suspects doulas may produce less striking effects in hospitals if patients have had prelabor education, if fathers coash the mothers through delivery, and if hospitals maintain a ratio of one nurse per laboring
Unfortunately, these days even that "Made in the U.S.A." label is no guarantee that the workers who made that product weren't laboring
under sweatshop conditions.