[3] Two years later, she became the executive director of the Human Betterment Association (later renamed Emergence of the World Population Control Movement), where she worked until 1964.
[3] Even though she was almost ninety years old at the time, Smith donated and strategized for a campaign that culminated in the passing of Oregon's right-to-die law.
Historian Ian Dowbiggin said that Smith "played a pivotal role in the struggle for birth control, for euthanasia, and for abortion.
"[3] Along with eleven other people, she helped establish the National Association for the Repeal of Abortion Laws (now called NARAL Pro-Choice America) in the 1969.
[4][5] Until 2009, she held seminars four times a week for Quest, a program at the City College of New York for retirees at which she taught the history of the US Supreme Court.