MENTALLY AND PHYSICALLY HANDICAPPED: VICTIMS OF THE NAZI ERA
n 1935 Hitler stated privately that "in the event of war, [he] would take up the question of euthanasia and enforce it" because "such a problem would be more easily solved" during wartime. War would provide both a cover for killing and a pretext--hospital beds and medical personnel would be freed up for the war effort. The upheaval of war and the diminished value of human life during wartime would also, Hitler believed, mute expected opposition. To make the connection to the war explicit, Hitler's decree was backdated to September 1, 1939, the day Germany invaded Poland.
Fearful of public reaction, the Nazi regime never proposed a formal "euthanasia" law. Unlike the forced sterilizations, the killing of patients in mental asylums and other institutions was carried out in secrecy. The code name was "Operation T4," a reference to Tiergartenstrasse 4, the address of the Berlin Chancellery offices where the program was headquartered.
Physicians, the most highly Nazified professional group in Germany, were key to the success of "T-4," since they organized and carried out nearly, all aspects of the operation. One of Hitler's personal physicians, Dr. Karl Brandt, headed the program, along with Hitler's Chancellery chief, Philip Bouhler. T-4 targeted adult patients in all government or church-run sanatoria and nursing homes. These institutions were instructed by the Interior Ministry to collect questionnaires about the state of health and capacity for work of all their patients, ostensibly as part of a statistical survey.
The completed forms were, in turn, sent to expert assessors physicians, usually psychiatrists, who made up "review commissions." They marked each name with a "+," in red pencil, meaning death, or a "" in blue pencil, meaning life, or "?" for cases needing additional assessment. These medical experts rarely examined any of the patients and made their decisions from the questionnaires alone. At every step, the medical authorities involved were usually expected to quickly process large numbers of forms....
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